Fillable St Martins Fair 2019 Transient Merchant Permit Application (City of Franklin)

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St Martins Fair 2019 Transient Merchant Permit Application (City of Franklin)

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9229 W Loomis Rd, Franklin WI 53132-9728
CITY CLERK 414-425-7500
Transient Merchant Permit Application
St Martins Fair 2019
September 1 & 2, 2019
New Renewal
Labor Day Event (max.15 ft.) issued prior to 5:00pm Friday, August 30, 2019 $80.00
Labor Day Event (30 ft.) issued prior to 5:00pm Friday, August 30, 2019 $160.00
Issued at Fair (max.15 ft.) LATE: issued after 5:00pm Friday, August 30, 2019 $180.00
Issued at Fair (30 ft.) LATE: issued after 5:00pm Friday, August 30, 2019 $260.00
Nonintoxicating & Soda Water Beverages (with Labor Day Event fee) $5.00
Please Print All Information
1. Applicant Information
Applicant’s Full Name _______________________________________ Date of Birth___/___/___
Driver’s License Number ____________________________ State ____ Expiration ___/___/___
Please include a LEGIBLE copy of identification (i.e. Driver’s License)
Home Address ________________________________________________________________
City, State, Zip ________________________________________________________________
Phone _________________________ E-mail ________________________________________
Previous Address (Street or Route) ________________________________________________
If less than two years at present address
Previous City, State, Zip _________________________________________________________
2. Business/Corporation Information (if applicable)
Business Name________________________________________________________________
Corporation Name (if different from Business Name) ___________________________________
Business Address ______________________________________________________________
City, State, Zip ____________________________________ Phone ______________________
3. List ALL Criminal Convictions
Specify all offenses, giving dates and places of arrests and convictions ____________________
_____________________________________________________________________________
_____________________________________________________________________________
4. Vehicle used for conducting business
Year ________ Make _____________ Model ______________ Sate/License # _____/__________
5. Type of products or services to be sold (be specific) ___________________________________
_________________________________________________________________________________
_________________________________________________________________________________
** If you are selling any type of food product, you MUST complete and return the
Temporary & Mobile Vendor Information form.
6. Wisconsin Seller’s Permit Number _________________________________________________
APPLICANT UNDERSTANDS AND AGREES THAT THIS PERMIT IS NOT TO INSURE NOR INDEMNIFY AND SHALL NOT BE CONSTRUED AS SUCH. APPLICANT
FURTHER AGREES THAT APPLICANT WILL INDEMNIFY AND HOLD HARMLESS THE
CITY OF FRANKLIN FOR ANY & ALL CLAIMS ARISING FROM THE SERVICE OR
GOODS PROVIDED UNDER THIS APPLICANT OR PERMIT
.
A
PPLICANT FURTHER UNDERSTANDS AND AGREES THAT APPLICANT APPOINTS THE MUNICIPAL CLERK OF THE CITY OF FRANKLIN “TO ACCEPT SERVICE
OF PROCESS IN ANY CIVIL ACTION BROUGHT AGAINST THE APPLICANT ARISING OUT OF ANY SALE OR SERVICE PERFORMED BY THE APPLICANT IN
CONNECTION WITH THE DIRECT SALES ACTIVITIES OF THE APPLICANT
, IN THE EVENT THAT THE APPLICANT CANNOT, AFTER REASONABLE EFFORT, BE
SERVED PERSONALLY
.” CODE OF THE CITY OF FRANKLIN §237.4.D.
SIGNATURE MUST BE NOTARIZED
_____________________ _________________________________________________________
DATE SIGNATURE OF APPLICANT
SUBSCRIBED AND SWORN TO BEFORE ME
THIS
________DAY OF _________________________________, 2019
_________________________________________________________
S
IGNATURE OF NOTARY PUBLIC
______________________, __________________________________
COUNTY OF STATE OF
__________________________
M
Y COMMISSION EXPIRES
1. Legal Name
2. Business Name
3. Address (Street or Route)
4. City, State and Zip Code
5. Home Telephone Number ( )
Business Telephone Number ( )
6. Wisconsin Tax Account Number
7. Social Security Number
8. FederalIdenticationNumber(FEIN)
9. Check one box indicating the type of activity you intend to engage in at this event:
X X X
-
X X
S
E
L
L
E
R
E
V
E
N
T
O
P
E
R
A
T
O
R
PART B: Operator Information: To be completed by the operator of the temporary event
1. Name and Address
2. Daytime Telephone Number ( )
3. EmailAddress
4. Wisconsin Tax Account Number
If blank, check appropriate box:
This Form May Be Reproduced
Wisconsin Temporary Event Operator and Seller Information
S-240 (R. 12-14)
Information on this form is required under sec. 73.03(38), Wis. Stats.
Instructions on reverse side.
PART A: Event Information: To be completed by the operator of the temporary event
1. NameofTemporaryEvent
2. Date(s)ofTemporaryEvent
3. LocationofTemporaryEvent(e.g.,Venue,City)
Other–Explain:
No Taxable Sales ExemptunderOccasionalSalesRule ExemptNonprotOrganization
Direct Sellers, Company Name
SellingExemptMerchandiseorService
Display Only
ExemptunderOccasionalSalesRule
NonprotOrganization
I declare that the information on this form is true and correct to the best of my knowledge and belief and that I am authorized to sign
