Schedule L Form It-140 - Application For Extension Of Time To File - 2016
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16
SCHEDULE
L
Application for Extension of Time to File
IT-140)
(F
ORM
Extended Due Date
MM
DD
YYYY
SOCIAL
*SPOUSE’S SOCIAL
SECURITY
SECURITY NUMBER
NUMBER
Last Name
Suffix
Your First Name
MI
Spouse’s Last Name – Only if different from Last Name above
Suffix
Spouse’s First Name
MI
First Line of Address
Second Line of Address
City
State
Zip Code
.00
a. Total income tax liability..............................................................................................................................
a.
.00
b. Total payments (West Virginia withholding and/or credit for estimated payments)...................................
b.
0
.00
c. Amount of West Virginia personal income tax due (subtract line b from line a)........................................
c.
This form is NOT an extension of time to pay personal income taxes due. File this form to request a six month extension
of time to file your 2016 West Virginia Personal Income Tax Return (October 16, 2017). NOTE: This form and payment must
be filed on or before the due date of the return (April 18, 2017). A penalty is imposed for late filing/late payment of tax unless
reasonable cause can be shown. If you receive an extension of time for federal income purposes and expect to owe no
West Virginia income tax, you are not required to file this form. To receive the same extension for state tax purposes, you
need only note on your West Virginia Personal Income Tax Return that a federal extension was granted.
Mail this return to:
West Virginia State Tax Department
Tax Account Administration Division
P.O. Box 2585
Charleston, WV 25329-2585
SA40201612
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