Ets Form 108 - Manufacturer'S Sales/use Tax Return printable pdf download

*0-0-1703-099*

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Wyoming Department of Revenue

Excise Tax Division

Please return form to:

122 W. 25th Street, Herschler Bldg.

Revenue, Excise Tax Dept.

Cheyenne, Wyoming 82002-0110

122 West 25th Street, 2-West

Cheyenne, Wyoming 82002

Manufacturer’s Sales/Use Tax Return Form 108

Manufacturing Machinery Exemption

Per Wyoming Statutes Titles 39-15-105 & 39-16-105, this form must be completed and returned by October 15

, 2010

This form may also be completed online by going to:

Company Name:

DBA Name:

(Doing Business As)

Address:

City:

State:

Zip:

Email Address:

Phone:

WY License Number or RID (if applicable)

NAICS code(s), four or more digits, i.e. 3112 :

The North American Industrial Classification System (NAICS) is the standard used by Federal and state agencies to

organize establishments into industries on the basis of the activity in which they are primarily engaged. To find your

NAICS Code, if unknown, please visit: If your NAICS code does not fall between

3111 and 3399, stop here and sign affidavit at bottom.

If you are unsure of your NAICS code, please provide a detailed description of the process your

business uses to produce products. (Even if you hand-produce individual items or modify other

products, you may be categorized as a manufacturer under NAICS).

Purchases or leases of machinery (including machine tools and parts thereof or materials purchased for the

repair/construction of machinery) are exempt from state sales/use tax when the machinery will be used directly and

predominantly in manufacturing in Wyoming, subject to stipulations outlined in W.S. 39-15-105 and W.S. 39-16-105.*

Amount of Exempt Purchases for Machinery, Tools,

Parts, and Machinery Materials (as per W.S. 39-15-105

and W.S. 39-16-105) for the period of July 1st, 2009

(See *Definitions on back for qualifications)

through June 30th, 2010. (If zero, please enter $0.00)

I ___________________________________________________ (Authorized agent of company), certify that the

company named on this form is entitled to the sales and use tax exemption on purchases of machinery or machine tools to

be used in manufacturing, as per W.S. 39-15-105 and 39-16-105. I further certify that the Company Information, NAICS

Information, and Exempt Purchases Information provided above is true and accurate to the best of my knowledge.

Signature_____________________________________Title____________________Date___________

Information obtained is confidential, and will only be distributed in aggregate form.

ETS Form 108, rev. 9/08/10

Ets Form 108 - Manufacturer'S Sales/use Tax Return

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