Form 1034 - Virginia Forest Products Tax Return - Department Of Taxation Page 2

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Form 1034 Virginia Forest Products Tax Form
page 2
Taxpayer Name
Account Number
Calculation of Tax Due for Pine & Hardwood Products
(Refer to Product Types, Codes and Tax Rates
sheets.)
A
B
C
D
E
F
G
H
Code
Locality Name
Tax Rate
Product Units
Quantity
Amount of Tax
Reforestation
Protection
$
-
$
-
$
-
Tax For Page 2 (Enter this amount on page 1)
I swear (or affirm) that the foregoing return is true and correct to the best of my knowledge and belief.
(
)
Signature of Taxpayer
Telephone Number
Date
Print Form
VA Department Of Taxation 1034 W
Rev 6/07
Page 2

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