Department of Revenue
Wyoming Sales Tax Return
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
82002-0110
For Occasional Sales
Form 13
Department
Use ONLY
This Tax Return MUST BE POSTMARKED
Ownership
Ownership
on or before the last day of the month
RID:
Name:
following the date of sale:
PLEASE COMPLETE THIS FORM BY
02 0 12345
Report Period:
Feb 01, 1996
through
Feb 29, 1996
HAND - USE BLACK INK ONLY
1.
Gross sales and services
2.
Total deductions
3.
Net taxable sales
(Line 1 minus Line 2)
4. Sales Tax Collected This Report Period:
Please write neatly inside the boxes!
Please write neatly inside the boxes!
Amount Subject to Tax
Amount Subject to Tax
Tax Due
= = = = =
= = = = =
Tax Due
Tax Rate
Tax Rate
X
County
X
4A.
County
4 B .
4A.
4 B .
4 D .
4 C .
4 C .
4 D .
6 %
5 %
Natrona
Albany
5%
6 %
Niobrara
Big Horn
5.25%
5 %
Park
Campbell
5%
5 %
Platte
Carbon
5 %
6 %
Sheridan
Converse
6 %
4 %
Sublette
Crook
5 %
6 %
Sweetwater
Fremont
5.25 %
6 %
Teton
Goshen
5 %
5 %
Uinta
Hot Springs
5 %
5 %
Washakie
Johnson
5 %
5 %
Weston
Laramie
4E. Total sales tax due
5 %
Lincoln
(Columns 4D):
5. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6.
Excess Tax Collected
7. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8.
- - -- - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - -
9.
TOTAL TAX DUE
(Lines 4E +6 )
10.
Adjustments
11.
TOTAL DUE
(
)
Lines 9 + 10
PAY THIS AMOUNT
,
,
.
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.04/1/08
Authorized
Eff. 04/1/08
Signature
Title
Date:
/
/
Phone No. (
)
-
FEIN/SSN
If your address has
changed, write in new
address on this line: