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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 1826
Charleston, WV 25327-1826
rtL036 v.9-Web
WEST VIRGINIA FACTORY-BUILT HOMES FEE
Effective January 1, 2008, the Factory-Built Homes Fee as provided for by W.Va. Code ยง 11-15-4c is due
the 20th day of the month following the period reported. The reporting period is the same reporting period
as your Consumers Sales and Service Tax return.
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.
IF YOU HAVE ANY QUESTIONS CALL MAKE CHECK PAYABLE TO AND MAIL TO:
(304) 558-3333 WV STATE TAX DEPARTMENT
OR INTERNAL AUDITING DIVISION
1-800-982-8297 TOLL FREE PO BOX 1826
CHARLESTON WV 25327-1826
PLEASE CUT HERE. USE BLUE OR BLACK INK TO COMPLETE VOUCHER. DO NOT WRITE IN BARCODE AREA.
FACTORY-BUILT HOMES FEE
Period: Account ID # WV/FBH-100 v. 9-Web
Due:
1. NUMBER OF FACTORY-BUILT HOMES SOLD
Name 2. TOTAL FEE DUE $ , .
(Line 1 x $20.00)
Address
City State Zip SIGNATURE DATE
00000004838403
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