Form Wv/mft-50 - West Virginia Supplier/permissive Supplier Report Page 2
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1
2WORKSHEET A - TAXABLE INVOICED GALLONS
Dyed Diesel &
Aviation
Aviation
Clear Kerosene/
Gasoline
Gasohol
Undyed Diesel
Propane
Dyed Kerosene
Gasoline
Jet Fuel
Other
Total Gallons sold WV Tax Collected -
Gallons @.11
Gallons @.11
Gallons @.11
Gallons @.11
1.
Unlicensed Distributors and Licensed
Suppliers.
(Schedule 5A and Schedule 5E)
Total Gallons sold WV Tax Collected
-
Gallons@.2050
Gallons@.2050
Gallons@.2050
2.
ENTER EXEMPT MOTOR FUEL SOLD FOR TAXABLE PURPOSE (ON-HIGHWAY) ONLY
Unlicensed Distributors, and
Licensed Suppliers. (Schedule 5H)
Gallons @.11
Gallons @.11
Gallons @.11
Gallons @.11
Total Gallons sold WV Tax Collected
-
3.
Licensed Distributor, Licensed Importer and
Licensed Exporter. (Schedules 5D & 7B)
Total Gallons sold WV Tax Collected
.
Gallons @.2050
Gallons @.2050
Gallons @.2050
4
ENTER EXEMPT MOTOR FUEL SOLD FOR TAXABLE PURPOSE (ON-HIGHWAY) ONLY
Licensed Distributor and Licensed Importer.
(Schedule 5G)
CALCULATION OF DISTRIBUTOR DISCOUNT
Multiply Line 3 by .2050
$
$
$
$
5.
Multiply Line 4 by .2050
$
$
$
6.
Multiply Lines 3 and 4 by .11
$
$
$
$
$
$
$
7.
. Add Lines 5, 6, and 7
$
$
$
$
$
$
$
$
8
Add Line 8 all columns and enter total
9.
$
. Multiply Line 9 by .0075 and TRANSFER TOTAL TO FRONT OF REPORT – LINE 9
$
10
GROSS TAXABLE GALLONS
11.
Add Lines 1, 2, 3 and 4)
(
.
(Schedule 1)
Tax Paid Receipts
12.
NET TAXABLE GALLONS.
13.
(Subtract Line 12 from Line 11)
By Product Type -Transfer to Line 1
on front of report.
WORKSHEET B - TOTAL DISBURSEMENTS
GROSS TAXABLE GALLONS
1.
(Worksheet A Line 11)
Total Gallons Exported –
2.
Destination State Tax Collected
(Schedule 7A)
TOTAL GALLONS DISBURSED.
3.
(Add Lines 1 and 2)
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