ETS Form 10a (Sales Tax Worksheet for ETS Form 10 (continued))
Lines 4A, 4B, 4C & 4D…...Please note that your new sales/use tax return requires you to
report sales that may have taken place at a location other than your primary business
address. If you make deliveries to or conduct a sale in any county other than your primary
licensed location, (please note that the tax rate varies in each county) then please show the
total net taxable sales for that location on Lines 4B. Sales listed on Lines 4B and line 5
must equal Line 3. (Net taxable sales) on your return.
Line No.
4E
Line No. 4E.
Total sales tax due (total of columns 4D):……………………………………
Line No. 5.
Lodging sales only
x Lodging Tax Rate ________ =
5.
Line No. 6.
Excess Tax Collected (if calculated tax is less than tax actually collected)…
6.
Line No. 7.
Vendor's Out of State purchases
x Tax Rate of _____=
7.
(purchase of goods consumed in your business or not placed in your sales inventory)
8.
Line No. 8.
Total tax due (Add Lines 4E, 5, 6, and 7.)…………………………………...…
Line No. 9.
Adjustments:
9a
9a Penalty for late filing: 10% of Line 8:…………………………………………
(Return must be post marked no later than the last day of the following month that the tax is due)
9b
9b Interest for late filing is calculated daily at the rate of 0.000337 per day
for each day the return is late times Line 8…………………………………….
(Return must be post marked no later than the last day of the following month that the tax is due)
9c Credit Notifications received by you from the Department, please include
copy of Credit Notice to insure proper handling………………………………
9c
Total for Line 9a + Line 9b - Line 9c:………...………
9
Line No. 10
Total Due: (Line 8 + Line 9)…………………………………………………
10
Do Not send this form to the Department. Retain this worksheet to support the tax return you
have filed with the Department! If you have any questions regarding your Wyoming sales/use
tax return preparation, please phone the Department Field Representative assigned to your area
or phone (307) 777-5200.
If you have discontinued business, made a change in ownership, moved your location of business
or changed your mailing address, please contact a Department Field Representative or advise
the Department in writing.
Prepared by:
Date: