S-211 (R. 10-18) Wisconsin Department of Revenue
Governmental Units and Other Exempt Entities
The United States and its unincorporated agencies and instrumentalities.
Any federally recognized American Indian tribe or band in this state.
Wisconsin state and local governmental units, including the State of Wisconsin or any agency thereof, Wisconsin counties, cities,
villages, or towns, and Wisconsin public schools, school districts, universities, or technical college districts.
Organizations organized and operated exclusively for religious, charitable, scientic, or educational purposes, or for the prevention
of cruelty to children or animals. CES Number (Required for Wisconsin organizations).
Other
Containers and other packaging, packing, and shipping materials, used to transfer merchandise to customers of the purchaser.
Trailers and accessories, attachments, parts, supplies, materials, and service for motor trucks, tractors, and trailers which are
used exclusively in common or contract carriage under LC, IC, or MC No. (if applicable) .
Machines and specic processing equipment used exclusively and directly in a fertilizer blending, feed milling, or grain drying
operation, including repair parts, replacements, and safety attachments.
Building materials acquired solely for and used solely in the construction or repair of holding structures used for weighing and
dropping feed or fertilizer ingredients into a mixer or for storage of such grain, if such structures are used in a fertilizer blending,
feed milling, or grain drying operation.
Tangible personal property purchased by a person who is licensed to operate a commercial radio or television station in Wisconsin,
if the property is used exclusively and directly in the origination or integration of various sources of program material for commercial
radio or television transmissions that are generally available to the public free of charge without a subscription or service agreement.
Fuel and electricity consumed in the origination or integration of various sources of program material for commercial radio or
television transmissions that are generally available to the public free of charge without a subscription or service agreement.
Percent of fuel exempt: % Percent of electricity exempt: %
Tangible personal property and items, property and goods under s.77.52(1)(b), (c), and (d) to be resold by
on my behalf where
is registered to collect and remit sales tax to the Department of Revenue on such sales.
Tangible personal property, property, items and goods under s.77.52(1)(b), (c), and (d), or services purchased by a Native American
with enrollment # , who is enrolled with and resides on the
Reservation, where buyer will take possession of such property, items, goods, or services.
Tangible personal property and items and property under s.77.52(1)(b) and (c) becoming a component of an industrial or municipal
waste treatment facility, including replacement parts, chemicals, and supplies used or consumed in operating the facility. Caution:
Do not check the “continuous” box at the top of page 1.
Portion of the amount of electricity or natural gas used or consumed in an industrial waste treatment facility.
(Percent of electricity or natural gas exempt %)
Electricity, natural gas, fuel oil, propane, coal, steam, corn, and wood (including wood pellets which are 100% wood) used for fuel
for residential or farm use.
% of Electricity % of Natural Gas % of Fuel
Exempt Exempt Exempt
Residential .................... % % %
Farm ......................... % % %
Address Delivered:
Percent of printed advertising material solely for out-of-state use. %
Catalogs, and the envelopes in which the catalogs are mailed, that are designed to advertise and promote the sale of merchandise
or to advertise the services of individual business rms.
Computers and servers used primarily to store copies of the product that are sent to a digital printer, a plate-making machine, or a
printing press or are used primarily in prepress or postpress activities, by persons whose NAICS code is 323111, 323117, or 323120.
Purchases from out-of-state sellers of tangible personal property that are temporarily stored, remain idle, and not used in this state
and that are then delivered and used solely outside this state, by persons whose NAICS code is 323111, 323117, or 323120.
Other purchases exempted by law. (State items and exemption).
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
Enter CES No., if applicable
(DETACH AND PRESENT TO SELLER)
Signature of Purchaser Print or Type Name Title Date
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