Form Wv/sev-401 - West Virginia Annual Severance Tax Return

WV/SEV-401

PAGE 1

(Rev 8/05)

2005

WEST VIRGINIA ANNUAL SEVERANCE TAX RETURN

Tax Year Beginning ____________________, 20_________, Ending __________________, 20_______

The first line of this section is your account identification number.

Please reference your account number on all correspondence.

Please change name and address if not correct. If you quit busi-

ness, give the date and the name and address of new owner.

FORM OF BUSINESS (CHECK ONE)

CHECK IF:

S CORPORATION

CONSOLIDATED

CORPORATION

SEPARATE

PARTNERSHIP

FINAL

INDIVIDUAL

AMENDED

L L C

BEFORE YOU COMPLETE THIS PAGE, YOU MUST COMPLETE THE SCHEDULE ON THE REVERSE SIDE OF THIS FORM

1. Total Tax (From Severance Tax Computation Schedule Page 2)

2. a. Credit for Business Investment and Jobs Expansion, Corporate Headquarters

2a.

Relocation and Small Business Investment and Jobs Expansion

b. Credit for Industrial Expansion and/or Revitalization

c. Credit for Research and Development Projects

d. West Virginia Capital Company Credit

e. Manufacturing Investment Tax Credit

3. Total Credits (lines 2a thru 2e) (Attach appropriate schedules)

4. Adjusted Tax (line 1 less line 3)

5. Annual Credit - $500 per year or $41.67 per month for each month engaged in business

in West Virginia. Only one annual exemption may be claimed by each business entity

6. Net Amount of Tax (line 4 less line 5) (If line 5 is greater than line 4, enter 0)

7. Total Estimated Payments Made for the Period Covered by this Return and Any Credit from Prior Years

Overpayment . (Must attach credit letter)

8. Balance of Tax Due (line 6 less line 7) (If line 7 is greater than line 6 enter 0, and enter amount overpaid on

line 13)

9. NON-WAIVABLE INTEREST

10. ADDITIONS TO TAX

10.

11. PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX

11.

12. TOTAL TAX AND LATE FILING CHARGES DUE (Add lines 8, 9, 10 and 11)

12.

13. If line 7 is larger than line 6, enter amount overpaid

13.

Please check one: Refund

Credit

Note: If you fail to designate credit or refund, the overpayment will be credited.

DO NOT USE SPACE BELOW

MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT

INTERNAL AUDITING DIVISION

P. O. BOX 425, CHARLESTON, WV 25322-0425

FOR ASSISTANCE CALL (304) 558-3333

TOLL FREE 1-800-WVA-TAXS (1-800-982-8297)

MAKE CHECKS PAYABLE TO THE:

WEST VIRGINIA STATE TAX DEPARTMENT

Form Wv/sev-401 - West Virginia Annual Severance Tax Return - 2005

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