Form BCR 
       Buyer's Claim for Refund of Wisconsin State, County, City and Stadium Sales Taxes 
 
  Did you know?       You can file a Buyer's Claim for Refund electronically.  Go to: https://tap.revenue.wi.gov 
 
 INSTRUCTIONS:      A buyer may use this form to request, by mail, a refund from the Wisconsin Department of Revenue of 
 state, county, city and stadium sales tax paid in error to a seller, if the claim for refund of sales tax totals 
 $50 or more, or the claim for refund of sales tax totals less than $50 and one or more of the following conditions apply: 
 • The seller has ceased business operations, 
 • The buyer is being field audited, or 
 • The periods covered in the claim for refund are within the statute of limitations for the buyer and are closed to the seller. 
 
          CAUTION – Do not use this form: 
                  To claim a refund of tax you paid directly to the Wisconsin Department of Revenue. 
                  If the claim for refund totals less than $50 of sales tax, and none of the above conditions apply. 
                  In this case, the buyer must request the refund from the seller.  See sec. 77.59(9p), Wis. Stats. 

 Attach a separate  Schedule P            to this form for each seller to whom you paid Wisconsin sales tax in error and include on 
 line 3 below all amounts from Section 1, line 2 of all Schedule Ps attached to this form.                                          
 
                                          Refund Claim Information (Buyer's Information) 
  Name                                                             Federal I.D. Number (FEIN) / Social Security Number 

  Address                                                          Wisconsin Sales / Use Tax Account Number 

  City                                                             State                                                        Zip 

  Telephone  Number (include  area  code)                          Best time to call (weekdays, daytime hours) 
       (          )             – 
  
  1.   Period covered by this refund claim:   From:                              To:                                                  
  
  2.   Number of    Schedule P(s)         attached ...........................................................................        
  
  3.   Total amount of refund requested ............................................................................. $               
       (This total should equal the sum of all amounts entered on line 2 of all Schedule Ps attached.) 

  Under penalties of law, I declare that the amount of sales tax for which I am submitting this claim for refund has NOT been refunded 
  or credited to me by the department or by the seller to whom the tax was previously paid. I will immediately send payment for any 
  such duplicate refund to the Wisconsin Department of Revenue, PO Box 8902, Madison WI  53708-8902. 
  Print Your Name                                                  Title 

  Signature of Claimant (Buyer)                                                                                                 Date 

 Please mail your refund claim to:                                 Questions: 
      Wisconsin Department of Revenue                                   Phone:  (608) 266-2776 
      Sales Tax Refund Request                                          TDD:   (608) 267-1049 
      Mail Stop 3-248                                                   FAX:   (608) 267-0834 
      PO Box 8906 
                                                                        Website:  revenue.wi.gov 
      Madison WI  53708-8906 
                                                                        Email: DORSalesandUse@wisconsin.gov  
                                                                                                                                                                         
 S-220 (R.  1-24)                                                                                                                    Wisconsin  Department  of  Revenue