West Virginia Business And Occupation Tax Return - Quarterly Report Form

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CITY OF RAVENSWOOD, WEST VIRGINIA BUSINESS AND OCCUPATION TAX RETURN –
QUARTERLY
212 Walnut St.
FORM OF BUSINESS (CHECK)
Ravenswood, WV 26164
INDIVIDUAL
Return entire form with payment to the City of Ravenswood
ALL QUESTIONS MUST BE ANSWERED
CORPORATION
and make a copy for your records.
READ INSTRUCTIONS CAREFULLY
PARTNERSHIP
(1)
For Period ______________________________________________________
ASSOCIATION
CHANGE NAME AND ADDRESS IF NOT CORRECT
(2)
State EXACT date Business began ____________________________________
LLC
(3)
If fiscal year is used, when does year end? _____________________________
Enter your Federal Identification number. If you have none,
(4)
During period covered by this return did you:
LLP
enter your social security number. This is a nine digit number.
(a) Quit Business
YES
NO
PLLC
Exact Date_____________, (b) Sell or otherwise dispose of your Business?
YES
NO Exact Date_____________, (c) If Business was sold; give
name and address of new owner_____________________________________
_______________________________________________________________
(5)
Where
are
your
records
kept?
(street
address
&
city)
_______________________________________________________________
_______________________________________________________________
(6)
Principal place of Business in RAVENSWOOD___________________________
(7)
Nature of Business________________________________________________
(8)
Other Business(es) in RAVENSWOOD _________________________________
_______________________________________________________________
SCHEDULE A
RATE
PER
BUSINESS CLASSIFICATION
GROSS AMOUNT
EXEMPTIONS
TAXABLE INCOME
TAX
$100.00
COL. (5)
1.
Gross Sales value production: Coal
.50
Sand, gravel, or other mineral product not
2.
1.50
quarried or mined
3.
Timber
.75
4.
Other natural resource products
1.00
5.
Gross Sales value manufactured products
.15
6.
Gross Income: Retailers, Restaurants
.25
7.
Gross Income: Wholesalers
.08
Electric Light & Power Companies (sales
8.
and demand charges
2.00
domestic purpose and com’l lighting)
Electric L. & P. Co. (all other sales and
9.
1.50
demand charges)
10.
Natural Gas Co.
1.50
Gross Income: Contracting and Building
11.
1.00
Business
12.
Gross Income: Amusement Business
.25
Gross Income: Service and all other
13.
.50
business
14.
Rents and Royalties (1 or more parcels)
.50
15.
Gross Income: Small Loan Business
.50
16.
Public Utility Service (2%)
2.00
17.
Banking and Financial Institutions
1.00
LINE
EXEMPTIONS
DESCRIPTION
CODE
1
GROSS TAX (from schedule A)
$
PENALTY
2
ADD: Penalty of 5% for first month or fraction thereof, and 1% for each succeeding month or fraction thereof of delinquency.
THIS RETURN WITH PAYMENT TO COVER TAX DUE MUST BE
3
TOTAL DUE
RECEIVED WITHIN ONE MONTH FROM END OF PERIOD COVERED.
SIGNATURE REQUIRED
UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS
4
TOTAL REMITTANCE
RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND
TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT, AND
COMPLETE.
READ INSTRUCTIONS CAREFULLY
FAILURE TO COMPLETE THE WORKSHEET WILL RESULT IN THE TAX STATEMENT BEING RETURNED TO YOU AND AS A RESULT, PENALTY
AND INTEREST MAY APPLY. IF YOU HAVE ANY QUESTIONS REGARDING ANY PORTION OF THIS RETURN, PLEASE CALL 273-2621.
DATE
SIGNATURE OF OFFICER
TITLE

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