Form Wv-Tp702-Op - Other Tobacco Products Purchaser Excise And Use Tax Report
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3WEST VIRGINIA STATE TAX DEPARTMENT
WV/TP702-OP
12/06
OFFICE OF BUSINESS REGISTRATION, 1001 LEE ST EAST, CHARLESTON, WV 25301
OTHER TOBACCO PRODUCTS PURCHASER EXCISE AND USE TAX REPORT
Any person who purchases non-tax-paid other tobacco products over the Internet, mail order catalogs or from other tobacco retail
stores located outside WV and brings the tobacco into WV for consumption must remit the Other Tobacco Products Excise and Use
Tax to the State Tax Department. This form is provided for the purpose of computing tax due and remitting your payment to the above
address.
PERIOD ENDING
WV Identification Number or Social Security Number
/
/
Name
MONTH
DAY
YEAR
Address
Address
City, State Zip
TOBACCO TAX CALCULATION
1.
TOTAL COST OF OTHER TOBACCO PRODUCTS RECEIVED
$
(use the figures entered on Schedule OP1)
2.
OTHER TOBACCO PRODUCTS TAX RATE
7%
3.
TOTAL EXCISE TAX DUE ON OTHER TOBACCO PRODUCTS (multiply line 1 by line 2)
TX CODE 15
$
,
.
USE TAX CALCULATION
$
1.
TOTAL COST OF OTHER TOBACCO PRODUCTS PURCHASED
(less shipping charges if separately stated)
2.
USE TAX RATE
6%
3.
TOTAL USE TAX DUE
(multiply line1 by line 2)
$
,
.
TOTAL TAX DUE WITH THIS REPORT
$
,
.
(EXCISE TAX DUE + USE TAX DUE)
I hereby certify that this report, including any accompanying schedules, has been examined by me and to the best of my
knowledge and belief is a true, correct and complete report.
(
)
PRINT/TYPE NAME
SIGNATURE
DAYTIME TELEPHONE NUMBER
DATE
USE BLUE OR BLACK INK ONLY
Department Use Only
DO NOT PHOTOCOPY
OTP Tax Paid TX CODE 15
$
,
.
*O50110601W*
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