Form Wv-Tp702-Op - Other Tobacco Products Purchaser Excise And Use Tax Report Page 2

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WEST VIRGINIA STATE TAX DEPARTMENT
SCHEDULE OP1
12/06
OTHER TOBACCO PRODUCTS PURCHASER SCHEDULE 1
DETAILED PURCHASE INFORMATION
WV ID# OR SS#
NAME
MONTH/YEAR
ADDRESS/INTERNET ADDRESS
BRAND NAME
DATE
COST OF OTHER TOBACCO
NAME OF SELLER
AND/OR PHONE NUMBER OF
OR TOBACCO TYPE
PURCHASED
PRODUCTS
SELLER
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL PRODUCT PURCHASED

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Parent category: Financial
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