Voluntary Disclosure Questionnaire - Wyoming Department Of Revenue, Wyoming Voluntary Disclosure Agreement, Voluntary Disclosure Sales/use Tax License Application - Wyoming Department Of Revenue Page 3

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WYOMING VOLUNTARY DISCLOSURE AGREEMENT
This agreement [the 'Agreement] is entered into as of _______,___,200_, between the
State of Wyoming, Department of Revenue [the 'State"] and Company [the 'Company"].
Included in the Voluntary Disclosure Questionnaire, and incorporated as a part of the
Agreement, is a statement of facts made by the Company and warranted by the Company
to be true. The Company has in the Voluntary Disclosure Questionnaire fully disclosed
all relevant and material facts and has done so in order to induce the State to Accept the
Agreement. The Agreement is entered into by the State in reliance on the Voluntary
Disclosure Questionnaire. If any material facts set out in the Questionnaire are incorrect
or if any material facts are omitted from the Questionnaire, this Agreement is voidable by
the State and subject to re-negotiation and the Company is considered to be in breach of
the Agreement.
TERMS
Responsibilities of the Company
1. The Company will, within 30 days of the Effective Date, complete and return all
licenses and registrations and will pay all fees required by the State of Wyoming in
order to do business in Wyoming;
2.
The Company will, within 60 days of the Effective Date, remit any sales/use taxes
which the Company should have collected and remitted on its previous three years
sales or purchases taxable in Wyoming;
3.
The Company will pay interest at statutory rates for all taxes not remitted.
4.
The Company will pay a penalty of 10% and interest at statutory rates for all taxes
collected and not remitted.
5.
The Company will continue to collect and remit sales/use tax until the Company
ceases to conduct any business in Wyoming;
6. The Company will maintain these required licenses and registrations until it ceases
to do any business in Wyoming;
Responsibilities of the State
As long as the Company is not in breach of this Agreement, the State agrees not to
7.
assess any sales and/or use tax (as applicable) based on transactions conducted by the
Company prior to the Effective Date, other than as set out in numbered paragraph 2;
As long as the Company is not in breach of this Agreement, the State agrees not to
8.
assess any penalty or interest based on transactions conducted by the Company prior
to the Effective Date, other than as set out in numbered paragraphs 3 and 4;
As long as the Company is not in breach of this agreement, the State agrees not to
9.
conduct an audit of any sales and /or use tax declared by the company prior to the
Effective Date.

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