Form Wv/tel-500 - West Virginia Telecommunications Tax Estimate
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J.
GROSS AMOUNT OF TAX
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WV/TEL-500
REV 7/05
WEST VIRGINIA TELECOMMUNICATIONS TAX ESTIMATE
SIGNATURE OF TAXPAYER OR PREPARER
MAKE CHECK PAYABLE AND MAIL TO:
STATE TAX DEPARTMENT
INTERNALAUDITING DIVISION
P.O.
BOX
425
CHARLESTON. WV
253220425
INSTRUCTIONS
RATE
.04
.04
TAYABLE AMOUNT
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4
MVESTMENTSCREDITS
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TAX DUE BEFORE CREDITS
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1,
GROSS INCOME
I N TRASTATE
FROM LINE
2.
REVERSE SIDE
2. GROSS
INCOME
INTERSTATE
FROM LlNE 6,
REVERSE SIDE
IF BUSINESS WAS DISCONTINUED G I M DATE AND IF SOLD NAME AND ADDRESS OF NEW OWNER
5, TOTAL TAX DUE
(LINE
3
LESS LlNE
4)
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DATE
Visit our web site at:
FOR ASSISTANCE CALL:
(304) 558-3333
TOLL FREE
1-800-982-8297
1. Total gross hlcome
- - - -
- - - - - - - -
-
-
- -
- -
-
-
-
- -
PERIOD ENDED
2. Gross income-intrastate (Enter here and on line 1 on
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front of return)
- -
'-
- - -
- - - - - - - - -
-
-
-
-
- - - - -
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DUE DATE
3.
Gross income-interstate
(line 1 less line
2)-
. . . . . . . . . . . . . . . . . . . . . . .
4.
Total length of communication pathways in West
Virginia X number of channels pathways can carry-
-
- - - -
-
- -
GROSS INCOME-INTRASTATE-gross income from telecommunica-
5.
Total length of communication pathways everywhere
tions business beginning and ending entirely within West Virginia. The
X number of channels pathways can carry-
- -
- - -
-
- - - - - -
amount should include gross income from non-competitive services
only.
6.
Gross income-interstate earned in West Virginia
GROSS INCOME-INTERSTATE-gross income received from the pro-
(Divide line 4 by line
5,
multiply the resulting amount
vision of non-competitive services. Do not include gross income from
by line 3). (Enter here and on line 2 on front of return)-
- - -
- - -
-
the provision of network access, billing, or similar services provided to
end user, other telephone companies or communications carriers.
GROSS
INCOME FROM TELECOMMUNICATION SERVICES SUBJECT
TO
COMPETITION
ARE
NOT SUBJECT TO THE TELECOMMUNICATIONS TAX.
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