Ets Form 001vd - Voluntary Disclosure

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State of Wyoming
D
R
EPARTMENT OF
EVENUE
M
H. M
, Governor
122 West 25th Street, 2-West, Cheyenne, Wyoming 82002-0110
ATTHEW
EAD
Telephone:(307) 777-7961 ○ Web: ○ E-mail:dor@wy.gov
E
J. S
, Director
DMUND
CHMIDT
Administration Fax (307)777-7722 ○ Property Tax Division Fax (307)777-7527 ○ Mineral Division Fax (307)777-3632 ○ Mineral Division Fax (307)777-7849 ○ Liquor Division Fax (307)777-6255
Wyoming’s Sales Tax Voluntary Disclosure Program
Effective July 1, 1999, Wyoming Statute 39-15-107.2 authorized the Department of Revenue to enter into a
voluntary disclosure agreement with any person establishing sufficient contact with the state to qualify the
person as a vendor under statute. You can start the process of entering into a Voluntary Disclosure
Agreement by performing the following steps:
Step 1: Complete the enclosed Voluntary Disclosure Questionnaire for the company.
Step 2: Complete a Report of Taxable Transactions for a period of not more than three years preceding the
date of the Voluntary Disclosure Agreement. We need you to break down the taxable sales by county, month
and year.
Step 3: Review and have an authorized representative sign the enclosed Wyoming Voluntary Disclosure
Agreement.
Step 4: Return the following to:
Wyoming Department of Revenue
Voluntary Disclosure Program
122 W. 25
Street, Herschler Bldg 2
W.
th
nd
Cheyenne WY 82002-0110
• Completed/signed Voluntary Disclosure Questionnaire
• Report of Taxable Transactions
• Signed Voluntary Disclosure Agreement
After we review your submission and determine that everything is satisfactory, we will fill out the
specifics of the Voluntary Disclosure Agreement, sign the Agreement and return a photocopy of the
originals to you.
Step 5: Complete and return the enclosed Voluntary Disclosure Licensing Application Form, along with the
one-time licensing fee of sixty dollars ($60) within the agreed-upon timeframe.
Step 6: Remit the applicable back taxes, penalties and interest within the agreed-upon timeframe.

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