Form 15 - Wyoming Contractor Use Tax Return Form 2008
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1Department of Revenue
Wyoming Contractor Use Tax Return
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
82002-0110
Form 15
Department
Use ONLY
This Tax Return MUST BE POSTMARKED
RID:
Ownership
on or before the following date to
Name:
avoid late penalty and interest:
PLEASE COMPLETE THIS FORM BY
Report Period:
Feb 01, 1996
through
Feb 29, 1996
HAND - USE BLACK INK ONLY
MO
DAY
YR
MO
DAY
YR
1.
Gross purchases
2.
Total deductions
3.
Net taxable purchases
Please write neatly inside the boxes!
Please write neatly inside the boxes!
4. Use Tax Due This Report Period:
Material/Supply Cost
= = = = =
Use Tax Due
= = = = =
Use Tax Due
Material/Supply Cost
Tax Rate
Tax Rate
02 0 12345
X
X
County
4A.
4B.
County
4B.
4A.
4 D .
4 C .
4 C .
4 D .
5 %
6 %
Natrona
Albany
6 %
5 %
Niobrara
Big Horn
5 %
5.25%
Park
Campbell
5 %
5 %
Platte
Carbon
6 %
5 %
Sheridan
Converse
4 %
6 %
Sublette
Crook
6 %
5 %
Sweetwater
Fremont
6 %
5.25 %
Teton
Goshen
5 %
5 %
Uinta
Hot Springs
5 %
5 %
Washakie
Johnson
5 %
5 %
Weston
Laramie
5 %
4E. Total USE tax due
Lincoln
(Columns 4D):
5. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6.
Additional Tax Due
......................................................................................................................
7.
Please Reference
Project Number(s):
8.
9.
TOTAL TAX DUE
(From Line 4E)
10. Adjustments
(Mark one:
P & I
OR
CREDIT)
11.
TOTAL DUE
(
)
Lines 9 + 10
PAY THIS AMOUNT
,
,
.
TO AVOID PENALTY AND INTEREST YOU MUST PAY THE TAX BY THE END OF THE MONTH FOLLOWING THE MONTH OF PURCHASE .
F F F
I declare, under penalty of perjury, that I have examined this return and to the best of my knowledge and belief it is correct and complete.
Rev. 4/1/08
Eff. 4/1/08
Authorized
Signature
Title
FEIN/SSN
Date:
/
/
Phone No. (
)
-
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