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                                     ST-12                                Wisconsin Sales and Use                                           Tax Account Number
                                   Wisconsin
                        Department of Revenue                                                Tax Return
                                                                                                                                            FEIN / SSN
                                                                          State, County and Stadium Sales and Use Tax
                                                                          Tab to navigate throughout form.
                                                                                           Period Begin Date (MM DD YYYY) Period End Date (MM DD YYYY) Due Date (MM DD YYYY)

                        Attention
                                                                                                                                             Use BLACK INK Only
                        Business Name                                                                                                       Check if business discontinued
                                                                                                                                            (enter discontinuation date below)
                        Legal Name
                                                                                                                                              (MM DD YYYY)
                        Mailing Address - Street or PO Box                                                                                  Check if address or name change
                                                                                                                                            (note changes at left)
                        City                                              State            Zip Code
                                                                                                                                            Check if this is an amended return
                                                                                                                                            Check if correspondence is included
                        Step A          Sales Tax – State

                                   1  Total sales .......................................................... 1
                                     Subtractions from total sales:
                                     2  Sales for which you received exemption certificates  .............  2
                                     3  Sales of exempt property and services (sales that occurred outside
                                        Wisconsin, real property, groceries and highway fuel, etc.)   .......  3
                                     4  Sales returns, allowances, and bad debts .....................  4
                                     5  Other (sales tax included in line 1, etc.) .......................  5
                                   6  Total subtractions (add lines 2 through 5) .................................. 6
                                   7  Sales subject to state sales tax (subtract line 6 from line 1)  .................... 7
                                   8  State sales tax (line 7 x .05)  ............................................ 8

                        Step B          Sales Tax – County and Stadium
                                                                      County Code            County Name                     Sales Subject to
                        C         To report county sales tax          (see instructions)     (first 5 letters)               County Sales Tax          LINE 13 is total of 9c-12c 
                        O          for more than 4 counties,          9a           9b                          9c                                      OR, if reporting for more 
                        U          leave lines 9-12 blank,
                        N                                                                                                                              than 4 counties, enter 
encloseand complete     T     and                                     10a  10b                                 10c                                              Total Sales from 
                        Y            Schedule CT.                                                                                                      Schedule CT, Column 1. 
                                                                      11a  11b                                 11c                                     NOTE:  If entering amount 
                                                                                                                                                       from Schedule CT, be sure 
                                                                      12a  12b                                 12c                                     lines 9c-12c are blank.
                                   IMPORTANT!              13  Total sales subject to county sales tax  (add
                          Baseball stadium tax                        lines 9c through 12c OR enter total from Sch CT, Col 1)  .. 13
                                   ended 3-31-20. 
sales tax (lineFootball                 stadium tax        14  County                                                                     14                                      13 x .005)  ...................... 
                                   ended 9-30-15.
                                                                                  Sales Subject to Stadium Sales Tax
                        S          15  Baseball stadium district taxable
                        T              sales through 3-31-20 (Milwaukee,
                        A
                        D              Ozaukee, Racine, Washington &
                        I              Waukesha counties)                         15a                                         x .001 =  15b
                        U
                        M          16  Football stadium district
                                       taxable sales through 9-30-15
                                     (Brown County)                               16a                                         x .005 =  16b

                        Step C          Sales Tax Before Discount

                                   17  Total sales tax (add TAX amounts from lines 8, 14, 15b and 16b)   .............. 17
                        S-012 (R. 8-23)
                                                                                                                                                                  To Page 2

                                          Step D         Discount and Net Sales Tax

                                                     18  Total sales tax  (fill in amount from line 17)                         ................................. 18

                                                     19  Discount (See Instructions)  ............................................. 19

                                                     20  Net sales tax  (subtract line 19 from line 18)  ................................ 20

                                          Step E         Use Tax – State

                                                     21  Purchases subject to state use tax                      21a                                                .x .05 =  21b

                                          Step F         Use Tax – County and Stadium

                                                                                                             County Code        County Name                        Purchases Subject to
                                          C         To report county use tax                                 (see instructions)        (first 5 letters)           County Use Tax
                                          O          for more than 4 counties,                               22a  22b                                    22c                           LINE 26 is total of 22c-25c 
                                          U          leave lines 22-25 blank,
                                          N                                                                                                                                            OR, if reporting for more 
encloseand complete                       T     and                                                          23a  23b                                    23c                           than 4 counties, enter 
                                          Y            Schedule CT.                                                                                                                    Total Purchases from 
                                                                                                             24a  24b                                    24c                           Schedule CT, Column 2. 
                                                                                                                                                                                       NOTE:  If entering amount 
                                                                                                             25a  25b                                    25c                           from Schedule CT, be sure 
                                                                                                                                                                                       lines 22c-25c are blank.
                                                      IMPORTANT!                       26  Total purchases subject to county use tax (add
2)CT, Col 25c 22c through Sch               Baseball            stadium tax                       lines                         OR enter   ..                      26                                                                                  total from 
                                                     ended 3-31-20. 
taxuse (lineFootball                                     stadium tax                   27  County                                                                             27                                   26 x .005)  ....................... 
                                                     ended 9-30-15.
                                                                                                                 Purchases Subject to Stadium Use Tax
                                          S          28  Baseball stadium district taxable
                                          T              purchases through 3-31-20
                                          A
                                          D            (Milwaukee,                                                                                                                                                 Ozaukee, Racine, Washington
                                          I              & Waukesha counties)                                            28a                                        x .001 =  28b
                                          U
                                          M          29  Football stadium district taxable
                                                         purchases through 9-30-15 
                                                       (Brown County)  ..................                                29a                                        x .005 =  29b

                                          Step G         Total Amount Due

                                                     30  Total sales and use taxes (add TAX amounts from lines 20, 21b, 27, 28b and 29b)  ...                                 30

                                                     31  Interest  ........................................................... 31

                                                     32  Late filing fee ($20.00) and negligence penalty                                 ............................ 32

                                                     33  Total amount due  (add lines 30 through 32)  ................................ 33

                                          Step H         Signature and Mailing Information

                                         I hereby certify that this return, including any accompanying schedules and statements, has been examined by me and to the best of 
                                         my knowledge and belief is a true, correct, and complete return.
                                          Contact Person (please print clearly)                                  Phone Number                            Signature                     Date

                                         Mail to:
                                                    Wisconsin Department of Revenue                                             For tax questions, call
                                                    PO Box 8921                                                                         (608) 266-2776
                                                    Madison WI  53708-8921
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