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: L0983621632 1001_____________________________________________________________ LEE ST E Issued: 10/07/2020 AddressCHARLESTON WV 25301-1725 Account #: 2275-4088 _____________________________________________________________ Period: 12/31/2020 City State Zip SEV-401REV 05/2020 WEST VIRGINIA SEVERANCE TAX ANNUAL RETURN ACCOUNT PERIOD DUE EXTENSION NUMBER ENDING DATE DATE MMDDYYYY MMDDYYYY MMDDYYYY FINAL AMENDED SEPARATE CONSOLIDATED BEFORE YOU COMPLETE THIS PAGE, YOU MUST COMPLETE THE SUPPORTING SCHEDULES. TAX CALCULATION 1. TOTAL TAX (PAGE 2, SEVERANCE TAX COMPUTATION SCHEDULE, LINE 8) . 2. TOTAL CREDITS (PAGE 2, SCHEDULE TC, LINE 3) . 3. ADJUSTED TAX (LINE 1 MINUS LINE 2) IF LINE 2 IS GREATER THAN LINE 1, ENTER 0 . 4. TOTAL PAYMENTS MADE FOR THE PERIOD COVERED BY THIS RETURN AND ANY CREDIT FROM PRIOR YEARS OVERPAYMENT . 5. BALANCE OF TAX DUE (LINE 3 MINUS LINE 4) IF LINE 4 IS GREATER THAN LINE 3 ENTER 0, AND ENTER AMOUNT OVERPAID ON LINE 6. . 6. OVERPAYMENT AMOUNT (LINE 4 MINUS LINE 3) IF LINE 3 IS GREATER THAN LINE 4, ENTER 0 . 7. AMOUNT OF LINE 6 TO BE CREDITED TO NEXT YEAR’S TAX . 8. AMOUNT OF LINE 6 TO BE REFUNDED (LINE 6 MINUS LINE 7) . 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 B 2 3 2 0 2 0 0 1 W |
Enlarge image | SEV-401 continued SEVERANCE TAX COMPUTATION SCHEDULE 1. NATURAL GAS (Schedule A MUST be completed. Enter total tax due from Schedule A, Total Line.) . 2. OIL (Schedule B MUST be completed. Enter total tax due from Schedule B, Total Line.) . 3. NATURAL GAS AT MID VOLUME VERTICAL WELL RATE (Schedule C MUST be completed. Enter total tax due from Schedule C, Total Line.) . 4. OIL(ScheduleAT MIDDVOLUMEMUST beVERTICALcompleted.WELLEnterRATEtotal tax due fromSchedule D, Total Line.) . 5. COALBED METHANE (Schedule E MUST be completed. Enter total tax due from this commodity from Schedule E, Column F, line 1.) . 6. SAND, GRAVEL, OR OTHER MINERAL PRODUCT NOT QUARRIED OR MINED (Schedule E MUST be completed. Enter total tax due from this commodity from Schedule E, Column F, line 2.) . 7. OTHER NATURAL RESOURCE PRODUCTS (NATURAL GAS LIQUIDS, ETHANE, BUTANE, PROPANE, CONDENSATE, ETC.) . (Schedule E MUST be completed. Enter total tax due from these commodities from Schedule E, Column F, line 3.) 8. TOTAL TAX – ENTER HERE AND ON LINE 1 ON PAGE 1 . SCHEDULE TC - TAX CREDITS 1. ANNUAL CREDIT-$500 PER YEAR OR $41.67 PER MONTH FOR EACH MONTH ENGAGED IN BUSINESS IN WEST VIRGINIA. ONLY ONE ANNUAL CREDIT MAY BE CLAIMED BY EACH BUSINESS ENTITY, NOT TO EXCEED $500.00. . 2. MANUFACTURING INVESTMENT TAX CREDIT (MUST ATTACH DOCUMENTATION) . 3. TOTAL CREDIT - ADD LINES 1 AND 2, ENTER TOTAL HERE AND LINE 2 ON PAGE 1. . B 2 3 2 0 2 0 0 2 W |
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