Form Wv/sev-400v - Additional Tax On The Severance Of Natural Resources Estimate

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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 425
Charleston, WV 25322-0425
ADDITIONAL TAX ON THE SEVERANCE OF NATURAL RESOURCES ESTIMATE
WV/SEV-400V
rtL040 v 14-Web
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.
MAKE CHECK PAYBLE AND MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P.O. Box 425, Charleston, WV 25322-0425
FOR ASSISTANCE CALL TOLL FREE
For more information visit our web site at:
File online at https://mytaxes.wvtax.gov
PLEASE CUT HERE USE BLUE OR BLACK INK TO COMPLETE VOUCHER DO NOT WRITE IN BARCODE AREA
WV/SEV-400V
rtL040 v 14-Web
ADDITIONAL TAX ON THE SEVERANCE
OF NATURAL RESOURCES ESTIMATE
Account ID #
Period Ending:
Due Date:
TAX DUE
RESOURCE
TAXABLE AMOUNT
RATE
(MULTIPLY AMOUNT BY RATE)
1.
COAL-tons for the period
.
.
00
0.56
2.
.
.
NATURAL GAS-mcf for the period
00
0.047
3.
.
.
COALBED METHANE-mcf for the period
00
0.047
4.
.
.
TIMBER-gross $ for the period
0.0278
5.
.
Total Tax (Add lines 1 through 4)
Name
Address
SIGNATURE
DATE
City
State
Zip

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