Form 501 - West Virginia Motor Fuel Distributor Report
Download a blank fillable Form 501 - West Virginia Motor Fuel Distributor Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 501 - West Virginia Motor Fuel Distributor Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2STATE 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-501
WEST VIRGINIA MOTOR FUEL DISTRIBUTOR REPORT
rtL152 v 5-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 is not required if no reportable activity. Reports with activity must be postmarked by the last
day of the month following report month.
Period Ending:
Due Date:
FINAL
AMENDED
SECTION 1 - DISTRIBUTOR INFORMATION
Report in whole gallons
Gasoline
Gasohol
Undyed Diesel
Clear Kerosene / Other
Total Gallons Tax Unpaid
1.
00
00
00
00
.
.
.
.
(Sch 2)
2.
Combined Rate
0.3470
0.3470
0.3470
0.3470
Tax Due
3.
.
.
.
.
(Line 1 times Line 2)
Report in whole gallons
Dyed Diesel and Kerosene
Propane
Aviation Gasoline
Aviation Jet Fuel
Total Gallons Tax Unpaid
4.
00
00
00
00
.
.
.
.
At Variable Rate (Sch 2)
5.
Variable Rate
0.1420
0.1420
0.1420
0.1420
Tax Due - Variable Rate
6.
.
.
.
.
(Line 4 times Line 5)
Flat Rate exempt fuel sold
7.
00
00
00
.
.
.
for taxable use (Sch 5X)
8.
Flat Rate
0.2050
0.2050
0.2050
Tax Due - Exempt Fuel
9.
.
.
.
(Line 7 times Line 8)
Tax Due
10.
.
.
.
.
(Line 6 plus Line 9)
SECTION 2 - TOTAL TAX DUE
1.
BALANCE OF TAX DUE (Sum of Section 1 Line 3 and Line 10 all columns)
.
2.
NON-WAIVABLE INTEREST
.
3.
ADDITIONS TO TAX (5% per month, not to exceed 25%; if no tax due $50 per month)
.
4.
TOTAL TAX AND LATE FILING CHARGES DUE (Add Lines 1 through 3)
.
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
5
0
2
0
9
0
1
W
File online at https://mytaxes.wvtax.gov
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial