Form Wv/mft-511 - West Virginia Motor Fuel Exporter Report

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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 2991
Charleston, WV 25330-2991
Name
Address
Account #:
City
State
Zip
WV/MFT-511
WEST VIRGINIA MOTOR FUEL EXPORTER REPORT
rtL157 v 4-Web
Effective January 1, 2013, the motor fuel excise tax rate increased from 33.4 cents per gallon to 34.7 cents per gallon. Returns
and refund applications have been updated. Please use the correct rate for periods after January 1, 2013.
This report and all required schedules must be completed and filed by the due date regardless of activity.
Period Ending:
Due Date:
FINAL
AMENDED
SECTION 1 - REFUND CALCULATION
Report in whole gallons
Gasoline
Gasohol
Undyed Diesel
Clear Kerosene / Other
Gallons Exported
1.
00
00
00
00
.
.
.
.
WV Tax Paid (Sch 7B)
Diversions From WV
2.
.
00
.
00
.
00
.
00
In Gallons (Sch 11A)
Gallons to be Refunded
3.
00
00
00
00
.
.
.
.
(Line 1 plus Line 2)
4.
Combined Rate
0.3470
0.3470
0.3470
0.3470
Amount To Be Refunded
5.
.
.
.
.
(Line 3 times Line 4)
Report in whole gallons
Dyed Diesel and Kerosene
Propane
Aviation Gasoline
Aviation Jet Fuel
Gallons Exported Tax Paid
6.
00
00
00
00
.
.
.
.
At Variable Rate (Sch 7B)
Diversions From WV
7.
.
00
.
00
.
00
.
00
In Gallons (Sch 11A)
Gallons to be Refunded
8.
00
00
00
00
.
.
.
.
(Line 6 plus Line 7)
9.
Variable Rate
0.1420
0.1420
0.1420
0.1420
Amount To Be Refunded
10.
.
.
.
.
(Line 8 times Line 9)
11.
Total Refund Due (Add all columns Line 5 and Line 10) Enter on Section 2 Line 2
.
SECTION 2 - REFUND/TAX SUMMARY
1.
Total Amount of Tax Due (Section 3 Line 7)
.
2.
Grand Total Refund Due (Section 1 Line 11)
.
3.
Balance of Tax Due (Line 1 minus Line 2) If Line 2 is greater than Line 1, enter 0
.
4.
Overpayment Amount (Line 2 minus Line 1) If Line 1 is greater than Line 2, enter 0
.
5.
REFUND (To obtain a refund, enter the total from Line 4)
.
6.
CREDIT (To take credit on the next monthly return, enter the total from Line 4)
.
MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P.O. Box 2991, Charleston, WV 25330-2991
FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
For more information visit our web site at:
O
0
6
0
9
0
9
0
1
W
File online at https://mytaxes.wvtax.gov

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