Form 14 - Wyoming Consumer Use Tax Return
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1Wyoming Consumer Use Tax Return
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
Cheyenne, WY
Cheyenne, WY
Cheyenne, WY
Cheyenne, WY
82002-0110
82002-0110
82002-0110
82002-0110
82002-0110
Form 14
Department
Use ONLY
This Tax Return MUST BE POSTMARKED
Ownership
Ownership
on or before the following date to avoid late
RID:
Name:
penalty and interest:
Report Period:
through
Feb 01, 1996
Feb 29,
PLEASE COMPLETE THIS FORM BY
02 0 12345
HAND - USE BLACK INK ONLY
MO
DAY
YR
MO
DAY
YR
1. Gross purchases
2.
Total deductions
3. Net taxable purchases
4. Use Tax Due This Report Period:
Please write neatly inside the boxes!
Please write neatly inside the boxes!
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Material/Supply Cost
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Use Tax Due
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
X X X X X
= = = = =
X X X X X
= = = = =
County
County
County
County
County
4A.
4A.
4A.
County
County
County
County
County
4A.
4A.
4B.
4B.
4B.
4B.
4B.
4A.
4A.
4A.
4A.
4A.
4B.
4B.
4B.
4B.
4B.
4D.
4D.
4D.
4D.
4D.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4D.
4D.
4D.
4D.
4D.
6 %
5 %
Natrona
Albany
5 %
6 %
Niobrara
Big Horn
5 %
4 %
Park
Campbell
6 %
6 %
Platte
Carbon
5 %
6 %
Sheridan
Converse
6 %
4 %
Sublette
Crook
4 %
6 %
Sweetwater
Fremont
5.25%
6 %
Teton
Goshen
5 %
5 %
Uinta
Hot Springs
5 %
6 %
Washakie
Johnson
6 %
5 %
Weston
Laramie
4E. Total USE tax due
4E. Total USE tax due
4E. Total USE tax due
4E. Total USE tax due
4E. Total USE tax due
5 %
Lincoln
(Columns 4D):
(Columns 4D):
(Columns 4D):
(Columns 4D):
(Columns 4D):
5. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6. Additional Tax Due
7.
Provide description of item(s) purchased________________________________________________
8.
_______________________________________________________________________________
9.
TOTAL TAX DUE
(Lines 4E +6 )
(Lines 4E +6 )
(Lines 4E +6 )
(Lines 4E +6 )
(Lines 4E +6 )
(Mark one:
P&I
OR
CREDIT)
10. Adjustments
11. TOTAL DUE
TOTAL DUE
TOTAL DUE
TOTAL DUE
TOTAL DUE
( ( ( ( (
) ) ) ) )
Lines 9 + 10
Lines 9 + 10
Lines 9 + 10
Lines 9 + 10
Lines 9 + 10
PAY THIS AMOUNT
PAY THIS AMOUNT
PAY THIS AMOUNT
PAY THIS AMOUNT
PAY THIS AMOUNT
TO AVOID PENALTY AND INTEREST YOU MUST PAY THE TAX BY THE END OF THE MONTH FOLLOWING THE MONTH OF PURCHASE.
TO AVOID PENALTY AND INTEREST YOU MUST PAY THE TAX BY THE END OF THE MONTH FOLLOWING THE MONTH OF PURCHASE.
TO AVOID PENALTY AND INTEREST YOU MUST PAY THE TAX BY THE END OF THE MONTH FOLLOWING THE MONTH OF PURCHASE.
TO AVOID PENALTY AND INTEREST YOU MUST PAY THE TAX BY THE END OF THE MONTH FOLLOWING THE MONTH OF PURCHASE.
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. 4/01/11
Authorized
Eff. 4/01/11
Signature
Title
Date:
/
/
Phone No. (
)
-
If your address has
If your address has
If your address has
If your address has
If your address has
FEIN/SSN
changed, write in new
changed, write in new
changed, write in new
changed, write in new
changed, write in new
address on this line:
address on this line:
address on this line:
address on this line:
address on this line:
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