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                                                                STATE OF WEST VIRGINIA
                                                                                                   
             State Tax Department, Tax Account Administration Div
                                                                                                   
             P.O. Box 1826 
                                                                 
                                                                 Charleston, WV 25327-1826

             TEST CORPORATION 1_____________________________________________________________                                                                                                                         Letter Id:            L0531906560
                                                          Name
                                                                                                   _____________________________________________________________1001 LEE ST E                                      AccountIssued:#: ________________03/12/2019
                                                                         AddressCHARLESTON WV  25301-1725                                                                                                            Account #:                    2270-3777
                                                                                                   _____________________________________________________________                                                     Period:                       01/31/2019
                                                                                                   City                                                                      State                        Zip

   WV/CST-200CU
   rtL339V.2                            WEST VIRGINIA SALES AND USE TAX RETURN

       Period Ending:                                                                                    Due Date:                                                                                                                          Amended
                                                              (A)                                                  (B)                                                                                               (C)                (D)        (E)
                                        Gross Amount                                                             Deductions                                                                                  Taxable Amount             Tax        Tax Due
                                (Taxable & Exempt Transactions)                                          (Schedule D Required)                                                                               (A minus B)                Rate       (C times D Ln 1 & 2)
   1.  Sales sourced to WV*                                                                                                                                                                                                             0.06
   2.  Purchases for Use in WV                                                                                                                                                                                                          0.06
   3.  Municipal Sales Tax Due*   (Schedule M required)                                                                                                                                                      (Enter amount from Line 11, Column D)
   4.  Municipal Use Tax Due      (Schedule M required)                                                                                                                                                      (Enter amount from Line 11, Column G)
   5. Excess Tax Collected 
   6. Interest when filed after due date
   7. Additions to tax when filed after due date
   8. Total Due or Credit  *                                                                                                                                                                                 (Sum of lines 1 through 7) 
   9. Less Prior Payment (Accelerated payment, credit carried forward, credit from CST-240, original payment when amending) 
   10. Less State Use Tax Credits (May not exceed Line 2, Column E)                                                                                                                                          (Enter amount from Schedule D, Part 3)
   11. Less Tourism Development Tax Credit                    (May not exceed Line 1, Column E)  (Enter amount from Schedule D, Part 4)
   12. Amount Due or Credit* (Schedules S, U or BD required for Credit Due on return)                                                                                                                        (Line 8 minus lines 9, 10, & 11) 
   *Negative tax amounts are permitted on lines indicated only and will initiate a request for refund or credit.

   If credit for overpayment indicated on Line 12, specify the amount(s) to be refunded and/or carried forward to next tax period: 
   13. Refund Amount                                                                                                                                                                                         Carry Forward Amount 
 
   This section must be completed by sellers of specific goods/services for proper distribution of the tax due that was reported above: 
   14. Taxable Sales of Wine/Liquor to Private Clubs                                                                                                                                                         Wine/Liquor Account #

      Schedule S Attached                                                                                              Schedule U Attached 
      Schedule BD Attached                                                                                             State Oasis Transfer Sheet Attached
   Please attach all schedules and supporting documentation as indicated. 
   If required to file Schedules S, U, BD, or to print instructions visit www.tax.wv.gov.

This return is not considered complete unless it is signed.
       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)

   Signature of Preparer   (Name of Preparer - Type or Print)                                            (Phone)   (Date)                                                                                                G     1     5     2     0     1     8     0     1     W



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                                          WEST VIRGINIA SALES AND USE TAX RETURN
                                                                                                                 Account #: _______________
Schedule D - State Deductions, Exemptions, and Credits                                                                                                 _

