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                      Wyoming Department of Revenue 
                Sales & Use Tax Return for Annual Filers 
                                      Form 42 

Important Information                         rejected and returned to the vendor 
                                              for completion and/or signature. 
 All returns must be postmarked by
  the last day of the month following     Part – I- Summary 
  the  last  month  in  the  reporting
  period.    i.e.  Report  period  1/1/09 Line A.  Enter the total amount of all sales, 
  through 12/31/09 due date 1/31/10.      leases, rentals and services made/performed 
  If the last day of the month falls on a by your business for the reporting period.  
  weekend or holiday the return must      Include  sales  made  to  yourself.  This 
  be  postmarked  by  the  following      includes all inventory purchases that were 
  business day.                           used/consumed by you.  Do not include the 
                                          amount of sales tax collected.  
 Please keep a copy of this return for
  your records.                           Line  B.     Enter  the  total  amount  of 
                                          deductions for the reporting period.  This 
 You must file a return even if there    would  include  sales  or  services  that  are 
  were no sales or taxes to report.       exempt  from  tax  and  supported  by  a 
                                          Streamlined  Sales/Use  Tax  Agreement 
 Submit completed returns and            Certificate of Exemption  or a Direct  Pay 
  payment to:                             Permit  and  sales  or  services  that  are  not 
  Wyoming Department of Revenue           subject to tax.   
  122 West 25th Street, Suite E301
                                          Line C. Subtract the total deduction amount 
  Cheyenne, WY 82002
                                          (line B) from the gross sales and services 
                                          amount (line A) and enter the difference. 
 If you are filing an amended return,
  please check the box at the top of the
  form  under the return  due date to     Skip to Part II Jurisdictional Tax 
  indicate this is an amended return.     Information 

 If you made no sales at all during      This section is used to itemize sales/use tax 
  this filing period and you owe no use   to the jurisdiction where the sale or delivery 
  tax on purchases, please check the      took place.  All sales/use tax due will be 
  box indicated for no sales or taxes to  reported  using  only  the  county  level 
  report.  Please ensure that you sign    jurisdiction name and digit code, as tax is 
                                          only imposed at the state and county level.  
  and date the form before submitting
  to the department.  Any unsigned or
                                          If the tax jurisdiction name, digit code and 
  incomplete  tax  returns  will  be      tax rate is not pre-printed or is incorrect, 

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                                                                          Revised 
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please enter the correct jurisdiction name,     the  year  for  the  jurisdiction  you  are 
digit code and corresponding tax rate.          reporting for you must use a separate line for 
                                                each tax rate.   
If additional space is needed to report for      
additional jurisdictions, complete Part III     Column 5:  Enter the total amount of  sales 
Supplement (form 42-2)                          tax  due  for  the  jurisdiction  entered  in 
                                                column 1, which corresponds to the tax rate 
Column  1:     Enter  the  four  letter         entered in column 3.   
jurisdictional  name  code  for  the  first      
jurisdiction you made sales in or owe use tax   Column 6:  Enter the total amount of  use 
in for purchases made out of state where no     tax  due  for  the  jurisdiction  entered  in 
tax or not  enough tax was paid  on  your       column 1, which corresponds to the tax rate 
taxable purchases.  Example:  Tax owed in       entered in column 3.   
Laramie County Wyoming, enter       LARA in      
this column.  (Refer to the Jurisdiction Code   Column 7:  Enter the total amount of excess 
Table.)                                         tax  due  for  the  jurisdiction  entered  in 
                                                column 1.  This  would include any over 
Column 2:  Enter the four digit jurisdiction    collected tax due to calculation errors and or 
digit  code  which  corresponds  to  the        rate collection errors. 
jurisdiction  name  code  you  entered  in       
column  1.    Example:     Tax  owed  in        Column 8:  Add columns 5, 6, and 7 and 
Cheyenne,  WY  (Laramie  County)  enter         enter the total.   
0200. (Refer to the Jurisdiction Code Table.)    
Note:  The last two digits (city code) will     Repeat steps listed for Column 1 through 
always be 00 unless reporting lodging tax,      Column 8 for each jurisdiction in which tax 
or reporting resort district tax.               is due.   
                                                 
