Ownership (check one) Sole Proprietorship Partnership / General Limited C Corporation / /
Currency
cent / / /
IndustryTerm
mobile machinery / urban mass transportation / presumption law / motor vehicle fuel supplier / oil / urban mass transportation vehicle / motor carrier / /
Organization
Nonprofit / Wisconsin Department of Revenue Return / U.S. Government / Wisconsin Department of Revenue PO Box / / /
Position
general aviation fuel dealer / Governor / president and secretary / dealer / President / Individual Signature Date Secretary / proprietor / principal officer / /