Form 46-1 - Wyoming Sales & Use Tax Return For County Treasurers
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1Wyoming Sales & Use Tax
Wyoming Dept of Revenue
Form 46-1
122 W 25th St, 2W
Return for County Treasurers
Cheyenne, WY 82002-0110
Please use black ink to complete form
County Number:
Ownership RID:
Report Period:
through
Return Due Date:
Part I - Jurisdictional Tax Information -
Do not use dollar signs, commas or periods
(Column 1)
(Column 2)
(Column 3)
(Column 4)
(Column 5)
(Column 6)
Tax Rate
Sales Tax Collected
Jurisdiction
Jurisdiction
Use Tax Collected (Out of
Total Amount Collected
Name Code
Digit Code
State Purchases)
(Add Columns 4 and 5)
% in Effect
(Use CAPS)
%
%
%
%
%
%
Line 1. Part II Supplement Sub Totals -
If none, enter zero
Line 2. Totals (Add all columns)
Total Sales / Use Tax Collected (Re-enter Line 2, Column 6 Total)
Line 3.
WS
Line 4. Total Reimbursement Taken (5% of Use Tax Collected, Column 5 Total)
Line 5. Interest Collected on Delinquent Sales/Use Tax
Line 6. Balance Forward from Previous Return (See Instructions)
Line 7. Total Revenue Remitted (Add Line 3 and Line 5; subtract Line 4 and Line 6)
Name (Printed):
Signature:
This return is to be filed and taxes remitted by each County Treasurer
Title:
no later than the thirtieth (30th) day of the month following the calendar
Phone Number:
month for which the report is filed. Please attach copies of all Consumer
Date:
Tax forms issued by the County Treasurer during the period.
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