Form Wv/otp-701 -Tobacco Products Tax Report (Does Not Include Cigarettes) December 2006
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1WV/OTP-701
WEST VIRGINIA DEPARTMENT OF TAX AND REVENUE
(REV. 12-06)
INTERNAL AUDITING DIVISION
P. O. BOX 2666, CHARLESTON, WEST VIRGINIA 25330-2666
Use Blue or Black Ink ONLY
TOBACCO PRODUCTS TAX REPORT
(DOES NOT INCLUDE CIGARETTES)
West Virginia Identification Number, Name & Address
This report is due on or before
Period Ending
th
the 15
day of each month
reflecting transactions from the
/
/
preceding month, even if no
business was conducted.
A (In-State Accounts Only)
1. Beginning Inventory Total Gross Invoice Price*
$
,
,
.
2. Total Gross Invoice Price* of Purchases
(Attach Schedule C)
$
,
,
.
3. Products Available for Sale (line 1 plus line 2)
$
,
,
.
4. Ending Inventory Total Gross Invoice Price*
$
,
,
.
5. Total Sales (line 3 minus line 4)
$
,
,
.
6. Total Gross Invoice Price* of Exports
(Attach Schedule D)
$
,
,
.
7. Sales in WV (line 5 minus line 6)
$
,
,
.
Transfer line 7A to line 1B.
B (All Accounts)
1. Total Gross Invoice Price* of Sales in WV***
$
,
,
.
2. Total Gross Invoice Price- of Returns for Credit
$
,
,
.
3. Less 5% Statutory Deduction**
$
,
,
.
4. Total Credit (line 2 minus line 3)
$
,
,
.
5. Taxable Sales (line 1 minus line 4)
$
,
,
.
6. Gross Tax Due (line 5 x 7%)
$
,
,
.
7. Less 4% Discount (line 6 x 4%)
$
,
,
.
8.
Net Tax Due (line 6 minus line 7)
TAX CODE 15
$
,
,
.
*Gross Invoice Price is the wholesale price including all federal excise taxes at which the products is sold to you, excluding all
trade discounts and other reductions in price.
**Statutory Allowance – per Legislative Rule Title 110, Series 17, Tobacco Products Excise Tax: Upon receipt of returned
merchandise, Wholesalers will receive Credit of 95% of the tax originally remitted on Tobacco Products.
***
Schedule A must be completed online for all non-participating roll-your-own tobacco sales.
I, __________________________________, declare under penalty of perjury that this report, including any accompanying
schedules and statements, has been examined by me and to the best of my knowledge and belief is a true, correct and complete
report.
Signature: ______________________________________ Date: ___________________
Title: __________________________________________
*O44120601W*
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