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Form
                                                         Application for                                         For department use only
BTR-101                  Wisconsin Business Tax Registration

■  Apply online at tap.revenue.wi.gov/btr for quicker service.                                           Wisconsin Department of Revenue
                                                                                                                          PO Box 8902
■  Complete this application for a Wisconsin tax permit.  Use BLACK ink.                                              Madison WI  53708-8902
■  Allow 15 business days for processing of paper applications; two business days for online                              (608) 266-2776
applications.                                                                                                             FAX (608) 327-0232

Part A.  Reason for Application       – All applicants   (check one)
First time registering for a tax permit.
Already registered. Adding a permit.  Enter your Wisconsin Tax Number            X X X -                                       -       X X
Adding additional sales location.  If you are already registered and have no changes to Part C, complete Schedule 1 only.

Part B.  Tax Permit(s)  –  All applicants   (check all that apply)

Wisconsin Withholding Tax – Required for employers withholding WI income tax                      Fees – A $20 fee applies to the 
Seller’s Permit – Required for retailers making taxable retail sales from a WI location           first tax permit only.
                                                                                                  There is no charge for additional 
Use Tax Certificate – Required for out-of-state retailers required or electing to collect use tax tax permits for this business.
Consumer’s Use Tax Certificate – Required for purchasers with regular use tax, no sales tax       Note – There is no fee for a 
Other Business Taxes – Check if you answered Yes in Part E                                        consumer’s use tax certificate.

Part C.  Business Information        – All applicants
Legal name (Sole proprietors enter your last, first, MI)                          FEIN                           SSN  (Required for sole proprietors)

Mailing address                                                                   Business activity (NAICS) code WI DFI # (see instructions)

City                                                                  State       Zip                            County

Contact person                                           Phone number             Email
                                                         ( )
Part D.  Business Type     – All applicants   (check one)
Sole Proprietorship
Corporation          C corp
                      S corp           Date of incorporation                            State of incorporation
                                                                      (mm dd yyyy)
                      QSub      }
                                       Legal name of owner                                        Owner SSN or, if owner is a business, enter FEIN

Partnership          General          Limited (LP)
Limited Liability Partnership (LLP)
                                         Date registered                           State of registration
Limited Liability Company (LLC)    }                                  (mm dd yyyy)
         LLC classification for        Corporation                    Partnership
        federal income tax     
                                       Disregarded entity (LLC activity reported on owner’s income tax return).  Enter owner below.
                                       Legal name of owner                                        Owner SSN or, if owner is a business, enter FEIN

Governmental Unit           Federal                     State        Local
Nonprofit Organization
Other (e.g., trusts, estates)

BTR-101 (R. 10-21)                                                                                                        Go to Page 2

 Part E.  Business Location Information  –  All applicants
 Trade name (DBA) if different from legal name                                                           County

 Business location address  (no PO Box)

 City                                                                       State   Zip
                                                                                                                                  If yes, enter
                                                                                                                                your start date
At this location will you (check yes to all that apply):                                                                          (mm dd yyyy)
 • Sell certain food and beverages, automobile rentals, or lodging in Milwaukee County, including any part
  of the Village of Bayside or the City of Milwaukee (see Pub 410)?  If yes, check all that apply         ........           Yes
      Food and Beverages               Automobile Rentals          Lodging            Lodging in the City of Milwaukee
 • Primarily provide short term rentals of vehicles without drivers?         ...............................                 Yes
 • Provide limousine service?  ............................................................                                  Yes
 • Perform dry cleaning services?       ........................................................                             Yes
 • Sell dry cleaning products?  ............................................................                                 Yes
 • Sell phone cards for prepaid wireless plans, voice communication services with an assigned
  telephone number or prepaid wireless telecommunication plans?  ..............................                              Yes
 • Sell items as a retailer subject to the premier resort area tax (see Pub 403)?  Premier resort areas:                     Yes
 Villages:  Ephraim, Lake Delton, Sister Bay, and Stockholm  Cities:  Bayfield, Eagle River, Rhinelander, and Wisconsin Dells

 Part F.  Sales and Use Tax  –         Sales and use tax applicants

Enter Your                                     First date you will make
Start Date                                     taxable sales or purchases.
                         (mm dd yyyy)
Estimate monthly   sales, leases, rentals or purchases subject to Wisconsin sales or use taxes (check one):
     $    1 - $ 900/month
     $  901 - $ 7,200/month
     $ 7,201 - $ 21,500/month
       Over  $21,500/month
If your income year does not end on December 31, enter the date your fiscal year ends.
                                                                                                            (mm dd yyyy)
Nonprofit organization.  Indicate the
date(s) of your taxable temporary event.                  From:                                  To:
                                                                             (mm dd yyyy)                   (mm dd yyyy)
Will your business operate in WI all 12 months?                    Yes        No   If No, check the months it will operate in WI.
     Jan           Feb    Mar          Apr      May                Jun        Jul         Aug        Sep         Oct         Nov   Dec

