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: L0799739904 1001_____________________________________________________________ LEE ST E Issued: 08/17/2020 AddressCHARLESTON WV 25301-1725 Account #: 2275-4913 _____________________________________________________________ Period: 08/31/2020 City State Zip WV/SEV-400C WEST VIRGINIA SEVERANCE TAX ESTIMATE REV4-19 ACCOUNT # PERIOD DUE CONSOLIDATED SEPARATE ENDING DATE SCHEDULE E - REPORT OF COAL PRODUCTION Tons from all seams must be reported in the county where severed from the ground KEY TO COUNTY FIPS CODES NAME OF COUNTY OF PRODUCTION COUNTY SHORT TONS PRODUCED THIS PERIOD (If you only process purchased coal, enter N/A) FIPS CODE (Round to Nearest Whole Ton) 001 Barbour 029 Hancock 057 Mineral 085 Ritchie .00 003 Berkeley 031 Hardy 059 Mingo 087 Roane 005 Boone 033 Harrison 061 Monongalia 089 Summers .00 007 Braxton 035 Jackson 063 Monroe 091 Taylor 009 Brooke 037 Jefferson 065 Morgan 093 Tucker .00 011 Cabell 039 Kanawha 067 Nicholas 095 Tyler 013 Calhoun 041 Lewis 069 Ohio 097 Upshur 015 Clay 043 Lincoln 071 Pendleton 099 Wayne .00 017 Doddridge 045 Logan 073 Pleasants 101 Webster 019 Fayette 047 McDowell 075 Pocahontas 103 Wetzel .00 021 Gilmer 049 Marion 077 Preston 105 Wirt 023 Grant 051 Marshall 079 Putnam 107 Wood .00 025 Greenbrier 053 Mason 081 Raleigh 109 Wyoming 027 Hampshire 055 Mercer 083 Randolph .00 TAX COMPUTATION COAL (COLUMN 1) (COL 2) (COLUMN 3) TAXABLE AMOUNT RATE TAX DUE (COLUMN 1 X COLUMN 2) 1. GROSS VALUE OF COAL SEVERED (NON-THIN SEAM) . 0.05 . 2. VALUE ADDED FROM PROCESSED COAL . 0.05 . 3. QUALIFIED THIN SEAM 37" TO 45" . 0.02 . 4. QUALIFIED THIN SEAM LESS THAN 37" . 0.01 . 5. STEAM COAL (JULY 1, 2020 THROUGH JUNE 30, 2021) . 0.037 . 6. CREDITS (INVESTMENT CREDITS AND $41.67 PER MONTH ANNUAL EXEMPTION)...................................................................................... . 7. ADD LINES 1 THROUGH 5, SUBTRACT LINE 6.................................................................................................. Total Tax Due . 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 0 1 2 0 1 9 0 1 W |
Enlarge image | WV/SEV-400C WEST VIRGINIA COAL SEVERANCE TAX ESTIMATE ACCOUNT # CONTINUED The production of waste coal must be reported quarterly on the waste coal severance tax quarterly estimate return (WV/SEV-400W). If you have income from the production of other natural resources, you must also file the severance tax estimate (WV/SEV-400). If you file more than one type of severance tax return, you may claim ONLY one $41.67 per month annual exemption. SIGN YOUR RETURN Under penalty of perjury, I declare that I have examined this application, accompanying documents, and statements, and to the best of my knowledge and belief, it is true, correct and complete. SIGNATURE OF TAXPAYER NAME OF TAXPAYER (TYPE OR PRINT) TITLE DATE PERSON TO CONTACT CONCERNING THIS RETURN EMAIL ADDRESS TELEPHONE SIGNATURE OF PREPARER OTHER THAN TAXPAYER ADDRESS DATE |