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

                                                                                                _____________________________________________________________
                                                                                                ENDURANCEName WARRANTY SERVICES, L.L.C.                                                         Letter Id:    L1606389760
                                                                                                _____________________________________________________________           400 SKOKIE BLVD  STE 105IA               09/11/2020
                                                                    NORTHBROOKAddress IL  60062-7937                                                                                            A #:Account #:   _____________2274-6111
                                                                                                _____________________________________________________________                                   Period:          10/31/2020
          City                                                                      State                        Zip
                                                                                                
                                     WEST VIRGINIA SPECIAL DISTRICT EXCISE RETURN
rtL348V.2                                              SOUTH CHARLESTON - PARK PLACE

Period Ending:                                                                         Due Date:                                                                                                                 Amended Return
PART I:  SPECIAL DISTRICT EXCISE TAX 
1. Total sales (do not include tax) (include both taxable and exempt sales)                                                                                                                        1                           .
2. Sales for which an exemption certificate and/or direct pay permit was received                                                                                                                   2                           .
3. Sales of food and food ingredients                                                                                                                                                              3                           .

4. Other deductions/exemptions (food stamps, prescription items, sales returns, allowances and bad debt, etc.)                                                                                     4                           .
5. Total deductions/exemptions (add lines 2 through 4)                                                                                                                                             5                           .

6. Sales subject to tax (subtract line 5 from line 1)                                                                                                                                              6                           .
                                                                                                                                                              Tax Rate                                 Tax Due
7. Special District Excise Tax due (multiply line 6 by the tax rate)                                                                                          0.06                                 7                           .

8. South Charleston Municipal Sales Tax due (multiply line 6 by the tax rate)                                                                                 0.01                                 8                           .
PART II:  TOTAL AMOUNT  DUE
9. Total tax due  (line 7 + line 8 )                                                                                                                                                               9                           .
10. Enter any tax collected in excess of line 9                                                                                                                                                    10                          .
11. Interest (when filed after due date)                                                                                                                                                            11                          .

12. Additions to tax (when filed after due date)                                                                                                                                                    12                          .
13. Total due (add lines 9 through 12)                                                                                                                                                             13                          .
14. Less prior payments                                                                                                                                                                            14                          .

15. Total amount due  (line 13 minus line 14)                                                                                                                                                      15                          .
 PART III:  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 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  
File online at https://mytaxes.wvtax.gov  
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