West Virginia Form Gsr 01 PDF Details

West Virginia Form Gsr 01 is a state form that is used to report the sale or transfer of a firearm. The form must be filled out by the seller or transferor of the firearm and must include the name, address, and date of birth of the purchaser or transferee. The form must also include information about the firearm, such as its make, model, caliber, and serial number. The form must be filed with the West Virginia State Police within five days of the sale or transfer. Failure to file the form may result in criminal penalties.

QuestionAnswer
Form NameWest Virginia Form Gsr 01
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesundersigned, Taxpayer, certify, tax wvgov business goodstanding gsr 01

Form Preview Example

GSR-01

West Virginia

Request for Statement of Good Standing

Rev. 10/14

West Virginia

State Tax

Department

Taxpayer Identiication Number _____________________________

Complete Business Name ___________________________________________________________________________

Business Location __________________________________________________________________________________

Mailing Address ____________________________ _______________________

_____________

________________

Street

City

State

Zip

Type of business (check one):

Partnership

Sole Ownership

Corporation/LLC

Other

______________________

I understand that in the event that this business is not in good standing with the Tax Department I will be notiied in writing as to what tax returns or tax payments are considered not iled or paid and who to contact with any questions regarding that

situation.

By signing this Request for Statement of Good Standing, I certify under penalty of perjury that I am the taxpayer or the taxpayer’s authorized representative and am entitled to receive the result of this request.

If you are a CPA or Attorney completing this Request for Statement of Good Standing for a business of which you are not a principle, a principle of the business must ALSO sign this request as the taxpayer.

If you are authorizing release of information for someone who is not a CPA or Attorney, this form must be notarized.

Taxpayer Signature

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name

Phone

 

E-mail

 

 

 

 

 

 

 

 

CPA/Attorney Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

Print Name

Phone

 

E-mail

 

 

 

 

 

 

 

 

Signature of person other than taxpayer, CPA, or

Title

 

Date

attorney (Form must be notarized).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name

Phone

 

E-mail

State of West Virginia

County of __________________________, to-wit,

This day appeared before me, the undersigned notary public ________________________________________, who

acknowledge under oath the signature above.

_________________________________________ Notary public

____________________________ Date

My commission expires: ___________________________

If you would like the response faxed to you, enter the fax number including area code (

)

______________________

_

 

Name of person fax is to be addressed to:

___________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

send this request to:

 

phone numbers:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

West Virginia State Tax Department

(304)

558-0678

 

 

 

 

 

 

Excise & Support Tax Unit – 1st Floor

(304)

558-8695

 

 

 

 

 

 

PO Box 885

(304)

558-1114

 

 

 

 

 

 

Charleston, WV 25323-0885

(304)

558-0659

 

 

 

 

 

 

Fax # (304) 558-8643

 

 

 

 

 

 

 

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1. Begin completing your authorizing with a selection of necessary blank fields. Gather all of the important information and be sure there is nothing forgotten!

Part # 1 in filling out E-mail

2. Once your current task is complete, take the next step – fill out all of these fields - Taxpayer Signature, Print Name, CPAAttorney Signature, Print Name, Signature of person other than, Print Name, State of West Virginia, Title, Phone, Title, Phone, Title, Phone, Date, and Email with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

CPAAttorney Signature, Print Name, and Phone inside E-mail

3. Completing Name of person fax is to be, send this request to, phone numbers, and West Virginia State Tax Department is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Simple tips to fill out E-mail portion 3

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