Form 001 Sales/use Tax License Application - Wyoming Department Of Revenue
ADVERTISEMENT
1Sales/Use Tax License Application
DEPARTMENT USE ONLY
Wyoming Department of Revenue
th
122 West 25
Street, 2nd West
RID: _________________________
Cheyenne WY 82002-0110
License: ______________________
Filing Freq: ___________________
NAICS: _______________________
PLEASE COMPLETE ALL LINES OF THE APPLICATION TO ENSURE PROCESSING
1. Ownership Name:_________________________________________________________ and ____________________________
(Federal Identification Number)
2. Date of first Sale / Service in Wyoming_______/_________/_______________________ and ____________________________
(Date and State of Incorporation)
3. DBA (Doing Business As Name):_____________________________________________________________________________
4. Please check one of the following that best describes your ownership (spousal ownership is considered a partnership):
A.
Association/Club
B.
Corporation
C.
Individual
D.
Limited Partnership
E
Limited Liability Company F.
Partnership
G.
Other, explain: ___________________________________
5. Location Address:______________________________________________________________________________________
Street
City
State
Zip Code
6. Mailing Address:_______________________________________________________________________________________
Street or PO Box
City
State
Zip Code
7. Internet E-Mail Address:___________________________________________ @___________________________________
8. Business Telephone Number: (
) ______-__________ (800) ______-__________ Fax Number (
) ______-__________
9. Authorized Contact Name: ________________________________________ Telephone Number: (
) ______-__________
10. What Type of Sales does this business make?
Retail
Wholesale
Service
Manufacturer
11. Estimated monthly sales volume: $____________________
12. Describe specifically the type of products and/or services this business provides, (ex: auto parts, computers and/or auto repair,
computer repair) give the percentage of each: total must equal 100%
A. _____________________ _____%
B_____________________ _____%
C. _____________________ _____%
13. Does this business sell liquor?
Yes
No
14. Does this business provide lodging?
Yes
No
15. Does this business have more than one lodging location?
Yes
No
16. Does this business ship, deliver or provide service in another taxing jurisdiction?
Yes
No
17. Does this business sell cigarettes, cigars, snuff, or other tobacco products?
Yes
No
18. Does this business sell propane, butane, liquefied gas, or compressed natural gas?
Yes
No
19. Has this ownership ever had a Wyoming Sales/Use Tax License?
Yes
No
20. Does this ownership have more than one location in Wyoming?
Yes
No
21. If more than one location would you consolidated the licenses and file one tax return for all locations?
Yes
No
If yes please provide the licenses to consolidate. ________________________________________________________
Note: Corporations, Limited Partnership, and Limited Liability Companies must provide evidence of registration with your home
state or the Wyoming Secretary of State’s office (307) 777-7311. Corporations must attach a complete list of officers. Limited
Liability companies must attach a complete list of members or managers. Licensing will be delayed until this information is
provided
.
22. Complete this section by printing the name, last four (4) digits of your Social Security number and title for the following individuals:
individual ownership: owner; Partnership: all partners; Corporations: one major officer; Limited Liability company and limited
partnerships: one member or manager. Signature must be original.
A.
Print Name: __________________________________
Signature: ____________________________________________
Address: _____________________________________
City: ______________________State: ________Zip: _________
Last four (4) of Social Security Number: ___________
Title: ________________________________________________
B.
Print Name: __________________________________
Signature: ____________________________________________
Address: _____________________________________
City: ______________________State: ________Zip: _________
Last four (4) of Social Security Number: ___________
Title: ________________________________________________
C.
Print Name: __________________________________
Signature: ____________________________________________
Address: _____________________________________
City: ______________________State: ________Zip: _________
Last four (4) of Social Security Number: ___________
Title: ________________________________________________
D.
Print Name: __________________________________
Signature: ____________________________________________
Address: _____________________________________
City: ______________________State: ________Zip: _________
Last four (4) of Social Security Number: ___________
Title: ________________________________________________
Don’t forget! Include the $60.00 non-refundable application fee. Get all required signatures.
Complete this application in its entirety and attach all required documentation. Incomplete applications will be returned and
licensing delayed. For assistance completing application please Call Taxpayer Services at (307) 777-5200.
ETS Form 001 (Revised 07/29/2008)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Voluntary Disclosure Questionnaire - Wyoming Department Of Revenue, Wyoming Voluntary Disclosure Agreement, Voluntary Disclosure Sales/use Tax License Application - Wyoming Department Of Revenue
Financial
Related Categories
Parent category: Financial