Form 10 - Wyoming Vendor Sales/use Tax Return
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1Wyoming Vendor Sales/Use Tax Return
Wyoming Vendor Sales/Use Tax Return
Department of Revenue
Department of Revenue
Herschler Bldg., 122 W. 25th St.
Herschler Bldg., 122 W. 25th St.
Cheyenne, WY
Cheyenne, WY
82002-0110
82002-0110
10
10
Form
Form
(Includes Local Option Lodging Sales)
(Includes Local Option Lodging Sales)
Department
Use ONLY
This Tax Return & Payment
This Tax Return & Payment MUST BE POSTMARKED
MUST BE POSTMARKED
Ownership
Ownership
on or before the following date to avoid late
on or before the following date to avoid late
Name:
RID:
penalties and interest:
penalties and interest:
License
PLEASE PRINT CLEARLY - USE BLACK INK
Report Period:
through
No. :
USE NO PUNCTUATION
( commas, decimals, or $ )
.
1. Gross sales and
1. Gross sales and
taxable services
taxable services
.
2. Total deductions
2. Total deductions
.
3. Net taxable sales
3. Net taxable sales
(Line 1 minus Line 2)
4. 4. Sales Tax Collected This Report Period:
Sales Tax Collected This Report Period:
Please write neatly inside the boxes!
Please write neatly inside the boxes!
Tax Due
Tax Due
Tax Due
Tax Due
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Amount Subject to Tax
Tax Rate
Tax Rate
Tax Rate
Tax Rate
County
County
County
County
4A.
4A.
4A.
4A.
4B.
4B.
4C.
4C.
4D.
4D.
4B.
4B.
4C.
4C.
4D.
4D.
.
.
.
.
Albany
Natrona
.
.
.
.
Big Horn
Niobrara
.
.
.
.
Park
Campbell
.
.
.
.
Carbon
Platte
.
.
.
.
Converse
Sheridan
.
.
.
.
Crook
Sublette
.
.
.
.
Fremont
Sweetwater
.
.
.
.
Goshen
Teton
.
.
.
.
Hot Springs
Uinta
.
.
.
.
Johnson
Washakie
.
.
.
.
Laramie
Weston
.
.
.
4E. Total sales tax due
4E. Total sales tax due
Lincoln
(Columns 4D):
(Columns 4D):
.
.
Lodging
---->
5.
Lodging sales
Lodging sales
$
x Tax Rate
=
Tax Due
.
6.
enter amount at right ---->---->---->---->---->---->---->---->---->
Excess Tax Collected
.
.
Use
Use
Wyoming Vendor's Out of
Wyoming Vendor's Out of
7.
---->
$ $
x Tax Rate
x Tax Rate
= Tax Due
= Tax Due
State purchases (Use Tax)
State purchases (Use Tax)
.
8.
enter amount at right ---->---->---->---->---->
TOTAL TAX DUE (Lines 4E + 5 + 6 + 7 )
(Lines 4E + 5 + 6 + 7 )
.
9.
enter amount at right ---->---->---->---->
Adjustments
(from line 9 on your worksheet)
(from line 9 on your worksheet)
.
F
10.
---->---->---->---->---->---->
TOTAL DUE
TOTAL DUE
( (
Lines 8+ 9)
Lines 8+ 9)
PAY THIS AMOUNT
PAY THIS AMOUNT
R e v i s e d 1 0 / 0 0
R e v i s e d 1 0 / 0 0
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.
Authorized
Return this copy
Return this copy
3RD Party Form
3RD Party Form
,
Signature
Title
to Department
to Department
of Revenue
of Revenue
Date:
/
/
Phone No. (
)
-
If your address has changed, 4 4 appropriate box:
Business Location
Mailing Address
Both
New Address:
Has your business permanently closed? Date effective ___/___/_____ (License will be canceled)
Has there been a change in ownership? Date effective ___/___/_____ (License will be canceled)
(For ownership change, please provide name(s) and address of new owner(s) below:
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