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Wyoming Department of Revenue Excise Tax Division 122 W. 25th Street, Bldg. Cheyenne, Wyoming 82002-0110 http://revenue.wyo.gov *0-0-205-099* *0-0-205-099* Department Use Only Fling Temporary Business Operations 1. Business Name: 2. Ownership 3. 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) 5. Mailing Street or PO Box City State Zip Code 6. Location Street City State Zip Code 7. Contact Phone Area code and number, please list any toll free numbers used. 8. Sales (gun show, Frontier Days, church bazaar etc.) 9. Sales (City and County in Wyoming) 10. Sales (List date you will be making temporary sales in Wyoming) Print Print Address: Print Address: Wyoming Laws require all businesses and individuals to register with the Department of Revenue prior to conducting sales in this State. Should you have any questions regarding Wyoming Tax Law Requirements, please contact the Wyoming Department of Revenue, Excise Tax Division, Taxpayer Services Section at 122 West 25th Street, Building 2nd Floor West, Cheyenne, WY 82002-0110 Phone (307) 777-5200 FAX (307) 777-3632 or visit our Website at: http://revenue.state.wy.us. ETS Form 001.1 Revised: 04/25/2011