Form Wv/otp-7o1 - Tobacco Products Tax Report
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1WV/OTP-7O1
REV. 1-07
WEST VIRGINIA STATE TAX DEPARTMENT
TOBACCO PRODUCTS TAX REPORT
)
(DOES NOT INCLUDE CIGARETTES
West Virginia Identification Number, Name and Address
Report Period:
_______________________ 20___
month
year
This report is due on or before the
th
15
day of each month reflecting
transactions from the preceding
month, even if no business was
conducted
Per WV Code § 11-17-19, a penalty of $25.00, per month or fraction thereof, may be assessed for the late filing of
this report, even if no tax is due.
1. TOTAL GROSS INVOICE PRICE* OF SALES/USE IN WEST VIRGINIA
(you must have
COMPLETE SCHEDULE A FOR “ROLL
$
copies of invoices, available upon request, etc. to verify this figure) -
YOUR OWN” TOBACCO - NON-PARTICIPATING MANUFACTURERS BRANDS ONLY
Credits:
a. Total gross invoice price* of returns for credit
$_____________
b. Less 5% statutory allowance**
$_____________
(line a x 5%)
2.
Total credit
(line a minus line b)
$
3.
Total gross invoice price
(line 1 minus line 2)
$
4.
GROSS TAX DUE
$
(Line 3 x 7%)
5.
LESS 4% DISCOUNT
$
(Line 4 x 4%)
6.
NET TAX DUE
$
(Line 4 minus 5)
*Gross Invoice Price is the wholesale price including all federal excise taxes at which the product is sold to you,
excluding all trade discounts and other reductions in the price.
**Statutory allowance – per Legislative Rule Title 110, Series 17, Tobacco Products Excise Tax: Upon receipt of
returned merchandise, Wholesalers will receive credit of 95% of the tax originally remitted on Tobacco Products.
I, ______________________________, declare under penalty of perjury that this report, including any accompanying schedules and
statements, has been examined by me and to the best of my knowledge and belief is a true, correct and complete report.
_______________
______________________________________,
__________________
:
:
:
DATE
SIGNATURE
TITLE
(____) ____-_________
T
ELEPHONE NUMBER WHERE YOU CAN BE REACHED DURING BUSINESS HOURS
YOU MUST KEEP A COPY OF THIS REPORT AND SCHEDULES FOR YOUR RECORDS
FOR INSTRUCTIONS AND/OR INFORMATION, CONTACT:
WEST VIRGINIA STATE TAX DEPARTMENT
USE BLUE OR BLACK INK ONLY
1001 LEE STREET EAST
CHARLESTON, WEST VIRGINIA 25301
(304) 558-8619 or 8618
*B044020701W*
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