Form WV/SEV-400h "Monthly Estimate of Severance and Business Privilege Taxes for Providers of Health Care Items and Services" - West Virginia

What Is Form WV/SEV-400h?

This is a legal form that was released by the West Virginia State Tax Department - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the West Virginia State Tax Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form WV/SEV-400h by clicking the link below or browse more documents and templates provided by the West Virginia State Tax Department.

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Download Form WV/SEV-400h "Monthly Estimate of Severance and Business Privilege Taxes for Providers of Health Care Items and Services" - West Virginia

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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 773
Charleston, WV 25323-0773
MONTHLY ESTIMATE OF SEVERANCE AND BUSINESS PRIVILEGE TAXES
WV/SEV-400H
FOR PROVIDERS OF HEALTH CARE ITEMS AND SERVICES
rtL086 v 10-Web
Taxpayers required to file electronically will no longer receive returns for the tax types subject to the mandatory
requirement by mail. Please visit www.wvtax.gov for additional information.
MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P.O. Box 773, Charleston, WV 25323-0773
FOR ASSISTANCE CALL TOLL FREE
For more information visit our web site at:
File online at https://mytaxes.wvtax.gov
PLEASE CUT HERE USE BLUE OR BLACK INK TO COMPLETE VOUCHER DO NOT WRITE IN BARCODE AREA
WV/SEV-400H
rtL086 v 10-Web
MONTHLY ESTIMATE OF SEVERANCE AND BUSINESS PRIVILEGE TAXES
FOR PROVIDERS OF HEALTH CARE ITEMS AND SERVICES
Account ID #
Period Ending:
Due Date:
1.
Taxable Amount
.
2.
0.05
Rate
3.
.
Total Amount of Tax Due (Multiply Line 1 by Line 2)
4.
.
$41.67 Per Month Annual Exemption
5.
.
Credit for Overpayment from Prior Year Annual Return
6. Total Tax Due (Line 3 minus Lines 4 and 5)
.
Name
Address
SIGNATURE
DATE
City
State
Zip
STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 773
Charleston, WV 25323-0773
MONTHLY ESTIMATE OF SEVERANCE AND BUSINESS PRIVILEGE TAXES
WV/SEV-400H
FOR PROVIDERS OF HEALTH CARE ITEMS AND SERVICES
rtL086 v 10-Web
Taxpayers required to file electronically will no longer receive returns for the tax types subject to the mandatory
requirement by mail. Please visit www.wvtax.gov for additional information.
MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P.O. Box 773, Charleston, WV 25323-0773
FOR ASSISTANCE CALL TOLL FREE
For more information visit our web site at:
File online at https://mytaxes.wvtax.gov
PLEASE CUT HERE USE BLUE OR BLACK INK TO COMPLETE VOUCHER DO NOT WRITE IN BARCODE AREA
WV/SEV-400H
rtL086 v 10-Web
MONTHLY ESTIMATE OF SEVERANCE AND BUSINESS PRIVILEGE TAXES
FOR PROVIDERS OF HEALTH CARE ITEMS AND SERVICES
Account ID #
Period Ending:
Due Date:
1.
Taxable Amount
.
2.
0.05
Rate
3.
.
Total Amount of Tax Due (Multiply Line 1 by Line 2)
4.
.
$41.67 Per Month Annual Exemption
5.
.
Credit for Overpayment from Prior Year Annual Return
6. Total Tax Due (Line 3 minus Lines 4 and 5)
.
Name
Address
SIGNATURE
DATE
City
State
Zip