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WISCONSIN
Wisconsin Department of Revenue
PO Box 8946
RENTAL VEHICLE
Madison WI 53708-8946
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FEE RETURN
SS# or FEIN
Enter 15-digit tax account number
Tax Account Number
Period Begin Date
Period End Date
Due Date
To enter dates above, use the following format: MM DD YYYY
Check if this is an AMENDED return
Enter name and address. Hit "Enter" to start
each new line of the name and/or address.
Check if address change
(Note changes on the back of the form)
Check if business discontinued
(Note changes on the back of the form)
Complete form using BLACK INK
Rental
1 Taxable Receipts
. . . . . . . . . . 1
(Includes any amounts on Line 4)
Vehicle
0.00
2 Rental Vehicle Fee (multiply Line 1 by
) . . . . . . . . . . . . 2
Fee
.05
For periods prior to 6-1-06 and periods after 6-30-09,
there is no Regional Transit Authority Fee.
Regional
3 Number of Rental Vehicles rented in Kenosha,
Transit
Milwaukee and Racine counties . . . . . . . . . . . . . . . . . . . . . . . 3
Authority
4 Regional Transit Authority Fee (multiply Line 3 by
) . . 4
0.00
Fee
$2.00
Limousine
5 Taxable Receipts
. . . . . . . . . . . . . . . . . . . . . 5
(see instructions)
Rental
0.00
6 Limousine Rental Fee (multiply Line 5 by
) . . . . . . . . . . 6
Fee
.05
0.00
7 TOTAL TAX DUE (add Lines 2, 4 and 6) . . . . . . . . . . . . . . . . 7
Amount
8 Interest and Penalty
. . . . . . . . . . . . . . . . . . . 8
(see instructions)
Due
9 TOTAL AMOUNT DUE (add Lines 7 and 8) . . . . . . . . . . . . . . 9
0.00
This return must be filed by the due date, even if you have no fee to report. Failure to timely file this return will result in a
late filing fee and may result in additional penalties. Please see the instructions for additional information regarding the
computation of penalties.
I hereby certify that the amounts entered on this return are true and correct to the best of my knowledge and belief.
Contact Name (please print)
Signature
Date
Phone
(
)
Mail return and remittance to:
Wisconsin Department of Revenue
PO Box 8946
Madison WI 53708-8946
Phone: (608) 266-2776
FOR DEPARTMENT USE ONLY
E-Mail: DORBusinessTax@revenue.wi.gov
Website:
.
RV-012 (R. 8-12)
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