The West Virginia GSR-01 form is a request for a Statement of Good Standing issued by the West Virginia State Tax Department. This form is essential for businesses to confirm their compliance with state tax obligations. Completing this form ensures that your business is recognized as being in good standing, which is crucial for various business transactions.
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The West Virginia GSR-01 form, officially known as the Request for Statement of Good Standing, serves a crucial role for businesses operating within the state. This form is essential for obtaining confirmation that a business is in good standing with the West Virginia State Tax Department. It requires basic information, such as the taxpayer identification number, complete business name, and business location. The form also includes a section where the type of business—whether a partnership, sole ownership, corporation, or LLC—must be specified. By submitting this request, the applicant acknowledges that if the business is not in good standing, they will receive written notification detailing any outstanding tax returns or payments. Furthermore, the form mandates a signature from the taxpayer or their authorized representative, certifying the request under penalty of perjury. If a CPA or attorney is completing the form on behalf of the business, their signature is also required, along with that of a principal of the business. For those authorizing information release without professional representation, notarization is necessary. Additionally, the form provides options for receiving responses via fax, ensuring that communication remains efficient. Understanding the GSR-01 form is vital for business owners to maintain compliance and avoid potential issues with state tax obligations.
GSR-01
West Virginia
Request for Statement of Good Standing
Rev. 10/14
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
Signature of person other than taxpayer, CPA, or
attorney (Form must be notarized).
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
558-8695
PO Box 885
558-1114
Charleston, WV 25323-0885
558-0659
Fax # (304) 558-8643
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