Form 14 - Wyoming Consumer Use Tax Return 2006

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Wyoming Consumer Use Tax Return
Department of Revenue
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
82002-0110
Form 14
Department
Use ONLY
This Tax Return MUST BE POSTMARKED
RID:
Ownership
on or before the following date to
Name:
avoid late penalty and interest:
@
PLEASE COMPLETE THIS FORM BY
02 0 12345
Report Period:
through
Feb 01, 1996
Feb 29,
HAND - USE BLACK INK ONLY
1996
MO
DAY
YR
MO
DAY
YR
1.
Gross purchases
2.
Total deductions
3.
Net taxable purchases
Please write neatly inside the
Please write neatly inside the
4. Use Tax Due This Report Period:
boxes!
boxes!
Material/Supply Cost
Material/Supply Cost
Use Tax Due
Use Tax Due
X
Tax Rate
X
Tax Rate
=
=
County
4A.
4B.
County
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
5 %
5 %
Washakie
Johnson
6 %
5 %
Weston
Laramie
5 %
4E. Total USE tax due
Lincoln
(Columns 4D):
5. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (This Line is not used) - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6.
Additional Tax Due
......................................................................................................................
7. Provide description of item(s) purchased: ____________________________________________________________
8. ___________________________________________________________________________________________
9.
TOTAL TAX DUE
(From Line 4E)
10. Adjustments
(Mark one:
P & I
OR
CREDIT)
F
PAY THIS AMOUNT
11.
TOTAL DUE
(
)
Lines 9 + 10
,
,
.
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
Eff. 04/01/06
complete.
Authorized
Signature
Title
FEIN/SSN
Date:
/
/
Phone No. (
)
-

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