Column 3:   Enter the tax rate in effect for    Line I:  Add net tax due totals in column 8 
the reporting period for the jurisdiction you   and place sum here.   
entered in column 1.  (Refer to the sales/use    
tax rate chart with the effective date that     If additional space is needed to report for 
corresponds to the quarter you are reporting    additional jurisdictions, please complete part 
for.)                                           III Jurisdictional Tax Information on Form 
                                                42-2.  This form is completed the same as 
Column 4:     Place an X in the box that        the above steps.  Total all Net Tax Due in 
corresponds  to  the  jurisdiction  entered  in Column 8 on the Form 42-2 and enter the 
column 1 and the tax rate entered in column     sum in  Line 1 at the bottom of the Form 42-
3.  Example:  Tax owed in Laramie County,       2.   
WY at a rate of 6% for Q1 (January 1, 2009       
through March 31, 2009), and Q4 (October        Line  J:   If  you  reported  tax  due  for 
1, 2009 through December 31, 2009). Place       additional jurisdictions on Form 42-2, place 
an X in box for Q1 and Q4. Tax for these        the total from Line 1 here.  Please indicate 
quarters can be placed on the same line as      the number of supplemental pages included 
the tax rate was the same in Q1 and Q4.         with this form in the box to the left of this 
Note:  If there was a tax rate change during    line.   

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                                               1%  X  $1,250.00  (amount  exceeding 
Line K:  Add lines I and J and place total     $6250.00) = $12.50.   
here.  This should be the total sales/use and 
excess tax due for this reporting period.      $121.88 + $12.50 = $134.37 
 
                                               The  total  vendor  compensation  credit 
Go  Back  to  Line  D  Part  1  – 
                                               allowed for the December 2012 filing period 
Summary on Form 42-1 
                                               is $134.37.  Place this amount on line E.   
 
Line  D.     You  must  complete  Part  II 
                                               For  additional  information  and  eligibility 
Jurisdictional Tax Information and Part III, 
                                               requirements please see the December 2011 
(form 42-2) Jurisdictional Tax Information 
Supplemental  page  (if  applicable).   Enter  Taxing  Issues,  which  is  available  on  our 
the total amount of sales, use and excess      website at http://revenue.wyo.gov  
tax due for this filing period from Line K 
Part  II  Jurisdictional  Tax  Information      
Form 42-1.                                      
                                               Line F.  Enter the total amount of penalty, 
Line E. This line is only to be used if the    interest and department billings notices.   
return  and  payment  are  going  to  be       Penalty for paying tax after the due date is 
               th
postmarked by the 15  of the month the         10% of the total tax due.  Penalty for not 
tax  is  due.    Example:  January  through    filing the return by the due date is $10.00.  If 
December 2012 return and payment must be       the return is not filed within the next thirty 
postmarked by January 15, 2013 to qualify      days  an  additional  penalty  of  $25.00  is 
for the vendor compensation credit.            assessed.   Interest is calculated at a daily 
                                               rate.    Interest  rate  information  is  on  our 
 Enter  the  total  amount  of  vendor         website.    If  you  have  received  a  billing 
compensation credit allowed for the filing     notice from the department that is unpaid, 
period.  Note:  Vendors are allowed to take    include this amount here.   
a credit of 1.95% of the total tax due for the  
first $6250.00 of tax due.  For any amount     Line G:     Enter the amount of any Credit 
exceeding $6250.00 of tax due vendors are      Notice  you  have  received  from  the 
allowed to take a 1% credit, up to a total     department.  Note:    Do not enter a credit 
vendor compensation credit of $500.00 per      amount here until you have received notice 
filing  period,  per  vendor  (vendor  means   from the department as this could cause an 
ownership).  To  calculate  the  vendor        underpayment of your return.   
compensation  credit,  follow  the  example     
below:                                         Line H:  Subtract line E from D, Add the 
                                               figure6 in Line F and then subtract figure 
Assuming total tax due of $7,500.00 for the    entered in line G, enter the amount here.   
                                                
December 2012 filing period, (from line D 
                                                
of Part 1- Summary on Form 42) 
                                               Please sign and date the return.     
                                                                                         
1.95% X $6,250.00 = $121.88  
                                                
                                               Instructions form 42 12/4/12 

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