1. WISCONSIN TAX FORM – ORDER BLANK
Instructions: Orders without remittance will be returned without being filled. If you have any questions, please call (608) 266-1961.
Name Telephone number
Address Email
City State Zip code County
Mail your order and make any
remittance payable to:
Customer Service Bureau, 5-77
Wisconsin Department of Revenue
PO Box 8949
Madison WI 53708-8949
Wisconsin Forms
Quantity Form Number Form Name / Description
TOTAL
Order Form
Item Quantity Charge Cost
% Tax
Table A $
Forms County
Tax Rate
Add sales tax due from Table B Calument Outagamie
Fond du Lac Rock
$
Total Amount Enclosed Kewaunee Sheboygan .050
5.0%
Mantiwoc Winnebago
Menominee
.051
5.1%
Racine Waukesha
Milwaukee Washington
Table B .056
5.6%
Table A Ozaukee
Wisconsin Sales Tax
Forms Cost & Handling Charges All other counties NOT .055
Enter amount from 5.5%
$ listed above
Quantity Charge Order Form above
Municipalities, tax-exempt
Multiply by applicable
0 – 15 $0 EXEMPT
organizations, and out-of-state
x.
tax rate at right purchases
16 – 100 $7
Sales Tax Due (enter on è Enter C.E.S. ID# for
$
Each additional form > 100 $5 Line 2 of Order Form above) tax-exempt organization:
P-744 (R. 12-08)