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Click ‘Get Form’ to open it in the editor.
Begin by entering your Taxpayer Identification Number and selecting the Identification Type. This information is crucial for processing your request.
Fill in the Name of Business/Individual, along with the Location Address and Mailing Address. Ensure all details are accurate to avoid delays.
Indicate the Purpose for your request by checking one of the provided options, such as ABCA or DMV. If 'Other', specify your reason clearly.
Review the certification statement regarding good standing and ensure you understand its implications before signing.
Complete the signature section, including titles, dates, and contact information. If applicable, ensure a CPA or Attorney also signs if they are not a principal.
If notarization is required, have a notary public complete that section before submitting your form.
Finally, send your completed request to the West Virginia State Tax Department at the address provided on the form.

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