Form Wv/cst-220a - West Virginia Purchaser'S Use Tax - 2006

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DO NOT MAIL WITH PERSONAL INCOME TAX RETURN
Do not send a photocopy of this form. The original form is printed in
orange and black ink. Do not write on, staple or punch holes in barcode.
*P16200601F*
WEST VIRGINIA
2006
PURCHASER’S USE TAX
FORM
Clear Tax Return
Instructions
WV/CST-220A
Print Return
Print in Black or Blue Ink Only
(Web Fill-In Form)
Last Name
First Name
Spouse’s First Name
Social Security Number(s)
Street Address
City, State, and Zip Code
State
Zip Code
West Virginia
1. TAXABLE PROPERTY OR SERVICES SUBJECT TO 6% USE TAX
$
2. TAXABLE FOOD SUBJECT TO 5% USE TAX
$
3. 6 PERCENT USE TAX (Line 1 X .06)
0
4. 5 PERCENT USE TAX (Line 2 x .05)
0
5. SALES/USE TAX PAID TO OTHER STATES
0
(
)
6. TAX DUE (Line 3 plus Line 4 less Line 5)
0
WEST VIRGINIA STATE TAX DEPARTMENT
INTERNAL AUDITING DIVISION
MAIL TO:
P. O. BOX 11412
SIGNATURE
DATE
CHARLESTON, WV 25339-1412

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