Form Wv/wne-01 - West Virginia Wine Supplier'S 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/WNE-01
WEST VIRGINIA WINE SUPPLIER'S REPORT
rtL165 v 6 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.
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:
FINAL
AMENDED
Due Date:
TAX CALCULATION
1.
Total number of liters shipped into West Virginia (From Page 2 Total)
.
2.
Tax Rate
0.26406
3.
Balance of Tax Due (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
best of my knowledge and belief it is true and complete.
(Signature of Taxpayer)
(Name of Taxpayer - Type or Print)
(Title)
(Date)
(Person to Contact Concerning this Return)
(Telephone Number)
(E-mail Address)
(Signature of preparer other than taxpayer)
(Address)
(Date)
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:
File online at https://mytaxes.wvtax.gov
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