Form Cl-001 - Railroad Company'S Annual Report Of Car Line Taxes Withheld - Wisconsin Department Of Revenue - 2013
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4railroad Company’s Annual report of
mail to:
Wisconsin Department of Revenue
Car line taxes Withheld for the Calendar Year
Manufacturing & Utility Bureau
2135 Rimrock Road MS 6-97
ended December 31, 2012 to the
Madison WI 53713
Wisconsin Department of revenue
on or BeFore April 15, 2013
Forms and related publications are
available at:
Phone: (608) 266-8162
Fax: (608) 264-6887
E-Mail: utility@revenue.wi.gov
Name of Carrier
FEIN#
Address of Railroad
The books of record from which this data is compiled are located at
This report was excuted by
(Name)
(Title)
(Address)
(E-mail)
(Telephone Number)
(Fax)
This report must be filed on or before April 15. A thirty day extension may be granted for the filing of this report provided
a written request is submitted before this date at . See sec. 76.39(3), Wis. Stats., for imposition of
penalties. There are no extensions granted for payment due April 15.
In lieu of completing Schedule B, “Statement of Mileage Basis Gross Earnings and Taxes Withheld”, a computer
generated listing showing this information may be submitted. If the railroad had any contract to move a shipper-owned
car for which the railroad is not obliged to pay any rental either on a mileage, per diem or other basis, please list on
Schedule D. The name and address of such shipper, and indicator for each shipper, along with the number of cars and
miles moved in Wisconsin during the calendar year, must also be included.
schedule A Gross earnings, taxes Withheld, Amount Due
System Gross
Wisconsin
.019393305
Basis of tax
Earnings
Gross Earnings
Withheld
1. Mileage basis earnings – Schedule B, page 2 ....................
2. Non-mileage basis earnings – Schedule C, page 3 ............
3. Total Car Line Gross Earnings and Tax (1. + 2.) .................
4. Less Installment Payment September 10, 2012 ...............................................................................
Amount Due April 15, 2013 – pAYment to Be mADe DireCtlY to BAnK loCK BoX ........
the BAlAnCe Due must Be reCeiveD BY the DepArtment oF revenue on or BeFore April 15, 2013
or suBjeCt to interest At 1.5% per month until pAiD. If any railroad company or car line company fails to pay
on or before April 15, the difference between the current year’s assessment and the amount paid toward that assessment,
the amount not paid is delinquent and is subject to interest under sec. 76.39 (4) (c), Wis. Stats.
CertiFiCAtion
We, the undersigned president and treasurer (or two principal officers) of the
Railroad Company, do certify that this report and all schedules and
supporting documents herewith submitted have been prepared under our direction, and that we have carefully examined
them and declare that they correctly reflect a true and accurate statement of all payments made to car line companies and
others, for the use of their equipment in Wisconsin for the year ended December 31, 2012.
Date
20
Date
20
(Title of Officer)
(Title of Officer)
(Name)
(Name)
CL-001 (R. 7-12)
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