City Of Charleston, W.v Tax Form
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1
2CITY OF CHARLESTON, W.V
Enter Your Federal ID Number Or,
Quarterly B&O Tax Estimate
Insert Class
Taxable
Interest
Tax Due
If You Have None, EnterSocial Security Number
Code
Amount
Rate
Use separate
lines
Kind of Business
for different
types of
income received
Date Business Began
Date Business Quit
If Business Sold Furnish Name and Address of New Owner
1. Gross Tax Amount
2. Less Exemption*
3. Total Tax Due
4. Penalty
5. Interest**
Your Account Identification Number
Quarter Ended
*$1.25 per quarter
** 8% per annum
PLEASE RETURN WITH YOUR REMITTANCE AND KEEP A COPY
FOR YOUR RECORDS.
Signature of Taxpayer or Preparer
Date
Please make check payable and remit directly to:
City of Charleston
P.O. Box 2749
Charleston, WV 25330
304-348-8024
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Parent category: Financial