West Virginia > Statewide > Tax Department
Wine Suppliers Report WV-WNE-01 - West Virginia
| Wine Suppliers Report Form. This is a West Virginia form and can be used in Tax Department Statewide . |
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STATE OF WEST VIRGINIA State Tax Department, Tax Account Administration Div P.O. Box 2991 Charleston, WV 25330-2991 Earl Ray Tomblin, Governor Craig A. Griffith, Tax Commissioner Name Address City State Zip Account #: WV/WNE-01 rtL165 v.3-Web WEST VIRGINIA WINE SUPPLIER'S REPORT NOTE: This return has been redesigned. To avoid delays in the processing of this return, DO NOT use any older forms you may have. For information regarding the State Tax Department's new computer system, visit our website at www.wvtax.gov 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, 322 70th St. SE, Charleston, WV 25304 on or before the 15th day of each month.** Period Ending: Due Date: FINAL AMENDED TAX CALCULATION 1. 2. 3. Total number of liters shipped into West Virginia (From Page 2 Total) Tax Rate Balance of Tax Due (Line 1 multiplied by Line 2) . 0.26406 . 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: www.wvtax.gov File online at https://mytaxes.wvtax.gov O 3 2 0 2 0 9 0 1 W American LegalNet, Inc. www.FormsWorkFlow.com WV/WNE-01 rtL165V.3-Web WEST VIRGINIA WINE SUPPLIER'S REPORT Letter Id: SECTION 1 - WINE SHIPPED INTO WEST VIRGINIA (Liters = Gallons x 3.7854) Non-registered suppliers - Report on section 2, page 3 Invoice Information (Column A) Invoice # (Column B) Invoice Date (MMDDYYYY) Wholesaler/Distributor Sold Or Delivered To Business Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Wine Shipped into WV (Column C) # Liters Total number of liters shipped into West Virginia (Enter here and on Page 1 Line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com WV/WNE-01 rtL165V.3-Web WEST VIRGINIA WINE SUPPLIER'S REPORT Letter Id: SECTION 2 - NON-REGISTERED SUPPLIER SHIPMENTS WV Suppliers - Report purchases below SUPPLIER LOCATION INVOICE DATE INVOICE NUMBER (Liters = Gallons x 3.7854) TOTAL LITERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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