Form Wv/sdr-2015a - Schedule A - Syrups, And Prepared Soft Drinks For Retailers And Wholesalers

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WV/SDR-2015A

Rev. 10/09

West Virginia Department of Tax and Revenue

SCHEDULE A - SYRUPS, AND PREPARED SOFT DRINKS FOR RETAILERS AND WHOLESALERS

ACCOUNT NAME: ___________________________________________________________________________________ Month of ________________________________________________, 20_________

PRODUCT ACCOUNTABILITY

TAX ACCOUNTABILITY

12.

10.

11.

13.

On hand end of

Total sales,

Tax due sales

Capacity of

Purchases tax

Manu-