Form Wv/mft-Use - West Virginia Motor Carrier Annual Report Page 2

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WV/MFT-USE
WEST VIRGINIA MOTOR CARRIER ANNUAL REPORT
Report in Whole Gallons
SECTION A - MOTOR CARRIER ROAD TAX
TO BE COMPLETED FOR QUALIFIED MOTOR VEHICLES THAT ARE USED, DESIGNED OR MAINTAINED FOR THE TRANSPORTATION OF
PERSONS OR PROPERTY AND HAS TWO (2) AXLES AND A GROSS VEHICLE WEIGHT EXCEEDING 26,000 POUNDS OR HAVING THREE (3) OR
MORE AXLES OR IS USED IN COMBINATION WHEN THE WEIGHT OF THE COMBINATION EXCEEDS 26,000 POUNDS. DOES NOT INCLUDE
RECREATIONAL VEHICLES.
1.
Total Miles Traveled in West Virginia
.
00
2.
Total Gallons Used
.
00
Average Miles Per Gallon (Line 1 divided by Line 2)
3.
(Round to two decimal places)
.
4.
Total Gallons Purchased in West Virginia
00
.
5.
Taxable Gallons (Line 2 minus Line 4) If Line 4 is greater than Line 2, Enter 0
00
.
6.
Credit Due Gallons (Line 4 minus Line 2) If Line 2 is greater than Line 4, Enter 0
00
.
7.
Combined (Flat and Variable) Rate
0.3470
8.
Additional Tax Due (Line 5 multiplied by Line 7)
.
9.
Credit Due (Line 6 multiplied by Line 7)
.
SECTION B - MOTOR FUEL USE TAX
TO BE COMPLETED IF AIRCRAFT, BARGE, OR OTHER WATERCRAFT OR RAILROAD LOCOMOTIVE IS USED FOR TRANSPORTATION OF
PASSENGERS OR FREIGHT IN OR THROUGH WEST VIRGINIA. DOES NOT INCLUDE RECREATIONAL VEHICLES.
1.
Total Miles Traveled in All States
00
.
2.
Total Miles Traveled in West Virginia
.
00
3.
Percentage of Operations in West Virginia (Line 2 divided by Line 1) Round to 4 decimals
.
4.
Total Gallons Used in All States
00
.
5.
Total Gallons Used in West Virginia (Line 4 multiplied by Line 3)
00
.
6.
Total Gallons Purchased in West Virginia
00
.
7.
Taxable Gallons (Line 5 minus Line 6) If Line 6 is greater than Line 5, Enter 0
00
.
8.
Credit Due Gallons (Line 6 minus Line 5) If Line 5 is greater than Line 6, Enter 0
00
.
9.
Variable Rate
0.1420
10.
Additional Tax Due (Line 7 multiplied by Line 9)
.
Unrefunded Credit Accrued in Preceding Quarters
11.
(credits may be carried 8 quarters unless previously used or refunded)
.
12.
Total Tax Due (Line 10 minus Line 11) If Line 11 is greater than Line 10, Enter 0
.
13.
Credit Due (Line 8 multiplied by Line 9)
.
Page 2 of 2
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