Form 12 - Sales Tax Return
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1
2
3Wyoming .arm Implement
Wyoming .arm Implement
Wyoming .arm Implement
Wyoming .arm Implement
Wyoming .arm Implement
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
Cheyenne, WY
82002-0110
82002-0110
Cheyenne, WY
Cheyenne, WY
Cheyenne, WY
82002-0110
82002-0110
82002-0110
Sales Tax Return
Sales Tax Return
Sales Tax Return
Sales Tax Return
Sales Tax Return
.orm 12
Department
Use ONLY
Ownership
Ownership
This Tax Return must be postmarked on or before the
RID:
Name:
following date to avoid late penalty and interest:
(
License
PLEASE COMPLETE THIS .ORM BY
Report Period:
through
Feb 01, 1996
Feb 29, 1996
HAND - USE BLACK INK ONLY
No. :
1. Gross sales and services ...........
2. Total deductions ....................
3. Net taxable sales
(Line 1 minus Line 2)
4. 4. 4. 4. 4.
Sales Tax Collected This Report Period:
Sales Tax Collected This Report Period:
Sales Tax Collected This Report Period:
Sales Tax Collected This Report Period:
Sales Tax Collected This Report Period:
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
Tax Due
:
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
:
Tax Rate
Tax Rate
Tax Rate
Tax Rate
Tax Rate
=
=
County
County
County
County
County
4A.
4A.
4A.
County
County
County
County
County
4A.
4A.
4B.
4B.
4B.
4B.
4B.
4A.
4A.
4A.
4A.
4A.
4B.
4B.
4B.
4B.
4B.
4D.
4D.
4D.
4D.
4D.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4C.
4D.
4D.
4D.
4D.
4D.
Natrona
Albany
Niobrara
Big Horn
Park
Campbell
Platte
Carbon
Sheridan
Converse
Sublette
Crook
Sweetwater
.remont
Teton
Goshen
Uinta
Hot Springs
Washakie
Johnson
Weston
Laramie
4E. Total sales tax due
4E. Total sales tax due
4E. Total sales tax due
4E. Total sales tax due
4E. Total sales tax due
Lincoln
(Columns 4D):
(Columns 4D):
(Columns 4D):
(Columns 4D):
(Columns 4D):
.....................................................................................................
5.
Excess Tax Collected
......
6. Vendor's Out of State purchases
$
x Tax Rate
= Tax Due
............................................................................
7.
TOTAL TAX DUE (Lines 4E + 5 + 6)
(Lines 4E + 5 + 6)
(Lines 4E + 5 + 6)
(Lines 4E + 5 + 6)
(Lines 4E + 5 + 6)
..............................................................................
8.
Adjustments (from your worksheet)
(from your worksheet)
(from your worksheet)
(from your worksheet)
(from your worksheet)
.
PAY THIS
PAY THIS
PAY THIS
PAY THIS
PAY THIS
..............................................................
TOTAL DUE
TOTAL DUE
( ( ( ( (
) ) ) ) )
AMOUNT
AMOUNT
AMOUNT
AMOUNT
AMOUNT
9. TOTAL DUE
TOTAL DUE
TOTAL DUE
Lines 7 + 8
Lines 7 + 8
Lines 7 + 8
Lines 7 + 8
Lines 7 + 8
,
,
.
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 complete.
Revised 05/01
3RD Party Form
Authorized
Business Permanently Closed on
Business Permanently Closed on
Business Permanently Closed on
Business Permanently Closed on
Business Permanently Closed on
Signature
Title
(date)_____/_____/_____
(date)_____/_____/_____
(date)_____/_____/_____
(date)_____/_____/_____
(date)_____/_____/_____
Date:
/
/
Phone No. (
)
-
Check this Box If your
Check this Box If your
Check this Box If your
Check this Box If your
Check this Box If your
address has changed.
address has changed.
address has changed.
address has changed.
address has changed.
Write in new address:
Write in new address:
Write in new address:
Write in new address:
Write in new address:
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