Form Wv/bot-300g - Business And Occupation Tax For Gas Storage Page 2

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If business was sold or discontinued give date, name and address of new owner.
New owner name:
New owner address:
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)
(Person to Contact Concerning this Return)
(Telephone Number)
(Signature of preparer other than taxpayer)
(Address)
(Date)

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