Forn Pa-014 - Occupational Tax On Petroleum Products Refined In Wisconsin

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OCCUPATIONAL FORM – (Petroleum)
Return to Assessor Before February 1
Occupational Tax on Petroleum Products Refined In Wisconsin
20
Assessment
Town
}
Village of
County of
School District
City
Belonging to
or in his charge as agent, bailee, consignee,
or other representative capacity
Post office address
Engaged in the business
of
Address of Property
(When property is in more than one Town, City or Village, return a statement for each locality)
THE WISCONSIN TAX LAWS PROVIDE:
Section 70.421(1) and (2), Occupational tax on petroleum and petroleum products refined in this state. (1) Every person
operating a crude oil refinery in this state, shall on or before January 31 of each year pay an annual occupational tax of a sum equal
to 5 cents per ton upon all crude oil handled during the year ending on December 31 which is 2 years prior to the payment due date.
All such crude oil so handled and all petroleum products refined therefrom, in the possession of the refinery, shall be exempt from
all personal property taxation, either state or municipal.
(2) Every person on whom a tax is imposed by sub. (1) shall on February 1 of each year, furnish to the assessor of the town,
city or village within which the refinery is situated, a full and true list or statement of all crude oil handled and all petroleum products
refined specifying the respective amounts and different kinds, refined by the refinery during the year immediately preceding Janu-
ary 1 of the year in which the list or statement is to be made. Any operator of a refinery who fails or refuses to furnish the list or
statement or who knowingly makes or furnishes a false or incorrect list or statement, shall be fined not exceeding $1,000.
Report below only crude oil received and handled from January to December 31. For the same period, report on supplemental
schedules petroleum products refined specifying the respective amounts and different kinds refined.
Number
Occupational
of Tons
Tax Rate
Tax
5¢ per ton
$
TOTAL TAX $
I hereby declare that the foregoing and supplementary schedules are true and correct statements of all the personal property
for which I am subject to occupational tax and which was owned or in my possession at any time during the twelve month period
preceding January 1, and all other information given with this statement is true and correct.
Date
Signed
Owner or person in charge must sign here
P.O. Address
Signature of person who assisted in preparing this return
PA-014 (R. 11-11)

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