PDF document
- 1 -
                                                                                                      STATE OF WEST VIRGINIA
                                                                                                      
               State Tax Department, Tax Account Administration Div
                                                                                                      
               P.O. Box 1826
                                                                                                      
                                                                                                      Charleston, WV 25327-1826

               BLD ENTERPRISES LLC_____________________________________________________________                                                                                                                           Letter Id:            L0629358592
                                                                                                      Name
                                                                                                      _____________________________________________________________             RR 3 BOX 110                            AccountIssued:#: ________________07/01/2017
                                                                                                      AddressELKINS WV  26241-9512                                                                                        Account #:                  2338-0546
                                                                                                      _____________________________________________________________                                                       Period:                     07/31/2017
                                                                                                      City                                                                      State                        Zip
                                                                                                      
     WV/CST-200CU
     rtL333V.2                             WEST VIRGINIA SALES AND USE TAX RETURN

         Period Ending:                                         Due Date:                                                                                                                                                                        Amended                              
 
                                                (A)                        (B)                                                                                                                                            (C)                (D)         (E)                          
                                         Gross Amount                   Deductions                                                                                                                                Taxable Amount             Tax         Tax Due
                                  (Taxable & Exempt Transactions)  (Schedule D Required)                                                                                                                          (A minus B)                Rate     (C times D Ln 1 & 2)
     1.  Sales sourced to WV*                                                                                                                                                                                                                0.06
     2.  Purchases for Use in WV                                                                                                                                                                                                             0.06
     3.  Municipal Sales Tax Due*   (Schedule M required)                                                                                                                                                       (Enter amount from Line 11, Column D)
     4.  Municipal Use Tax Due      (Schedule M required)                                                                                                                                                       (Enter amount from Line 11, Column G)
     5. Excess Tax Collected 
     6. Interest when filed after due date 
     7. Additions to tax when filed after due date 
     8. Total Due or Credit  *                                                                                                                                                                                    (Sum of lines 1 through 7) 
     9. Less Prior Payment   (Accelerated payment, credit carried forward, credit from CST-240, original payment when amending) 
     10. Less State Use Tax Credits (May not exceed Line 2, Column E)                                                                                                                                           (Enter amount from Schedule D, Part 3)
     11. Less Tourism Development Tax Credit     (May not exceed Line 1, Column E)  (Enter amount from Schedule D, Part 4)
     12. Amount Due or Credit*  (Schedules S, U or BD required for Credit Due on return)                                                                                                                          (Line 8 minus lines 9, 10, & 11) 
     *Negative tax amounts are permitted on lines indicated only and will initiate a request for refund or credit.

     If credit for overpayment indicated on Line 12, specify the amount(s) to be refunded and/or carried forward to next tax period:                                                                                                                                                  
     13. Refund Amount                                                                                                                                                                                            Carry Forward Amount 
 
     This section must be completed by sellers of specific goods/services for proper distribution of the tax due that was reported above:                                                                                                                                             
     14. Taxable Sales of Wine/Liquor to Private Clubs                                                                                                                                                            Wine/Liquor Account #
 
        Schedule S Attached                                                                                                       Schedule U Attached                                                                                                                                 
        Schedule BD Attached                                                                                                      State Oasis Transfer Sheet Attached
     Please attach all schedules and supporting documentation as indicated. 
     If required to file Schedules S, U, BD, or to print instructions visit www.tax.wv.gov.

This return is not considered complete unless it is signed.
         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)

     Signature of Preparer   (Name of Preparer - Type or Print) (Phone)        (Date)                                                                                                                                         G     1     5     2     0     1     7     0     1     W



- 2 -
                                          WEST VIRGINIA SALES AND USE TAX RETURN
                                                                                                                 Account #: _______________
Schedule D - State Deductions, Exemptions, and Credits                                                                                                 _

   Part 1 - Sales Tax Deductions/Exemptions 
   1.  Sales for which an exemption certificate was received at the time of sale                                                                       
   2.  Sales for which a direct pay permit was received at the time of sale 
   3.  Sales for which a credit memo or adjustment was completed after the sale             (Schedule S required)
   4.  Sales that were refunded to or returned by the purchaser 
   5.  Uncollected bad debt on which sales tax was remitted but never received          (Schedule BD required)
   6. Sales of exempt food and food ingredients 
   7. Sales of exempt capital improvement construction projects 
   8.  Sales of exempt drugs, mobility enhancing equipment, and prosthetics (if not reported on Line 2) 
   9.  Sales of exempt prescription drugs to consumers 
   10. Sales of excluded personal services (such as barber, masseuse, manicurist, nurse) 
   11. Sales of excluded professional services (such as doctor, lawyer, engineer) 
   12. Sales of exempt public utilities or services regulated by the PSC 
   13. Sales of exempt interstate transportation, motor fuel, titled vehicles
   14. Sales of other per se exemptions       Please specify: 
   15. Total deductions of sales to WV customers                   (Enter this amount on Page 1, Line 1, Column B, Deductions) 
 
