Out Of State Vendor Questionnaire - Cheyenne, Wyoming

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T
S
W
HE
TATE
OF
YOMING
D
R
EPARTMENT OF
EVENUE
Herschler Building o 2nd Floor West
J
G
, G
IM
ERINGER
OVERNOR
o
82002-0110
R.M. “J
” B
,
122 W. 25TH STREET
CHEYENNE, WYOMING
OHNNIE
URTON
(307) 777-5200 o
: dor@missc.state.wy.us
TELEPHONE
E-MAIL
D
IRECTOR
WEB SITE
Out of State Vendor Questionnaire
Business Name_______________________________________________
Contact Person_______________________________________________
Phone Number_____________________ Fax Number________________
1. Describe your business operations in Wyoming.
2. How would a Wyoming customer know that you had this product for sale?
3. Do you have any of the following in Wyoming? (circle yes or no)
Yes
No
Do you have an office?
Yes
No
Do you have a distribution house?
Yes
No
Do you have a sales house?
Yes
No
Do you have a warehouse?
Yes
No
Do you have any other place of business?
Yes
No
Do you have any agents operating, soliciting sales or advertising
within this state under your authority?
Yes
No
Do you have inventory in the state?
Yes
No
Do you have equipment in the state?
Yes
No
Do you lease equipment in the state?
Yes
No
Do you make deliveries into the state with your own vehicles?
Signature__________________________________
Date________________________________
Fax Numbers
o
o
o
o
(307)777-7722
(307)777-7722
(307)777-3632
(307)777-7849
DOR Main
Ad Valorem
Excise Tax Division
Mineral Tax Division
Liquor Division
(307)777-6255

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