Form Wv/sdr-2015a - Schedule A - Syrups, And Prepared Soft Drinks For Retailers And Wholesalers
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1WV/SDR-2015A
Rev. 10/09
West Virginia Department of Tax and Revenue
SCHEDULE A - SYRUPS, AND PREPARED SOFT DRINKS FOR RETAILERS AND WHOLESALERS
ACCOUNT NAME: ___________________________________________________________________________________ Month of ________________________________________________, 20_________
PRODUCT ACCOUNTABILITY
TAX ACCOUNTABILITY
12.
9.
10.
11.
4.
6.
1.
13.
7.
3.
5.
8.
On hand end of
Total sales,
Tax due sales
Capacity of
2.
Purchases tax
Manu-
Tax
Total Available
On hand first of
Purchases Tax
Gross Tax Due
container
On hand first of
On hand end of
month tax not
disposals
total of Col 3, 5
paid
factured
month tax not
Not Paid
Rate
month tax paid
month tax paid
paid
& 6 less Col 9
paid
SECTION A, SYRUPS: TAX RATE - 80¢ per gallon or 84¢ per 4 liters or fraction thereof. (includes PREMIX at applicable rate)
SECTION A, PREPARED SOFT DRINKS (for RETAILERS/WHOLESALERS): TAX RATE - 1¢ per 16.9 ounces (1/2 liter) or fraction thereof.
INCLUDE GRAND TOTAL OF SYRUPS AND PREPARED SOFT DRINKS – ADD COL 13 & TRANSFER TOTAL TO FRONT OF REPORT LINE 1, COL A.
$
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