Schedule P
       Attach to Form BCR, Buyer’s Claim for Refund of Wisconsin State, County 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 should complete Sections 1 and 3, and have the 
seller complete Section 2. Use a separate Schedule P for each seller. Schedule P should be returned by the seller to 
the buyer and the buyer should attach it 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 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 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. 12-14)                                                                                        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%               0.1%     0.5%
of Goods              Reason   Purchase Invoice                                 Date  Price      County          Wisconsin 0.5%   Baseball Football Total Tax
or Services           Purchase Date     Number                                  Paid  Claimed as Name            State     County Stadium  Stadium  (add column 8, 
Purchased             Exempt                                                          Exempt     (if applicable) Tax       Tax    Tax      Tax      9, 10, 11)

                      Add amounts in Column 12 and enter here   à
TOTAL                 and on line 2, Section 1, on the reverse side of this page
S-220a (12-14)                                                                  - 2 -                                                      Wisconsin Department of Revenue