Form 44 - Wyoming Use Tax Return For Consumers & Non-Licensed Vendors

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Wyoming Use Tax Return for
Wyoming Dept of Revenue
Form 44
122 W 25th St, 2W
Consumers & Non-Licensed Vendors
Cheyenne, WY 82002-0110
Please use black ink to complete form
Ownership RID:
Do not use dollar signs, commas or periods
FEIN or SSN:
Report Period:
through
Return Due Date:
Please refer to instructions for appropriate jurisdictional codes and tax rates. Please note
you should fill out only one part, depending upon your reporting period.
Part I - Use Tax Due - Monthly Reporting Period
(Column 1)
(Column 2)
(Column 3)
(Column 4)
(Column 5)
(Column 6)
Jurisdiction
Jurisdiction
Tax Rate
Tax Due (Price of items
Sales or Use Tax Paid to
Use Tax Owed
Name Code
Digit Code
% in
brought into Wyoming from
Another State on Items
(Column 4 minus
(Use CAPS)
Effect
another state multiplied by
Column 5)
Column 3)
%
Adjustments
- Late fees, penalties or Dept. of Revenue issued notices (See instructions)
Total Due
Part II - Use Tax Information - Quarterly or Annual Reporting Period
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Jurisdiction
Jurisdiction
Tax Rate
Select quarter(s)
Tax Due (Price of items
Sales or Use Tax
Use Tax Owed
Name Code
Digit Code
% in Effect
where taxes were
brought into Wyoming from
Paid to Another State
(Column 5 minus
(Use CAPS)
owed at rate in
another state multiplied
on Items
Column 6)
Column 3
by Column 3)
Q1
Q2
Q3
Q4
%
%
%
%
Sub Total
Adjustments
- Late fees, penalties or Dept. of Revenue issued notices (See instructions)
Total Due
Signature:
Date:
Please enclose payment or supporting documentation
Phone Number:
Description of Items:

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