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Wyoming Department of Revenue
th
122 West 25 Street
Cheyenne WY 82002-0110
http://revenue.wyo.gov Department Use Only
RID:__________________
Sales/Use Tax License Application Filing Freq:_____________
License:________________

ALL LINES MUST BE COMPLETED IN ORDER TO PROCESS THIS APPLICATION

1. Ownership Name:________________________________________________ (1) ________________________
(federal identification number)

2. Date of first Sale / Service in Wyoming______/_______/_______Estimated Monthly Sales Volume $________

3. DBA/Doing Business As Name:
4. Please check one of the following that best describes your ownership (spousal ownership is considered a partnership):
A. ________Association/Club B. ________Corporation C. ________Individual
D. ________Limited Partnership E .________Limited Liability Company F. ________Partnership
G. ________Other (explain) Date and State of Incorporation_____________________________

Note: Corporations must provide evidence of registration with your home state or Wyoming Secretary of State’s Office.
Please contact the Wyoming Secretary of State’s Office at 307-777-7311 with any questions regarding registration. .

5. Mailing Address:
Street or PO Box City State Zip Code

6. Location Address:
Street City State Zip Code

7. Internet E-Mail Address:________________________________ @

8. Business Phone Number: ( )_______-________ (800)______-___________Fax No:( )________-

9. Authorized Contact:_________________________________________ Phone Number: ( )_______-

10. What Type of Sales does this business make? Retail______Wholesale______Service______Manufacturer

11. Describe specifically the type of products and/or services this business provides, (ex: auto parts, computers and/or auto
repair, computer repair) give the percentage of each: total must equal 100%
A. __________________ _____% B._____________________ ______% C.____________________ _____%

12. Does this business sell “prepaid wireless communication access”, (ex: calling cards, Yes_______ No_______
wireless phones, re-charge/reload of minutes or wireless service for a fixed period of time.)
13. Does this business sell liquor? If yes, list your WY Liquor license number___________ Yes_______ No_______
14. Does this business provide lodging? Yes_______ No_______
15. Does this business have more than one lodging location? Yes_______ No_______
16. Is this business located within the boundaries of an incorporated city or town in Wyoming? Yes_______ No_______
17. Does this business sell cigarettes, cigars, snuff, or other tobacco products? Yes_______ No_______
18. Does this business sell propane, butane, liquefied gas, or compressed natural gas? Yes_______ No_______
19. Does this business ship/deliver products and/or service in any other WY city, town or county? Yes_______ No_______
20. Has this ownership ever had a Wyoming Sales/Use Tax License? Yes_______ No_______
21. Does this business have more than one location in Wyoming? Yes_______ No_______
22. If this business has more than one location do you prefer to consolidate the licenses? Yes_______ No_______
If yes how many locations and their license numbers? ________________________________________________

Note: Original Signature(s) are required for all ownership types. The business owner must sign for the individual
ownership, all partners must sign for partnerships, one major officer for a Corporation, one member or manager for a
Limited Liability Company and two partners for Limited Partnership. Attach an additional signature page if needed.
Signatures must be original.

A. Print Name:________________________________ Signature__________________________________________
Address: _________________________________ City:______________________State________Zip_________
Last four of SSN:__________________________ Title______________________________________________

B. Print Name:________________________________ Signature__________________________________________
Address: _________________________________ City:______________________State________Zip_________
Last four of SSN:__________________________ Title______________________________________________

Don’t forget! *To complete all lines of this application in its entirety, including all required signatures.
*Include the $60.00 non-refundable application fee.
*Please make check payable to the Wyoming Department of Revenue.
*For assistance completing the application please call (307) 777-5200.
Rev 10/04/2018

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Wyoming Sales Use Tax License Application Instructions

# Requested Information Description

1 Ownership Name This is the name of the ownership of the business or the legal name of the
business. It is the name of the corporation, LLC, partners in the partnership,
or your name if you are a sole proprietor. Example: ABC Suppliers Inc.

1 (federal identification number) This is the Federal Employer Identification Number issued by the IRS. Not all
businesses are required to have an EIN. Please go to www.irs.gov for
assistance in obtaining a FREE EIN.

2 Date of first Sale / Service in This is the date of your first sale transaction in Wyoming, or the date you will
Wyoming start your business. It can be a future date.

