CITY OF CLARKSBURG
222 West Main Street, Clarksburg WV 26301 / Phone (304) 624-1630
(QUARTERLY / ANNUAL) BUSINESS & OCCUPATION TAX RETURN
•
THE TAXPAYER LISTED BELOW IS REQUIRED TO FILE (even if no income is received during this tax period)
AND TO PAY BUSINESS & OCCUPATION (B&O) TAXES DUE. TAXES ARE DUE WITHIN (30) DAYS AFTER TAX PERIOD ENDS.
•
BUSINESS CLASSIFICATIONS AND TAX RATES ARE LISTED ON THE BACK SIDE OF THIS FORM FOR YOUR INFORMATION.
•
ST
PENALTY: TO BE CALCULATED AT 5% FOR THE 1
MONTH PAST DUE OR FRACTION THEREOF,
AND AN ADDITIONAL 1% FOR EACH SUCCEEDING MONTH OR FRACTION THEREOF.
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COMPLETE (PART 1) OF THE B&O TAX RETURN FORM FOR YOUR RECORDS
•
COMPLETE (PART 2) OF THE B&O TAX RETURN FORM, SIGN AND RETURN WITH YOUR PAYMENT.
•
IF REPORTING UNDER “CONTRACTOR” and/or “RENTAL” - COMPLETE FORM ON REVERSE SIDE OF (PART 2).
MESSAGE:
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CITY OF CLARKSBURG BUSINESS & OCCUPATION TAX RETURN
QTR
YEAR
222 West Main Street, Clarksburg WV 26301 / Phone (304) 624-1630
CLASS
TAXABLE
RATE
CODE
BUSINESS CLASSIFICATION
AMOUNT
PER $100
TAX DUE
DATE BUSINESS BEGAN IN CITY: ____________
CODE.
GROSS AMT
RATE
TAX
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DATE BUSINESS QUIT IN CITY: ______________
CODE.
GROSS AMT
RATE
TAX
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IF BUSINESS SOLD, DATE OF SALE: __________
FURNISH NAME & ADDRESS OF NEW OWNER:
___________________________________________
___________________________________________
NET
NET TAX DUE
PENALTY
PENALTY
ADD PENALTY OF 5% FOR FIRST MONTH OR FRACTION
THEREOF AND 1% FOR EACH SUCCEEDING MONTH OR FRACTIO THEREOF.
TOTAL AMOUNT ENCLOSED
TOTAL
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ACCOUNT #
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NAME:
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ADDRESS:
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ADDRESS:
(PART 1)
COMPLETE AND RETAIN UPPER PORTION FOR YOUR RECORDS.
(PART 2)
COMPLETE LOWER PORTION, SIGN AND RETURN WITH PAYMENT MADE PAYABLE TO “CITY OF CLARKSBURG”.
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CITY OF CLARKSBURG BUSINESS & OCCUPATION TAX RETURN
QTR
YEAR
222 West Main Street, Clarksburg WV 26301 / Phone (304) 624-1630
CLASS
TAXABLE
RATE
CODE
BUSINESS CLASSIFICATION
AMOUNT
PER $100
TAX DUE
CODE
GROSS AMT
RATE
TAX
DATE BUSINESS BEGAN IN CITY: ____________
Click here to enter text.
DATE BUSINESS QUIT IN CITY: ______________
CODE
GROSS AMT
RATE
TAX
Click here to enter text.
IF BUSINESS SOLD, DATE OF SALE: __________
FURNISH NAME & ADDRESS OF NEW OWNER:
___________________________________________
___________________________________________
NET
NET TAX DUE
PENALTY
PENALTY
ADD PENALTY OF 5% FOR FIRST MONTH OR FRACTION
THEREOF AND 1% FOR EACH SUCCEEDING MONTH OR FRACTIO THEREOF.
TOTAL AMOUNT ENCLOSED
TOTAL
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ACCOUNT #
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NAME:
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ADDRESS:
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ADDRESS:
_____________________________________________________________________
AUTHORIZED SIGNATURE
DATE