Form 10 - Wyoming Vendor Sales/use Tax Return Page 3

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ETS Form 10a (Sales Tax Worksheet for ETS Form 10 (
)
continued
Lines 4A, 4B, 4C & 4D … Please note that your new sales/use tax return requires you to report sales
that may have taken place at a location other than your primary business address. If you make
deliveries to or conduct a sale in any county other than your primary licensed location, (please note
that the tax rate varies in each county) show the total net taxable sales for that location on Lines 4B.
Sales listed on Lines 4B and Line 5 must equal Line 3, (Net taxable sales) on your return.
Line No.
.
4E
Line No. 4E.
Total sales tax due (total of columns 4D):…… …………………………………..
.
.
5.
Line No. 5.
Lodging sales only
x Lodging Tax Rate ________ =
.
6.
Line No. 6.
Excess Tax Collected (if calculated tax is less than tax actually collected)…
Wyoming vendor's Out of
.
.
Line No. 7.
x Tax Rate of _____=
7.
State purchases……………….
(purchase of goods consumed by you in your business or not placed in your sales inventory)
.
8.
Line No. 8.
Total tax due (Add Lines 4E, 5, 6, and 7.)…………………………………...…
Line No. 9.A. Interest for late payment is calculated daily at the rate of 0.0002552 per
.
9.A.
day for each day the payment is late, times line 8…………………………...
+
.
9.B.
Line No. 9.B. Penalty for late payment is an additional 10% times line 8………………...
Line No. 9.C. Penalty for failure to file a properly completed Department of Revenue
.
+
9.C.
Form 10 by the due date will result in a penalty of $10.00…………………
Line No. 9.D. Penalty for failure to file a properly completed Department of Revenue
+
.
9.D.
Form 10 within 30 days after notice will result in an additional $25.00…
Line No. 9.E. Credit Notification (Form No. 72), received by you from the Department
.
of Revenue…………………………………………………………………….
9.E.
Line No. 9.
Total Adjustments: Add Lines 9.A., 9.B., 9.C. and 9.D, then subtract any
.
credit entered on Line 9.E. Enter resulting amount here………………..
9.
=
Use minus sign (e.g. -"123.45") for negative numbers (credits).
.
Line No. 10.
Total Due: (Line 8 + Line 9)…………. ………………………………………………..
10.
****IMPORTANT INFORMATION****
- Penalty for late payment is 10% of tax due.
- Penalty for failure to file a properly completed Department of Revenue Form 10 by the
due date will result in a penalty of up to $35.00.
- Interest for late payment is calculated daily at a rate of 0.0002552 per day for each day the
payment is late, multiplied by the amount on Line 8.
Lines 1, 2, 3, 4E, 8 and 10 must be completed on all forms.
Do not send this form to the Department. Retain this worksheet to support the tax return you
have filed with the Department! If you have any questions regarding your Wyoming Sales/Use
Tax return preparation, please phone the Department Field Representative assigned to your area
or phone (307) 777-5200.
Please notify the Department of Revenue in writing if you have discontinued business, made a
change in ownership, moved your location of business or changed your mailing address.
[Visit our home page at for more information]
Prepared by:
Date:
ETS Form 10a (Revised0
01/06/03

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