Form Eg-1 - Virginia Egg Excise Tax Return - 2015 Page 2
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1
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3Form EG-2
Worksheet and Conversion Calculations for Egg Products
•
Transfer items indicated by the arrows on this worksheet, Form EG-2, to the Virginia Egg Excise Tax Return, Form EG-1.
•
A copy should be retained with your tax records for three years.
• Eggs marketed, sold or handled for (a) export, out-of-state (interstate) purposes; (b) military sales; or (c) shell eggs sold to an egg
breaker to further egg product use are exempt from this tax. For each exempt shipment, retain the bill of lading showing the final
destination.
Report For _________________________________ (month), ______________ (year)
Name
Virginia Account Number
Street Address or P.O. Box
Federal Identification Number
City
State
ZIP Code
Contact Person
Preparer’s Signature
Date
Preparer’s Title
Telephone Number
( )
Part I - Conversion of Pounds of Egg Product of Pounds of Liquid Equivalent
Item B
Item D
Item C
Item F
Item A
Pounds Egg
Taxable Egg
Item E
Exempt Egg
Liquid Equivalent Egg
Egg Products Handled
Product
Products (Item B
Multiplier
Products
Product Handled
Handled
Less Item C)
1
Liquid Egg
1
2
1
Boiled (pickled or otherwise preserved)
3
1
Sliced/ Diced/ Chopped Eggs
4
4
Dried Whole Egg
5
2
Dried Yolk
6
8
Dried Albumen
7
3
Fortified Blend
8
Total Pounds of Liquid Equivalent Egg Product Handled
t
(Add Item F, Lines 1 through 7. Record here and on EG-1, Line 1)
9
Tax on Liqid Equivalent Egg Product Handled
t
(Line 8 X $0.0011. Record here and on EG-1, Line 2)
Part II - Shell Eggs
10
Cases Shell Eggs Handled
11
Cases Exempt Shell Eggs
t
12
Cases of Taxable Shell Eggs (Line 10 less Line 11. Record here and on Form EG-1, Line 3)
t
13
Tax on Shell Eggs (Line 12 X $.05. Record here and on Form EG-1, Line 4)
Part III - Computing the Egg Excise Assessment
14
Total Tax on Egg Products and Shell Eggs (Add Lines 9 and 13)
15
Penalty for Late Filing and Payment
t
See instructions. (Record here and on Form EG-1, Line 5)
16
Interest for Late Filing and Payment
t
See Instructions. (Record here and on Form EG-1, Line 6)
17
Total Amount Due
t
(Add Lines 14, 15 and 16. Record here and on Form EG-1, Line 7)
17a Total Remitted to Virginia Department of Taxation
Retain this worksheet for you records.
Instructions
Virginia Egg Excise Tax Return and
VA Form EG-2 AR 2601216 Rev 04/15
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