A-006 (R. 4-18)
Affidavit of Exempt Sales
Wisconsin Dept of Revenue
Nexus Unit 2‑233
PO Box 8906
Madison WI 537088906
phone: (608) 266‑3969
FAX: (608) 2665464
website: revenue.wi.gov
I certify that, to the best of my knowledge, the above information is accurate and complete.
Completed by (type or print) Title
Signature Date
Telephone number Email address
( )
Case ID
Legal name
Business name (DBA)
Mailing address
Federal ID number
Type of property sold
Type of services sold
certifies that all Wisconsin sales of its property and
services are exempt under ch. 77, Wis. Stats.
(Company name)
The Secretary of Revenue is required to certify to the Secretary of Administration a list of vendors and their aliates who are:
• not registered to collect and remit Wisconsin sales and use tax, unless all sales are exempt, or
• registered, but do not collect or remit such taxes.
Wisconsin state agencies and authorities may not purchase materials, supplies, equipment or contractual services from vendors
and aliates who have been “certied” to the Secretary of Administration.
Aliate” means a person that controls, is controlled by, or is under common control with another person. Control” means to
own, directly or indirectly, more than 10% of the interest in, or voting securities of a business.
Any vendor or aliate that only makes sales that are not subject to Wisconsin sales or use tax should complete the adavit
below. This certies that all sales in Wisconsin are exempt from Wisconsin sales and use tax. Examples of exempt sales include:
• sales for resale
• sales to governmental units
• sales to exempt organizations
• sales of non‑taxable services
Exempt sales do not include sales of tangible personal property or taxable services not taxed solely because the vendor or aliate
does not have a physical presence or activity in Wisconsin that requires them to collect and remit sales and use tax (nexus).
Any vendor or aliate having only exempt sales in Wisconsin is not required to register to collect and remit Wisconsin sales or
use tax.
A Registration Verication (A-001) must be submitted with this form.
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