3 DBA/Doing Business As Name This is the name people will use to identify your business. It is sometimes
referred to as your trade name. It can be how you list your business in the
telephone book or on business cards. Example: ABC Widgets and Gidgets.

4 Please check one of the This goes along with the Ownership name and should be consistent. If your
following that best describes ownership name is ABC Suppliers Inc, you should select Corporation. Date
your ownership and State of Incorporation should be completed by all corporations and
LLC’s.

5 Mailing Address The address we will use when mailing your tax returns, license certificate,
quarterly newsletters and any time sensitive notices from us.

6 Location Address This is the location of your business. It can not be a registered agent or
virtual office address. If you do not have a physical storefront, it needs to be
the address where your business records can be inspected or where your
customer can return an item. It may be your home address if you run an
online store, attend various craft shows, have a food truck, or similar
businesses.

7 Internet E-mail Address The email address that we may use to send forms or other requested
information to you.

8 Business Phone Number The phone number associated with your business, along with a toll free
number or fax number if you have them.

9 Authorized Contact A specific person we can call if we have questions about your account. Note
that we can not share certain information with a non-authorized contact, so
this person is crucial for timely resolution of issues associated with your
account. Anyone who signs the Sales/Use Tax Application is an authorized
contact.

10 What type of sales does this You may select more than one. Retail means a sale to the end user.
business make? Wholesale is a sale made to another business for them to sell to someone
else. Service is labor. Manufacturer is to take materials and turn them into a
different product (ie cloth into clothing, metal into dishes, wood into
furniture).Please refer to our Exemption Certificate Bulletin.

11 Describe specifically the types If someone were to look up your business in the phone book, under which
of products or services this category would they look? Auto sales? Hairdresser? Restaurant? C-Store?
business provides... Please refer to our Bulletin, “Are You A Vendor?”

12 Does this business sell prepaid Will you sell phone calling cards, prepaid cell phones, minute refills for pay
wireless communications as you go phones?
access...

13 Does this business sell liquor? Wyoming is an alcohol control state, so if you sell liquor, you must have
applied for and received a liquor license from the Wyoming Department of
Revenue, Liquor Division; please include the license number on your
application.

14 Does this business provide Do you provide overnight sleeping accommodations for transient guests?
lodging? This includes hotels, motels, campgrounds, RV parks and guest rooms.
Please review our Lodging Publication.

15 Does this business have more Each lodging location must have a separate license.
than one lodging location?

16 Is this business located within Are you within the city or town limits? Do you have your water or trash
the boundaries of an service through the city (inside boundaries), or do you have it through a third
incorporated city or town in party (outside boundaries)?
Wyoming?

17 Does this business sell Do you sell products containing tobacco? (note that vaping supplies contain
cigarettes, cigars, snuff, or other nicotine, not tobacco)
tobacco products?

Rev 10/04/2018

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18 Does this business sell Do you sell propane, butane, liquefied gas, or compressed natural gas?
propane, butane, liquefied gas,
or compressed natural gas?

19 Does this business ship/deliver Do you do business in a Wyoming county other than the one in which you
products and/or service in any are located, or if you are located out of state, do you ship or deliver products
other WY city, town or county or services into any county in Wyoming? Please review our Sourcing
Bulletin.

20 Has this ownership ever had a Have you had a license with us before, or do you have another license
Wyoming Sales/Use Tax currently with us?
License?

21 Does this business have more Does your business operate out of more than one location address in
than one location in Wyoming? Wyoming?

22 If this business has more than Would you like to report all of the taxes owed by all of your business
one location do you prefer to locations on a single tax return?
consolidate the licenses?

22 If yes, how many locations? This helps us verify that we have attached all of your licenses to a single
consolidated license. Please list all your licenses for your locations.

A B Signature block The name, address, signature and title of the responsible parties for the
business. If a sole proprietor, we require the owner’s signature and title. If a
partnership, we require each partner’s signature and title. If a corporation, we
require at least one major officer’s signature and title (President, Vice
President, Treasurer, Secretary). If an LLC, we require at least one member
or manager’s signature and title. If a Limited Liability Partnership, we require
signatures and titles of at least two partners.

Rev 10/04/2018

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