Form Wv/tpt-703 - Requisition For West Virginia Cigarette Stamps
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1STATE 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/TPT-703
REQUISITION FOR WEST VIRGINIA CIGARETTE STAMPS
rtL190 v 5 - 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.
FOR DEPARTMENT USE ONLY
Date Requested:
BONDED
M
M
D
D
Y
Y
Y
Y
SECTION 1 - TAX CALCULATION
Stamps For Packages of
Total Tax Due
Stamps For Packages of 20 Cigarettes
25 Cigarettes
(Sum Across Lines)
A.
B.
C.
D.
Rolls of 30,000
Sheets of 150
Rolls of 7200
Total
1.
Quantity of Items
2.
Stamps Per Item
30,000
150
7200
Total Stamps
3.
(Line 1 times Line 2)
4.
Tax Rate Per Stamp
0.5500
0.5500
0.6875
Face Value of Stamps
5.
(Line 3 times Line 4)
.
.
.
.
6.
Dealer Discount Rate
0.0400
0.0400
0.0400
Dealer Discount
7.
(Line 5 times Line 6)
.
.
.
.
Net Tax Due
8.
(Line 5 minus Line 7)
.
.
.
.
SECTION 2 - TOTAL TAX DUE
1.
Total Net Tax Due (Section 1 Column D Line 8)
.
2.
Less Credit (Must attach original credit issued by Department)
.
3.
Total Remittance (Line 1 minus Line 2)
.
CONTACT INFORMATION
(Person to Contact Concerning this Return)
(Telephone Number)
(E-mail Address)
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
4
3
0
4
0
9
0
1
W
File online at https://mytaxes.wvtax.gov
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