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      Form                                                   LOCAL
           EX-012
         Wisconsin                                     EXPOSITION TAX                                   Tab to start / continue
      Department of Revenue
                                                             RETURN                                 SS# or FEIN
Enter For reporting and paying
15-digit Local Exposition Taxes in: Wisconsin Center District
Tax   Tax Account Number             Period Begin Date                Period End Date               Due Date
Account 
Number 
NO 
DASHES                                                To enter dates above, use the following format: MM DD YYYY

         Enter name and address. Hit "Enter" to start                                      Check if this is an AMENDED return
         each new line of the name and/or address.

                                                                                           Check if address change
                                                                                           (Note changes on the back of the form)

                                                                                           Check if business discontinued
                                                                                           (Note changes on the back of the form)

      For periods beginning
      on or after 01-01-2021.                         Complete form using BLACK INK                    NO COMMAS

         Basic            1  Taxable Receipts  ..................................          1
         Room Tax
                          2  Basic Room Tax (multiply Line 1 by      .03 )  .............  2

                          For lodging furnished in:  City of Milwaukee
         Additional       3  Taxable Receipts  ..................................          3
         Room Tax
                          4  Additional Room Tax (multiply Line 3 by     .07 )  .......... 4

         Food and
                          5  Taxable Receipts  ..................................          5
         Beverage
         Tax              6  Food and Beverage Tax (multiply Line 5 by    .005 )  .......  6

         Rental           7  Taxable Receipts  ..................................          7
         Car Tax
                          8  Rental Car Tax (multiply Line 7 by      .03 )  .............. 8

                          9 TOTAL TAX DUE (add Lines 2, 4, 6 and 8)  ..............        9
         Amount
         Due              10  Interest and Penalty (see instructions)  ................... 10
                          11  TOTAL AMOUNT DUE         (add Lines 9 and 10)  ............. 11

      This return must be filed by the due date, even if you have no tax to report. Failure to timely file this return will result in a 
      late filing fee and may result in additional penalties. Please see the instructions for additional information regarding the 
      computation of penalties.

      I hereby certify that the amounts entered on this return are true and correct to the best of my knowledge and belief.
      Contact Name (please print)        Signature                             Date               Phone
                                                                                                  (    )

      Mail return and remittance to:                                                       Phone: (608) 266-2776
         Wisconsin Department of Revenue                                                   Email: DORBusinessTax@wisconsin.gov
         PO Box 8946                                                                       Website:  www.revenue.wi.gov
         Madison WI 53708-8946

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      EX-012 (R. 1-21)

EX-012 (R. 1-21) Tab to continue Taxpayer Information Changes                Page 2 of 2

Business Discontinued Date:
                           MM    DD        YYYY

Please indicate reason for discontinuation:

Deceased                   Merger with                        Partner added

Formed LLC                 Business did not materialize       Partner dropped

Incorporated               No taxable activity                Sold to

Other (please explain)

Mailing Address Change
Street Address or PO Box

City                                                    State Zip code

Business Location Change
Street Address

City                                                    State Zip code

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