Form Bar-0 - West Virginia Business Activity Report - Department Of Tax And Revenue - 1994

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Form

West Virginia Department of Tax and Revenue

BAR-0

West Virginia Business Activity Report

(Rev. 6/94)

For calendar year ___________ , or fiscal year __________ to _____________ .

(Read the instructions on the back to determine if you must file this form.)

If you need more space to complete any answers on this form, please print or type your answers on a separate sheet of paper.

West Virginia I.D. number

Federal I.D. number

Name of corporation or partnership

Are you a member of:

Have you made loans, or leases or

Street address

A unitary group?

sales of products and services, in

Yes

West Virginia during the taxable

City or town

State

Zip Code

year?

An affilitated group?

Yes

Principal types of business, products and services

Principal office in West Virginia

State of

commercial

domicile

Street address

City or town

State

Zip Code

Total amount of West Virginia sales (wholesale or retail) and /or gross

receipts attributable to West Virginia. $

Offices and other places of business owned or maintained in West Virginia during the taxable year:

Locations (include full address if different from above)

Type of activities for each location

Number of officers, employees, independent contractors, representaitves or other agents with business activity in West Virginia on behalf of your

business. Attach a brief job description for each officer and type of agent and indicate the number of each with any activity in this State regardless

of whether they reside or are regularly stationed in West Virginia.

Please read instructions on back of this form carefully before completing this section and check all applicable boxes.

Yes

During the period covered by this report, did the corporation -

Own, rent, lease or maintain tangible or intangible personal property or real property in West Virginia? ..................................

Employ or own any other assets in West Virginia? ....................................................................................................................

Own or consign any merchandise located in West Virginia? ....................................................................................................

Own assests located in West Virginia that are leased to others? .............................................................................................

Perform any training, consultation, installation, or repair work in West Virginia? .......................................................................

Derive income from services performed for other businesses or persons located in West Virginia? .........................................

Derive income from any source or activity within West Virginia, including income from activities conducted by independent

contractors, representatives or other agents, or by subsidiaries or affiliated entities? ...............................................................

Derive income or other receipts from any financial transactions in West Virginia, including: loans secured by real or

tangible property; consumer loans; commercial loans and installment obligations; syndication and participation loans;

credit card service charges and fees; credit card merchant discount income; performance of financial or fiduciary

services; travelers checks and money orders; and any other receipts not attributable to another state where the

organization is taxable. ..............................................................................................................................................................

In any other way carry on business activity or maintain property within West Virginia (as described on back of this form.) .....

Explain all "yes" answers in detail on a separate sheet. You may also be required to answer a West Virginia nexus questionaire or otherwise provide

additional information if your explanations do not provide a clear picture of your taxability.

By my signature I hereby certify that this report, including any accompanying material, is true, correct and complete to the best of my knowledge and

belief.

Signature of officer or partner

Name and Title of Person Signing

Date Signed

Daytime phone number

(

)

Mail to: West Virginia Department of Tax and Revenue