Form 9400 376 – Fill Out and Use This PDF

Primary Owner’s Name (Last OR Business Name)

(First)

(M.I.)

WI DNR Customer Number

Date of Birth (mm-dd-yyyy)

Mailing Address

Social Security Number or FEIN (collected on behalf of Dept. of Revenue for tax purposes)

City

State

Zip Code

Phone Number

U.S. Citizen?

(

)

-

YES

NO

Driver’s License Number

Driver’s License State

Email Address

B. ATV / UTV VEHICLE

WI Registration Number (if any) – found on decals and registration certificate

YOUR VEHICLES MUST MEET ALL THE SPECIFICATIONS LISTED AS AN ATV

AT/UT

(#### AA)

OR UTV TO QUALIFY FOR REGISTRATION. ALL SPECIFICATIONS MUST BE

COMMERCIALLY DESIGNED AND MANUFACTURED (not homemade or modified)

Serial Number of Body/Frame (verify number on ATV/UTV – NOT the engine serial number)

“All-terrain vehicle” means an engine-driven device which has a:

• net weight of 900 pounds or less as originally manufactured

• width of 50 inches or less as originally manufactured

Make

• seat designed to be straddled by the operator as originally manufactured

• 3 or more low-pressure tires designed to be traveled on as originally

manufactured. Low-pressure tire means a tire that has a minimum width of

Model (cannot be the same as the Make)

6 inches and that is designed to be inflated with an operating pressure not

to exceed 20 pounds per square inch as recommended by the manufacturer.

[s. 340.01(2g), Wis. Stats.]

Model Year (yyyy)

Nickname (descriptors that will help you identify the machine, i.e. color)

“Utility terrain vehicle” means a motor driven device that is designed to be used

primarily off highway:

• net weight of less than 2,000 pounds (without fluids) as originally

Width

Weight

Engine Size (cc) or indicate Electric

# of Wheels

manufactured

in

lbs

• 4 or more low-pressure or non-pneumatic tires (see definition above)

Is this vehicle commercially designed and manufactured (NOT homemade or modified)?

• steering wheel as originally manufactured

YES

NO

•

tail light as originally manufactured

•

brake light as originally manufactured

Straddled Seat

Steering Wheel

Two Headlights

• two headlights as originally manufactured

YES

NO

YES

NO

YES

NO

• width of not more than 65 inches as originally manufactured

•

seat belts as originally manufactured

Tail Light

Brake Light

Seat Belts for Each Occupant

•

roll bar as originally manufactured or similar device designed to reduce the

YES

NO

YES

NO

YES

NO

likelihood that an occupant would be crushed as the result of a rollover

Golf carts, low-speed vehicles, dune buggies, mini-trucks, homemade, tracked, or

Roll Bar or similar device that protects occupants during rollover

modified vehicles are not included and may not be registered as an all-terrain or

YES

NO

utility terrain vehicle. [s. 23.33(1)(ng)2, Wis. Stats.]

E. SALES TAX COMPUTATION

Purchase Date (mm-dd-yyyy)

WISCONSIN County, see instructions 

A 5% state sales tax must be collected for all nonexempt private party or dealer

sales. County and stadium tax will also apply if the ATV/UTV is (1) received in a

taxable county or stadium district or (2) stored or used in a taxable county or

Purchase Price

$

stadium district, whichever occurs first.

(accessories excluding trailer)

County Tax – If the county tax applies a 1/2% county tax must be paid.

Trade-in Amount

– $

Baseball Stadium Tax – If the stadium tax applies (Milwaukee, Ozaukee, Racine,

(complete section below)

Washington or Waukesha Counties), a 1/10% baseball stadium tax must be paid.

Total Taxable Amount

= $

(price minus trade-in)

Exemptions From Tax – Your purchase will not be subject to sales tax if any of the

5% State Sales Tax

+ $

following situations apply.

(taxable x .05)

Code 1. The Item was previously registered in Wisconsin and purchased OR

1/2% County Tax – if applicable

+ $

received from a parent, spouse or child. NOTE: A sibling or grandparent is not tax

(taxable x .005)

exempt. Important: check one of the below options:

P = If purchased from your parent, stepparent, father-in-law, mother-in-law;

1/10% Baseball Stadium Tax – if applicable

+ $

(taxable x .001)

S = If purchased from your spouse;

C = If purchased from your child, stepchild, daughter-in-law, son-in-law

TOTAL TAX DUE

= $

Code 2. Retailer/lessor who will rent or sell the item. Must include the FEIN (Federal

Trade-In – Describe any property you traded in on the purchase of this item.

Employer Identification Number).

Trade-in Serial/Hull ID or Registration Number

Code 3. State of Wisconsin or government unit, agency or school.

Code 4. Tax paid to another state. Attach a copy of your bill of sale or verifica-

tion of tax payment to the other state. NOTE: Sales tax paid to another state on the

Trade-in Description

item reported on this application may be claimed as a credit to reduce the Wisconsin

tax due. If tax was paid in another state, subtract the state, county or similar tax from

the Wisconsin state, county/stadium tax. Enter the remaining amount of Wisconsin tax

payable.

Code 5. Purchased by a nonresident at least 90 days before registrant became a

Wisconsin resident and brought and/or registered the item in this state

Code 6. Religious, charitable, educational organization. Must show the Depart-

ment of Revenue exempt status number.

Code 7. Other. Enter reason (i.e., gift or even trade)

Code 8. The item was purchased from a dealer and tax was paid to the dealer.

Code 9. Farming exemption (i.e., used 95% or more for agricultural purposes).

Attach the Department of Revenue exemption certificate (Form S-211) or a written

statement claiming exemption.

Questions on Tax contact DOR (608) 266-2776