WV/SEV-
WEST VIRGINIA SEVERANCE TAX ESTIMATE - TIMBER
400T
REV 1/08
IF BUSINESS WAS DISCONTINUED GIVE DATE AND IF SOLD NAME AND ADDRESS OF NEW OWNER
DUE DATE
PRODUCERS OF
PERIOD ENDED
REPORT PRODUCTION OF TIMBER ONLY
COAL MUST FILE
WV/SEV-400C
TAX DUE BEFORE CREDITS
TAXABLE AMOUNT
RATE
FOR ALL OTHER
NATURAL
1.
TIMBER...
1
RESOURCES
.0122
USE WV/SEV-400
2.
INVESTMENTS CREDITS...................................
2
3.
TOTAL TAX DUE
(LINE 1 LESS LINE 2)..........................................
3
*B10010801A*
SIGNATURE OF TAXPAYER OR PREPARER
DATE