   Part 2 - Use Tax Deductions for Exempt Purchases 
   1.  Purchases directly used in exempt manufacturing                                                                                                 
   2.  Purchases directly used in exempt natural resource production 
   3.  Purchases directly used in exempt transportation 
   4.  Purchases directly used in exempt transmission 
   5.  Purchases directly used in exempt communications 
   6. Purchases directly used in exempt public utilities or services 
   7. Purchases directly used in exempt research and development 
   8.  Purchases directly used in an exempt high-technology business 
   9.  Purchases of exempt drugs, mobility enhancing equipment, and prosthetics by a health care provider 
   10. Purchases by a qualified exempt non-profit organization 
   11. Other exempt purchases       Please specify: 
   12. Total deductions to purchases for WV use      (Enter this amount on Page 1, Line 2, Column B, Deductions)   
 
   Part 3 - Use Tax Credit for Tax Paid on Out of State Purchases that have been Reported on Page 1, Line 2
                 Two Digit State Abbreviation of State(s) where Purchased           Total Purchase Amount                      Out of State Tax Paid   
 
   State Use Tax Credit to be applied to this return                         (Enter this amount on Page1, Line 10)
 
   Part 4 - Sales Tax Credit for Tourism Development (Approved Applicants Only) 
   Annual Credit Remaining   Monthly Base Tax             Sales Tax Due      Credit Allowed  Credit Taken this Month               Balance of Annual   
    from Previous Month          Amount                    this Month        this Month      (Enter on Page 1, Line 11)               Credit Remaining
 
   Taxpayers reporting more than one approved tourism development project tax credit are required to file electronically at www.MyTaxes.WVtax.gov 

                 MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
                             Tax Account Administration Div
                           P.O. Box 1826, Charleston, WV 25327-1826
             FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
                 For more information visit our web site at: www.tax.wv.gov                  G     1     5     2     0     1     7     0     2     W
                           File online at https://mytaxes.wvtax.gov



- 3 -
                                           WEST VIRGINIA SALES AND USE TAX RETURN
                                                                                                         Account #: _______________
                                                                                                                                   _
    Schedule M - Municipal Sales and Use Tax 
                    A                            B             C                D                 E                        F     G           
            Municipality Name        Taxable Sales*            Tax              Municipal         Taxable Purchases        Tax   Municipal
            (Required if tax due)    (Required if tax due)     Rate             Sales Tax Due*    (Required if tax due)    Rate Use Tax Due
                                                                                (B times C)                                      (E times F)
    1.
 
    2.
 
    3.
 
    4.
 
    5.
 
    6.
 
    7.
 
    8.
 
    9.
 
10.
 
11.                                  Total Muni Sales Tax Due                                    Total Muni Use Tax Due
                                     (Enter on Page 1, Line 3)                                    (Enter on Page 1, Line 4)
    Taxpayers reporting more than ten (10) municipalities should file electronically at, www.MyTaxes.wvtax.gov.

                                     Municipalities Imposing Sales and Use Taxes as of July 1, 2017

       Municipality   Rate           Municipality              Rate             Municipality      Rate   Municipality            Rate        
 
    Beckley           0.010          Grafton                   0.010            Parkersburg       0.010  South Charleston        0.010
    Bluefield         0.010          Harpers Ferry             0.010            Pennsboro         0.010  Thomas                  0.010
    Bolivar           0.010          Harrisville               0.010            Princeton         0.010  Vienna                  0.010
    Bridgeport        0.010          Huntington                0.010            Quinwood          0.010  Weirton                 0.010
    Charleston        0.010          Martinsburg               0.010            Ranson            0.010  Wheeling                0.010
    Charles Town      0.010          Milton                    0.010            Romney            0.010  Williamstown            0.010
    Clarksburg        0.010          Moorefield                0.005            Rupert            0.010
    Dunbar            0.010          Moundsville               0.010            Saint Albans      0.010
    Fairmont          0.010          New Cumberland            0.010            Shepherdstown     0.010
    Follansbee        0.010          Nitro                     0.010            Sistersville      0.010

                    MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
                              Tax Account Administration Div
                      P.O. Box 1826, Charleston, WV 25327-1826
               FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
                    For more information visit our web site at: www.tax.wv.gov                    G     1     5     2     0     1     7     0     3     W
                      File online at https://mytaxes.wvtax.gov






PDF file checksum: 2107604033

(Plugin #1/9.12/13.0)