Form Wv/wne-02 - Direct Shipper'S Report Of Wine Shipped Into West Virginia

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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/WNE-02

DIRECT SHIPPER'S REPORT OF WINE SHIPPED INTO WEST VIRGINIA

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Taxpayers required to file electronically will no longer receive returns for the tax types subject to the mandatory requirement

by mail. Please visit for additional information.

This report must be filed even if no activity has occurred

**Prepare this report in duplicate and mail the original with invoices and payment of taxes to the WV State Tax Department.

Mail a copy of return and invoices to Alcohol Beverage Control Administration, 902 Pennsylvania Ave 4th Fl, Charleston, WV 25304 on or before the 15th day of

each month.**

Period Ending:

Due Date:

FINAL

AMENDED

Tax Calculation

Total Liters (Sum all total invoices) From Page 2 Schedule A

Tax Rate

0.26406

Total State Excise Tax (Line 1 multiplied by Line 2)

Sign Your Return

Under penalties of perjury, I declare that I have examined this return (including accompanying schedules and statements) and to the