Enlarge image | STATE OF WEST VIRGINIA State Tax Department, Tax Account Administration Div P.O. Box 425 Charleston, WV 25322-0425 _____________________________________________________________ NameTEST CORPORATION 1 Letter Id: L1184948224 1001_____________________________________________________________ LEE ST E Issued: 10/07/2020 AddressCHARLESTON WV 25301-1725 Account #: 2275-4088 _____________________________________________________________ Period: 01/31/2021 City State Zip SEV-400REV 05/2020 WEST VIRGINIA SEVERANCE TAX ESTIMATE FOR MONTHLY OR QUARTERLY REPORTING ONLY THIS FORM MUST BE COMPLETED AND RETURNED EVEN THOUGH NO BUSINESS MAY HAVE BEEN TRANSACTED. IF YOUR BUSINESS WAS SOLD OR DISCONTINUED, PLEASE INDICATE THE EXACT DATE AND THE NEW OWNER ON THE BACK OF THIS FORM. ACCOUNT PERIOD DUE NUMBER ENDING DATE MMDDYYYY MMDDYYYY TAX CALCULATION RESOURCE TAXABLE AMOUNT RATE TAX DUE 1. NATURAL GAS (NOT MID VOLUME VERTICAL RATE) . 0.05 . 2. OIL (NOT MID VOLUME VERTICAL RATE) . 0.05 . 3. NATURAL GAS - MID VOLUME VERTICAL RATE (Produces between 5 and 60 MCF per day) . 0.025 . 4. OIL - MID VOLUME VERTICAL RATE(Produces between1/2 to 10 Barrels per day) . 0.025 . 5. COALBED METHANE . 0.05 . 6. SAND, GRAVEL, OR OTHER MINERAL PRODUCT . 0.05 . 7. OTHER NATURAL RESOURCES - NATURAL GAS LIQUIDS . 0.05 . (INCLUDES ETHANE, BUTANE, PROPANE, CONDENSATE, ETC.) 8. INVESTMENT CREDITS . 9. $41.67 PER MONTH OR $125 PER QUARTER ANNUAL CREDIT . 10. TOTAL TAX DUE (SUM OF LINES 1 THROUGH 7 MINUS THE SUM OF LINES 8 AND 9) . SIGNATURE 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 CONTACT TELEPHONE NUMBER SIGNATURE OF PREPARER OTHER THAN TAXPAYER ADDRESS DATE MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT Tax Account Administration Div P.O. Box 425 Charleston, WV 25322-0425 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 G 1 1 2 0 2 0 0 1 W |
Enlarge image | INSTRUCTIONS FOR FILING WV/SEV-400 All producers of natural resources must file a severance tax return to report the gross value or gross income from natural resources severed and/or processed within West Virginia. Producers and processers of coal must file WV/SEV-4OOC, producers of timber must file WV/SEV-400T. All other producers file WV/SEV400. It is extremely important that you separate the gross income value of each type of natural resource you produce under the proper class code on the front of the return. Natural Gas Liquids, ethane, butane, propane, condensate, etc. is reported on line 6 as "Other Natural Resources". This return is for reporting monthly or quarterly estimates. If your net tax is $1,000 or more per month you are required to file 11 monthly estimate returns. If your net tax is less than $1,000per month, but more than $50 per month, you are required to file 3 quarterly estimate returns. The annual return you file at the end of your taxable year will include the last month's or quarter's tax due. If your net tax liability is less than $600 per year, you are not required to file estimate returns; your entire amount of tax due will be included on your annual return. You may claim credit for any investment credits for which you qualify on line eight (8) of the return. An annual exemption of $41.67 per month may be claimed on line ten (10), up to the adjusted tax. If you qualify for any other exemptions from the tax, you may exclude the exempt amount from the gross taxable amount on the estimated monthly or quarterly return and provide detail on the annual return. 1. If you purchased this business during the last twelve (12) months, give the name and last known address of the previous owner. A successor in business could become liable for outstanding taxes owed by a previous owner. 2. If you quit business during the last twelve (12) months, write “yes” in the space provided and give the exact date you quit. If you did not, write “no” in the space. If you sold your business during the last twelve (12) months, write “yes” in the space provided, give the date of the sale, and provide the full name and address of the new owner. If you did not sell this business, write “no” in the space. a. Quit Business? Sell or otherwise dispose of your business? Exact date b. If business was sold, give exact name and address of new owner |