Form 45-1 - Wyoming Sales & Use Tax Return For Contractors

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Wyoming Sales & Use Tax
Wyoming Dept of Revenue
Form 45-1
122 W 25th St, 2W
Return for Contractors
Cheyenne, WY 82002-0110
Ownership RID:
Please use black ink to complete form
FEIN or SSN:
Report Period:
through
Return Due Date:
Project Numbers:
Part I - Summary
(Dollars)
(Cents)
- Do not use dollar signs, commas or periods
Total Use Tax Owed on Untaxed or Out of State Purchases (Line G)
Line A.
Penalties, Interest, or Dept. of Revenue Billing (See Instructions)
Line B.
Credit Memo from Dept. of Revenue (See Instructions)
Line C.
Total Due (Add Lines A and B, then subtract Line C)
Line D.
Part II - Jurisdictional Tax Information
(Column 1)
(Column 2)
(Column 3)
(Column 4)
(Column 5)
(Column 6)
Jurisdiction
Jurisdiction
Tax Rate % in
Tax Due (Price of items
Sales or Use Tax Paid to
Use Tax Owed
Name Code
Digit Code
Effect in
bought without Wyoming
Another State on Items
(Column 4 minus Column 5)
(Use CAPS)
Jurisdiction
sales tax multiplied by
Column 3)
Line E. Total Net Tax (Add totals in Column 6)
Line F. Sum of Line 1 results from all Part III Supplemental Pages
Line G. Total Use Tax Owed (Add Line E and Line F
Enter results here and on Part I, Line A)
Total Number
Supplemental
Pages Included
Changed Information:
Please check appropriate box for:
Location Address Change?
Mailing Address Change?
Ownership Change?
Authorized Contact Change?
Date:
Signature:
Title:
I declare, under penalty of perjury, that I have examined this return and to the best of my
Phone Number:
knowledge and belief it is correct and complete.
Date business permanently closed:
Name (Printed):

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