   Part 1 - Sales Tax Deductions/Exemptions 
   1.  Sales for which an exemption certificate was received at the time of sale                                                                       
   2.  Sales for which a direct pay permit was received at the time of sale 
   3.  Sales for which a credit memo or adjustment was completed after the sale             (Schedule S required)
   4.  Sales that were refunded to or returned by the purchaser 
   5.  Uncollected bad debt on which sales tax was remitted but never received          (Schedule BD required)
   6. Sales of exempt food and food ingredients 
   7. Sales of exempt capital improvement construction projects 
   8.  Sales of exempt drugs, mobility enhancing equipment, and prosthetics (if not reported on Line 2) 
   9.  Sales of exempt prescription drugs to consumers 
   10. Sales of excluded personal services (such as barber, masseuse, manicurist, nurse) 
   11. Sales of excluded professional services (such as doctor, lawyer, engineer) 
   12. Sales of exempt public utilities or services regulated by the PSC 
   13. Sales of exempt interstate transportation, motor fuel, titled vehicles
   14. Sales of other per se exemptions       Please specify: 
   15. Total deductions of sales to WV customers                   (Enter this amount on Page 1, Line 1, Column B, Deductions) 
 
   Part 2 - Use Tax Deductions for Exempt Purchases 
   1.  Purchases directly used in exempt manufacturing                                                                                                 
   2.  Purchases directly used in exempt natural resource production 
   3.  Purchases directly used in exempt transportation 
   4.  Purchases directly used in exempt transmission 
   5.  Purchases directly used in exempt communications 
   6. Purchases directly used in exempt public utilities or services 
   7. Purchases directly used in exempt research and development 
   8.  Purchases directly used in an exempt high-technology business 
   9.  Purchases of exempt drugs, mobility enhancing equipment, and prosthetics by a health care provider 
   10. Purchases by a qualified exempt non-profit organization 
   11. Other exempt purchases       Please specify: 
   12. Total deductions to purchases for WV use      (Enter this amount on Page 1, Line 2, Column B, Deductions)   
 
   Part 3 - Use Tax Credit for Tax Paid on Out of State Purchases that have been Reported on Page 1, Line 2
                 Two Digit State Abbreviation of State(s) where Purchased           Total Purchase Amount                      Out of State Tax Paid   
 
   State Use Tax Credit to be applied to this return                         (Enter this amount on Page1, Line 10)
 
   Part 4 - Sales Tax Credit for Tourism Development (Approved Applicants Only) 
   Annual Credit Remaining   Monthly Base Tax             Sales Tax Due      Credit Allowed  Credit Taken this Month               Balance of Annual   
    from Previous Month          Amount                    this Month        this Month      (Enter on Page 1, Line 11)               Credit Remaining
 
   Taxpayers reporting more than one approved tourism development project tax credit are required to file electronically at www.MyTaxes.WVtax.gov 

                 MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
                             Tax Account Administration Div
                           P.O. Box 1826 , Charleston, WV 25327-1826
             FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
                 For more information visit our web site at: www.tax.wv.gov                  G     1     5     2     0     1     8     0     2     W
                           File online at https://mytaxes.wvtax.gov



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                               WEST VIRGINIA SALES AND USE TAX RETURN
                                                                                     Account #: _______________
                                                                                                                    _
    Schedule M - Municipal Sales and Use Tax 
       A                       B                         C        D                E                         F    G           
       Municipality Name       Taxable Sales*            Tax      Municipal        Taxable Purchases         Tax  Municipal
       (Required if tax due)   (Required if tax due)     Rate     Sales Tax Due*   (Required if tax due)     Rate Use Tax Due
                                                                  (B times C)                                     (E times F)
    1.
 
    2.
 
    3.
 
    4.
 
    5.
 
    6.
 
    7.
 
    8.
 
    9.
 
10.
 
11.                            Total Muni Sales Tax Due                            Total Muni Use Tax Due
                               (Enter on Page 1, Line 3)                           (Enter on Page 1, Line 4)
    Taxpayers reporting more than ten (10) municipalities must file electronically at, www.MyTaxes.wvtax.gov.

    A number of municipalities impose municipal sales and use tax. For a complete listing along with tax rates, please visit:    
    http://tax.wv.gov/Business/SalesAndUseTax/MunicipalSalesAndUseTax/Pages/MunicipalSalesAndUseTax.aspx     

       MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
                         Tax Account Administration Div
         P.O. Box 1826 , Charleston, WV 25327-1826
       FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
       For more information visit our web site at: www.tax.wv.gov                  G     1     5     2     0     1     8     0     3     W
         File online at https://mytaxes.wvtax.gov






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