Wyoming Dept of Revenue
Excise Tax Division
Wyoming Sales/Use Tax Statement
122 W. 25th Street, 2W
for Motor Vehicle Sales
Cheyenne, WY 82002-0110
Phone: 307-777-5200 Fax: 307-777-3632
Purchaser's Information:
Seller's Information:
Purchaser's Name Phone Number
Seller's Name Phone Number
Principal Place of Residence - Street or Other Address
Street or Other Address
City State Zip Code
City State Zip Code
Purchased Vehicle's Description:
Year
Make
Model
Trim
Vehicle Identification Number (VIN)
Manufacturer's Suggested Retail Price (MSRP)
Date of Purchase
Trade- In Vehicle's Description:
Year
Make
Model
Trim
Vehicle Identification Number (VIN)
Name on Title
Tax Computation:
1.
Total sales price …………………………………………………………………..…
1
2.
Less trade-in allowance ………………………………………………………..……
2
(a) Leased vehicle's buyout amount on trade-in value
3.
Less manufacturer's rebate assigned to dealer at time of sale …………………
3
4.
Tax base (Line 1 minus Lines 2 and 3) ……………………………………………
4
5.
Total estimated sales tax due (Line 4 times tax rate of %) ..……..
5
Instructions:
Manufacturer's Suggested Retail Price (MSRP) is based on the year, make, model and trim level only.
Additional options (such as sunroof, AC, power seats, etc.) should not be added to this figure.
Trade-In Vehicle's Title must already be in purchaser's name to reduce sales/use tax due on
purchased vehicle.
"Total Sales Price" must include all costs incurred by the vendor or seller prior to the retail sale, i.e. incoming
freight, accessories, documentary fees, preparation & handling, and standard warranties. These items are
a component of the cost of goods sold. Total sales price does not include costs incurred after the retail sale,
i.e. outgoing freight, titling and licensing fees and extended warranties.
Leased vehicles may not be used as the trade-in allowance unless the leased vehicle's buy-out option
has been exercised, the title has been transferred to the purchaser, and the sales/use tax on the buy-out
amount has been paid.
Line 5 must be completed identifying the estimated tax the purchaser can expect to pay based on the
Principal Place of Residence.
Payment of the sales/use tax must be made within 50 days of the date of purchase.
Penalty for late payment is 10% of the tax due, with a minimum penalty of $25
Interest on late payment is 1% of the tax due per month or fraction thereof.
SIGN
HERE
Signature of Seller
Signature of Purchaser or Agent of Purchaser
Date
Form 107
Effective Date: 03/08/10