 Part G.  Withholding Tax  –  Withholding tax applicants (FEIN required in Part C)

Enter Your                                     First date you will 
Start Date                                     pay employees.
                         (mm dd yyyy)
Estimate monthly Wisconsin income tax withheld from employees (check one):
     $   1 - $25/month
     $  26 - $199/month
     $ 200 - $1,666/month
       Over  $1,666/month
Will your business operate all 12 months?       Yes                No   If No, check the months it will operate.
     Jan           Feb    Mar          Apr      May                Jun        Jul         Aug        Sep         Oct         Nov   Dec
Check if you hold no other Wisconsin tax permit and are:               An out-of-state employer not engaged in business in Wisconsin
                                                                       An agricultural employer with farm labor only
                                                                       A household employer with domestic employees only
If your withholding tax reports are prepared by a payroll service, complete the following:
 Name of payroll service                                                                FEIN                Phone number
                                                                                                            (         )
BTR-101 (R. 10-21)                                                      - 2 -
                                                                                                                             Go to Page 3

Part H.  Business Owners, Partners, Members or Corporate Officers  –                All applicants
List all.  If more space is needed, please attach additional pages.
Name                                                          Title                      SSN or, if owner is a business, enter FEIN

Home address                                                                             Home phone number
                                                                                         (        )
City                                                                 State Zip           County

9 If a partner, check one     Limited                       General
Name                                                          Title                      SSN or, if owner is a business, enter FEIN

Home address                                                                             Home phone number
                                                                                         (        )
City                                                                 State Zip           County

9 If a partner, check one     Limited                       General
Name                                                          Title                      SSN or, if owner is a business, enter FEIN

Home address                                                                             Home phone number
                                                                                         (        )
City                                                                 State Zip           County

9 If a partner, check one     Limited                       General
Name                                                          Title                      SSN or, if owner is a business, enter FEIN

Home address                                                                             Home phone number
                                                                                         (        )
City                                                                 State Zip           County

9 If a partner, check one     Limited                       General

Part I.  Financial Institution  –  All applicants
Name and address of financial institution where you have your bank account.
Name of financial institution                                                            Bank routing number

Street address                                                City                       State     Zip

I declare under penalties of law that I have examined this information and to the best of my knowledge and belief, it is true, correct, 
and complete.
Name of person who prepared this application  (please print)  Title                                Date

Signature                                                     Business phone number Email
                                                              (     )

See Part B to determine whether you owe a $20 fee.

•  Make check payable to:  Wisconsin Department of Revenue                                                  Go to Page 4
•  Mail application and payment (if required) to:             
  Wisconsin Department of Revenue
  PO Box 8902
  Madison WI  53708-8902

BTR-101 (R. 10-21)                                                   - 3 -

Form

 BTR-101                       Schedule 1                      – Additional Sales Location for Seller’s Permit

Complete a schedule for each additional sales location with taxable sales.
 Legal name (Sole proprietors enter your last, first, MI)                           FEIN                            SSN (required for sole proprietors)

 Trade name of business (DBA)                                                                                       Business activity (NAICS) code

 Business location address (no PO Box)                                                            County

 City                                                                     State     Zip           Phone number
                                                                                                  (       )

Enter your Wisconsin Tax Number        X X X              -                              -    X X
                                                                                                                                   If yes, enter
                                                                                                                                   your start date
At this location will you     (check yes to all that apply):                                                                       (mm dd yyyy)
 • Sell certain food and beverages, automobile rentals, or lodging in Milwaukee County, including any part
  of the Village of Bayside or the City of Milwaukee (see Pub 410)?  If yes, check all that apply  ........                     Yes
      Food and Beverages               Automobile Rentals           Lodging         Lodging in the City of Milwaukee

 • Primarily provide short term rentals of vehicles without drivers?       ...............................                      Yes
 • Provide limousine service?  ............................................................                                     Yes
 • Perform dry cleaning services?       ........................................................                                Yes
 • Sell dry cleaning products?  ............................................................                                    Yes
 • Sell phone cards for prepaid wireless plans, voice communication services with an assigned
  telephone number or prepaid wireless telecommunication plans?  ..............................                                 Yes
 • Sell items as a retailer subject to the premier resort area tax (see Pub 403)?  Premier resort areas:                        Yes
 Villages:  Ephraim, Lake Delton, Sister Bay, and Stockholm     Cities:  Bayfield, Eagle River, Rhinelander, and Wisconsin Dells

Enter Your                                     First date you will make
Start Date                                     taxable sales or purchases.
             (mm dd yyyy)

I declare under penalties of law that I have examined this information and to the best of my knowledge and belief, it is true, correct, 
and complete.
 Name of person who prepared this application  (please print) Title                                                 Date

 Signature                                                    Business phone number      Email
                                                              (     )

Mail to:
                                                                                                                    Return to Page 1
Wisconsin Department of Revenue
PO Box 8902
Madison WI  53708-8902

(R. 10-21)                                                             - 4 -