this form.
Print Name:
Information about temporary events, including forms, instructions and Common Questions can be found on the Department of Revenue’s
website at revenue.wi.gov/html/temevent.html. If you have additional questions, please contact the Department of Revenue by
email at DORBusinessTax@revenue.wi.gov
or telephone at (608) 266-2776. See reverse side for submission instructions.
PART C: Seller Information: To be completed by seller and given to event operator on or before the rst day of event.
SellingTaxableMerchandiseorService
THIS IS NOT AN APPLICATION FOR A WISCONSIN TAX ACCOUNT – SEE INSTRUCTIONS
Signature: Date:
-
-
-
-
-
X X
-
X XX
**
Do not email event reports to maintain condentiality of seller information
**
Instructions
TAB through to navigate. Use mouse to check
applicable boxes, press spacebar, or press Enter.
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ST. MARTINS FAIR
SEPTEMBER 1ST & SEPTEMBER 2ND, 2019
APPRX 11400 BLK ST.MARTINS RD, FRANKLIN
414
425-7500
swesolowski@franklinwi.gov
✔
MUNICIPAL CORPORATION
Instructions for Completing Operator and Seller Information
EVENT OPERATOR:
An “operator” is defined as a person or entity (such as an
individual, association, partnership, corporation, or non-
profit organization) that arranges, organizes, promotes,
or sponsors an event. An operator may also be referred
to as an organizer, exhibitor, or decorator. An operator
may or may not be the owner of the property or premises
where the event takes place. An operator may also be a
seller at the event.
Note: A Wisconsin tax account number (formerly
seller’s permit) is required if selling taxable merchandise
or services. Admission fees are subject to sales tax in
Wisconsin.
Step 1: Complete Parts A and B.
Step 2: Provide a copy of Wisconsin Temporary Event
Operator and Seller Information (Form S-240) with Parts A
and B completed to each seller participating in your event.
To obtain additional copies of Form S-240 go to the
Department of Revenue’s website at revenue.wi.gov/
forms/sales/index.html. If you prefer, you may use the
fill-in form available from the same website.
Step 3: Submission–EventOperator.
Submit compiled vendor information to the department
as soon as possible but no later than 10 days from event
closing using one of the following methods:
• Electronic Reporting: If you have all the required
sellers’ information, use the Excel spreadsheet
provided at revenue.wi.gov/html/temevent.html.(Excel
viewer is available.) Fill in the information for all
sellers participating at the event and submit using the
department’ssecure le transmission application at
revenue.wi.gov/eserv/wteptran.htmlorbyU.S.Mail.Do
not email event reports to maintain condentiality
of seller information.
• Paper Reporting:Mail completedFormsS‑240ora
printed version of spreadsheet to:
TemporaryEventsProgram
Wisconsin Department of Revenue
PO Box 8910
MadisonWI53708‑8910
SELLER:
A “seller” is defined as a person or entity involved with
selling merchandise or providing taxable services at a
temporary event. A seller may also be referred to as a
vendor, exhibitor, or booth owner.
Important: This form is not an application for a
Wisconsin Tax Account Number. If you do not already
have a tax account number but are required to, you
will need to apply for one directly with the Department
of Revenue prior to the event. You can apply online or
download an application, Application for Business Tax
Registration (Form BTR-101) on the department’s website,
revenue.wi.gov/forms/sales/index.html. Not all sellers
are required to obtain a Wisconsin tax account number.
Some of the reasons a seller may not need a tax account
number are:
• The seller only sells tax-exempt items, such as
vegetables for home consumption.
• The seller is only displaying at the event, no onsite
orders are being taken, and taxable merchandise is not
later shipped into Wisconsin.
• The seller qualifies for the occasional sale exemption.
(See Publication 228, Temporary Events.)
If you have questions regarding applying for a Wisconsin
tax account number, contact any Department of Revenue
office, visit our website, or call (608) 266-2776.
Step 1: Complete Part C (event operator should com-
plete Parts A and B).
Line1: Enteryourindividual,partnership,association,or
corporate name.
Line2: Enteryourbusinessname,ifdifferent.
Line3: Entertheaddressofthephysicallocationofyour
business. If different, also provide your mailing
address.
Line6: Enteryour15‑digitWisconsintaxaccountnumber.
You can find this number on your Form ST-12.
This number is not your 6-digit seller’s permit
number issued to you prior to December 31, 2002.
Lines7&8:Enterthelastfourdigitsofyoursocialsecurit y
number and/or federal employer identification
number. This is required under sec. 73.03(38), Wis.
Stats., if you do not provide a tax account number.
Step 2: Submit completed form to event operator on or
before the first day of the event.
Revenue Field Agents attend temporary events
to verify registration of sellers. Sellers must have
evidence of their Wisconsin tax account number
at the event.
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St Martins Fair 2019 Transient Merchant Permit Application (City of Franklin)

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Completed 3 August 2020

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