Intangible Personal Property Exemption Application Form - Wyoming Department Of Revenue Page 4
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7(PART 1) – Tax Payer Identification
Self Explanatory
(PART 2) – Property / Plant Information
Identify the property location by county, address and/or legal description, and tax district. Include a brief description of operations
conducted at this location.
(PART 3) – Certification
Any application for the exemption of intangible assets must be signed and certified to be valid. Applications found to be inaccurate or
fraudulent will be denied in their entirety, and may be prosecuted under Wyoming Law.
(PART 4) – Intangible Personal Property
Property Identification, i.e. (Proprietary Software, Manufacturing Patent, Customer List, Work Force in Place). Each item should be
separately listed and itemized for exemption.
Identify the Property ID number if separately identified on a rendition form and included as part of the cost pages. Mark as N/A if not
applicable.
Cite or reference where the property is separately located and identified on company’s books and records (Federal Tax Return, SEC Filing,
Audited Financial Statements, Etc.). Citation must provide a specific line-item where the requested property is segregated from all other
property. If the specific, requested item is unable to be segregated from other property, the requested will be denied in its entirety.
Provide a clear and concise description of the intangible personal property. Description should include, but is not limited to, the following
qualifications of an intangible asset. (Legal Existence & Protections, Ownership Rights of the Property, How the Intangible was Created or
Came into Existence, & Life Expectancy of the Intangible Property).
(PART 5) – Original Cost
Provide applicable cost data that will be utilized to exclude valid intangible personal property from the Appraisal Cost Models.
Figures provided should include all original cost components of the intangible personal property including; materials, labor, overhead,
developers profit / entrepreneurial incentive.
Note: Professional services and other like costs are not, in-and-of themselves, considered intangible assets (attorney’s fees, engineering
fees, etc.). Careful consideration must be made on how professional service fees are expensed and/or capitalized, and will determine if
they are included as part of an intangible personal property exemption.
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