W
4
State Tax (H) 0
West Virginia Department
6
Municipality Name 1
0
2
5
(G) 1
Account # G
Period Ending Municipal Sales Tax $ *G15201604W*

(F)

WV State Sales Tax
$

(E)

Pre-Tax Sale Amount $

(D) TOTALS:

Invoice Number
Credit Memo/Refund 

(C)
Number
Original Invoice 

Sales Tax Credit Memos, Adjustments, and Refunds

(B)
If you are reporting more than 10 deductions, you will need to upload the Schedule S excel at mytaxes.wvtax.gov
Original Invoice Date

(A)

Customer Name
Schedule S CST-200CU Schedule S must be used when reporting deductions on Schedule D, Pt 1, Ln 3; or when sales returns on Schedule D, Pt 1,  Ln 4 are greater than total sales; or if amending and reducing a previous sales tax liability which requires use of those lines.  List all of the invoices deducted on both lines.  If a refund or credit is requested, provide copies of all sales & refund invoices listed. Provide explanation: Orig. 03/2019