Ets Form 12a - Sales Tax Worksheet For Ets Form 12 (Farm Implement) Page 2

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ETS Form 12a (Sales Tax Worksheet for ETS Form 12 (continued))
Lines 4A, 4B, 4C & 4D…...Please note that your new sales/use tax return requires you to
report sales tax that may have been collected at a location other than your primary business
address. If you make deliveries to or conduct a sale in any county other than your primary
licensed location, (please note that the tax rate varies in each county) then please show the
total net taxable sales tax collected for that location on Lines 4D. Sales listed on Lines 4B
must equal Line 3. (Net taxable sales) on your return.
Line No.
4E
Line No. 4E.
Total Sales tax due (Sum of Columns 4D)………………………………………
Line No. 5.
Excess Tax Collected………………………………………………………………
5.
Line No. 6.
Vendor's Out of state purchases…………………………………………………
6.
Line No. 7.
Total Tax Due (Lines 4E + 5 + 6)……………………………………………….
7.
Line No. 8A.
Adjustments:
Penalty for late filing 10% of Line 4E……………….
6.
8B.
Line No. 8B.
Adjustments:
Interest for late filing is 0.0003430 per day for each
day the return is late times Line 7……………………..
(Return must be post marked no later than the last day of the following
month that the tax was return is for. (Example June due by last day of July)
Line No. 8C.
Adjustments:
Pre-Approved Credits/Adjustments approved by
8C.
the Department.
8.
Line No. 8.
Line 8A. Plus Line 8B. Less Line 8C.…………………………………………
9.
Line No. 9.
TOTAL DUE (Line 7. Plus or minus Line 8. = Line 9. )…………………………………………...…..
Do Not send this form to the Department. Retain this worksheet to support the tax return you
have filed with the Department! If you have any questions regarding your Wyoming sales/use tax
return preparation, please phone the Department Field Representative assigned to your area or
phone (307) 777-5200.
If you have discontinued business, made a change in ownership, moved your location of business
or changed your mailing address, please contact a Department Field Representative or advise
the Department.
Prepared by:
Date:

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