Form 11a - Wyoming Vendor Sales/use Tax Return, Ets Form 10a - Wyoming Vendor Sales/use Tax Return
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1
2
3Wyoming Vendor Sales/Use Tax Return
Department of Revenue
Herschler Bldg., 122 W. 25th St.
(Includes Local Option Lodging Sales)
Cheyenne, WY
82002-0110
Form 10
Department
Use ONLY
This Tax Return MUST BE POSTMARKED
Ownership
Ownership
on or before the following date to
Name:
RID:
avoid late penalty and interest:
PLEASE PRINT OR TYPE CLEARLY
02 0 12345
License No. :
Report Period:
through
Feb 01, 1996
Feb 29, 1996
USE BLACK INK ONLY
1. Gross sales and
taxable services
2. Total deductions
3. Net taxable sales
(Line 1 minus Line 2)
Please write neatly inside the boxes!
Please write neatly inside the boxes!
4. Sales Tax Collected This Report Period:
Amount Subject to Tax
Amount Subject to Tax
Tax Due
Tax Due
Tax Rate
Tax Rate
X
=
X
=
County
4A.
County
4B.
4A.
4B.
4D.
4C.
4C.
4D.
6 %
5 %
Natrona
Albany
5 %
6 %
Niobrara
Big Horn
5.25%
4 %
Park
Campbell
6 %
5 %
Platte
Carbon
5 %
6 %
Sheridan
Converse
6 %
4 %
Sublette
Crook
4 %
6 %
Sweetwater
Fremont
5 %
6 %
Teton
Goshen
5 %
5 %
Uinta
Hot Springs
6 %
5 %
Washakie
Johnson
5 %
5 %
Weston
Laramie
5 %
4E. Total sales tax due
Lincoln
(Columns 4D):
Lodging
.........
5.
Lodging sales
$
x Tax Rate
=
Tax Due
................................................................................................
6.
Excess Tax Collected
Use
Vendor's Out of State
7.
$
x Tax Rate
= Tax Due ........
purchases (Use Tax)
...............................................................
8.
TOTAL TAX DUE
(Lines 4E + 5 + 6 + 7 )
...................................................................
9. Adjustments
(from line 9
on your worksheet)
10.
TOTAL DUE .............. (
..........
PAY THIS AMOUNT
Lines 8+ 9)..........................
Rev. 04/01/06
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.
Authorized
Signature
Title
Date:
/
/
Phone No. (
)
-
If your address has changed,
appropriate box:
Business Location
Mailing Address
Both
New Address:
Has your business permanently closed? Date effective ___/___/___ (License will be canceled)
Has there been a change in ownership? Date effective ___/___/___ (License will be canceled)
(For ownership change, pleae provide name(s) and address of new owner(s) below:
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