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Form 4421 for Wyoming: What You Should Know

Excise Tax Forms. Inspection Schedule (Form 4421) for Inspection/Excise Tax and the Wyoming OSHA Inspection Program (Form 4421-O) is not currently available for download. Please contact your nearest Wyoming state agency to verify the form may be viewed/downloaded. Sep 01, 2022 — An inspection date may NOT BE used to determine when an establishment is required to comply with Wyoming Occupational Vendor agreements or Wyoming OSHA inspection requests. Wyoming OSHA will not inspect or request compliance with a “fail” inspection or failure to perform an OSHA inspection. Form 4421 (Rev.3) Wyoming Excise and Industrial Tax Return for a Retail Vendor. The following information is not included and should be filled out completely and in alphabetical order: The name of the retail vendor The business address The business telephone number and if applicable the business EIN The name of the person providing the services to the retail vendor as the sole or authorized supplier. Date that this information is provided Date the vendor was first required to comply with this Wyoming Excise & Industrial Taxes (Wyoming OSHA) program The person provided the services to the retail vendor for the period of time that the store was required to be inspected. If you can not find your information please contact your nearest Wyoming state agency. Vendor agreement between the  Colorado Department of Revenue and Wyoming Excise Tax Services. Contact our Customer Service Center at to: If a state agency or individual is conducting an inspection, the business will need to have all documentation related to the inspection in order for the store to be exempt from the retail vendor tax. Vendor agreement between the Colorado Department of Revenue and Wyoming Industrial Service Division in which the  Wyoming Department of Revenue (WAR) provides to all retail vendors the current list of qualified retail vendors and, upon request, an additional list of qualified retail vendors. The following information is not included and should be filled out completely and in alphabetical order: Name of the retail vendor The business address. The business telephone number and if applicable the business EIN Date the vendor was first required to comply with this Wyoming OSHA program The person provided the services  to the retail vendor for the period of time that the store was required to be inspected. If you can not find your information please contact your nearest Wyoming state agency.

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