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Account Number: P.O. Box 1659 BUSINESS AND …

FORM CHANGE: CITY SERVICE FEE FORM WILL BE MAILED SEPARATELY. Rev. 9/14 Finance Division Box 1659 Huntington, WV 25717 Phone: (304) 696-5969 Fax: (304) 781-8350 BUSINESS AND OCCUPATION TAX RETURN CITY OF HUNTINGTON Filing Period Starting: Location of BUSINESS : Filing Period Ending: Date BUSINESS started in Huntington: BUSINESS : Sold Closed Date: BUSINESS Sold to: Address: COMPUTATION OF BUSINESS & OCCUPATION TAX (SEE REVERSE SIDE FOR INSTRUCTIONS) Code BUSINESS Classifications Gross Sales Amount Rate Multiplier Tax Due 1 Value of Production of Natural Resources (1%) .01 $ 2 Natural Gas in Excess of $5, (1%) .01 3 Limestone or Sandstone Quarried or Mined ( ) .008 4 Manufacturers (0%) .00 5 Retailers, Restaurants, and Others ( ).

FORM CHANGE: CITY SERVICE FEE FORM WILL BE MAILED SEPARATELY. Rev. 9/14 Finance Division P.O. Box 1659 Huntington, WV 25717 Phone: (304) 696-5969

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