Electronic Wisconsin Sales and Use Tax Exemption Certificate

You may use the electronic certificate (S-211E) to claim an exemption from Wisconsin state, county, baseball stadium, local exposition, and premier resort sales or use taxes. Fully complete the information in tabs 1 through 4 before providing your vendor with an electronic copy of the certificate or a printed and signed copy. Do not send this form to the Department of Revenue (DOR). Exemption certificate instructions can be found here: S-211 Instructions.

For questions or assistance, please contact DOR Customer Service Bureau at (608) 266-2776 or DORSalesandUse@wisconsin.gov.

Purchaser's Name

Type of Business

Address

City

State

Zip Code

Tax ID Number

State of Issue

If no Tax ID Number, enter one of the following

FEIN

Driver's License or State Issued ID Number

State of Issue

Seller's Name

Address

City

State

Zip Code

Check one of the following:

Single Purchase - Check if this certificate is for a single purchase only. Future purchases should be taxed unless another certificate is provided.

Continuous Purchases - Check if this certificate is for continuous purchases. A continuous certificate remains in force as long as the purchaser continues making purchases or until otherwise cancelled by the purchaser.

Enter your name and title after reading this statement:

I declare that the information provided is complete and accurate to the best of my knowledge, and that the product(s) purchased will be used in the exempt manner indicated. If a product is not used in an exempt manner, I will remit use tax on the purchase price at the time of first taxable use. I understand that failure to remit the use tax may result in a future liability, including tax, interest, and penalty. CAUTION: Using this certificate to avoid paying sales tax may result in a fine of $250 for each transaction for which the certificate is used.

Name (employee, officer or manager)

Title

Select the reason for exemption from the list below.

Search Exemptions (Type at least 3 characters)

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State of Wisconsin

Department Of Revenue

Electronic Wisconsin Sales and Use Tax Exemption Certificate