Schedule P 
        Attach to Form BCR, Buyer’s Claim for Refund of Wisconsin State, County, City, and Stadium Sales Taxes 
  
  This schedule details purchases on which Wisconsin sales tax was paid to the seller and a refund of the tax is being claimed 
  from the Wisconsin Department of Revenue. The buyer completes Sections 1 and 3 and has the seller complete Section 
  2. Use a separate Schedule P for each seller. The seller returns Schedule P to  the buyer and the buyer attaches Schedule 
  P to Form BCR as documentation of the refund claim. 
 
  SECTION 1 – Buyer Information 
   Name 

   Address 

   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.  Total state, county, city, and stadium tax paid in error............................................ $                                               
        (Total of Columns 8 thru 11 from Section 3.)  Include this amount in the total on line 3, Form BCR 

  SECTION 2 – Seller Information 
  The above-named buyer has entered in Section 3 (on the back of this page) information concerning transactions for  which 
  they are claiming a refund of sales tax from the Department of Revenue. Please examine the information entered in Section 
  3 and, if you have     not previously received or requested a refund of the sales tax listed in Column 12, complete Section 2 
  below and return this document to your customer. 
   Legal Name                                                                                                  Wisconsin Seller’s Permit Number, 
                                                                                                               Use Tax Number, or 
                                                                                                               Tax Account Number 
   Business / Trade Name 

   Business  Address                                                                                           Federal  Employer’s  Identification  Number 

   City                                              State       Zip                                           Telephone Number 
                                                                                                               (    )            – 

        Check this box if any of the items listed in Section 3 do not qualify for a refund, identify which items do not qualify, 
        and explain why not (for example, tax paid was not Wisconsin tax): 

   I declare under penalties of law that I have read and examined this document and attest to the fact that the items listed in Section 3 
   were  sold  by  me  and  that  Wisconsin  state  sales  tax  and,  where  applicable,  county, city,  and/or  stadium  tax,  was  charged  and 
   reported to the Wisconsin Department of Revenue. I have not requested and will not request a refund, taken credit on any sales tax 
   return, been allowed credit, or given the buyer credit for any sales tax listed in Section 3 (Column 12). I further declare that I will not 
   request a refund of tax for other sales to this purchaser for the periods in Section 1. 
   Print Seller’s Name                                           Title 

   Seller’s  Signature                                                                                         Date 

  S-220a  (R.  1-24)                                                                                                  Wisconsin  Department  of  Revenue 

                                                 SECTION 3 – List of Purchases 
                                       List only those purchases for which you are claiming a refund. 
                                                                                                                                                                   
                Col. 1        Col. 2    Col. 3    Col. 4                               Col. 5  Col. 6      Col. 7           Col. 8     Col. 9   Col. 10   Col. 11   Col. 12 

                Description                                                                    Purchase                     5%                  2%        0.1%      
                of Goods      Reason    Purchase  Invoice                               Date   Price       County           Wisconsin  0.5/0.9%                     Total Tax 
                or Services   Purchase  Date      Number                                Paid   Claimed as  Name             State      County   City Tax  Baseball (add column 8, 
                Purchased     Exempt                                                           Exempt      (if applicable)  Tax        Tax                Stadium   9, 10, 11) 
                                                                                                                                                          Tax 
                                                                                                                                                           
                             Add amounts in Column 12 and enter here                                                                                               
                TOTAL        and on line 2, Section 1, on the reverse side of this page 
 S-220a  (1-24)                                                                         - 2 -                                                            Wisconsin  Department  of  Revenue