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 Address City State Zip code Telephone number Email 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 Forms Quantity Charge Cost County Calument Fond du Lac Kewaunee Mantiwoc Menominee Racine Milwaukee Ozaukee Outagamie Rock Sheboygan Winnebago Waukesha Washington % Tax Tax Rate
TableA $
Add sales tax due from Table B
TotalAmountEnclosed
$
5.0%
.050
5.1% 5.6% 5.5%
.051 .056 .055
Table A Forms Cost & Handling Charges
Quantity 0 15 16 100 Each additional form > 100
P-744 (R. 12-08)
Table B Wisconsin Sales Tax
Enter amount from Order Form above Multiply by applicable tax rate at right Sales Tax Due (enter on Line 2 of Order Form above)
Charge $0 $7 $5
$ x . $
AllothercountiesNOT listed above Municipalities, tax-exempt organizations, and out-of-state purchases è Enter C.E.S. ID# for tax-exempt organization:
EXEMPT