Formit-140nrc - West Virginia Nonresident Composite Incometax Return

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IT-140NRC
West Virginia Nonresident COMPOSITE IncomeTax Return
REV 12-09
Period
Period
AMENDED
Beginning
Ending
RETURN :
MM-DD-YYYY
MM-DD-YYYY
Name of S corporation, partnership, estate or trust
FEIN
Mailing address
MM-DD-YYYY
Extended Due Date
City
State
Zip Code
Telephone Number
TYPE OF ENTITY - ___ S Corporation
___ Partnership ___ Estate or Trust
Form IT-140NRC is for use by an entity electing to file a composite return for a S corporation, partnership, estate or trust to report the West
Virginia taxable income of its nonresident shareholders, partners or beneficiaries, and to make payment of the tax due on behalf of the
shareholders, partners or beneficiaries, in lieu of individual reporting.
A PROCESSING FEE OF $50.00 MUST BE SUBMITTED WITH THIS RETURN
1. Total West Virginia Source Income as reported on S corporation, partnership,
1
.00
estate or trust return ..............................................................................................
2. Tax (line 1 multiplied by 6.5%) ...............................................................................
2
.00
50.00
3
3. Composite Return Processing Fee.........................................................................
4. Total Taxes and Fees Due (line 2 plus line 3) ........................................................
4
.00
.
5. West Virginia Income Tax Withheld - You must complete the IT-140W West
5
.00
Virginia Withholding Tax Schedule to support this amount.....................................
.
6. Estimated Tax Payments and payments made with extensions of time. .................
6
.00
7. Business Tax/Investment/Employment Credits.......................................................
7
.00
.00
8
8. Payment Made With Original Return (For Amended Return Only)...........................
9
.00
9. Sum of Payments (add lines 5 through 8) ..............................................................
10
10. Balance Due the State (subtract line 9 from line 4).................................................
.00
11
11. Overpayment (subtract line 4 from line 9)...............................................................
.00
.00
12
12. Credit to Next Year’s Estimated Tax.......................................................................
13. Refund (subtract line 12 from line 11).....................................................................
13
.00
TYPE
DIRECT
CHECKING
DEPOSIT
OF REFUND
SAVINGS
ROUTING NUMBER
ACCOUNT NUMBER
SIGN HERE.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best
of my knowledge and belief it is true, correct, and complete. If prepared by a person other than the taxpayer, his certification is based on all information
of which he has any knowledge.
Signature of partner, corporate officer, trustee, executor or administrator
Title
Date
Signature of preparer other than above
Address
Title
MAIL TO:
REFUND
BALANCE DUE
*P31200901w*
WV State Tax Department
WV State Tax Department
Preparer’s EIN
P.O. Box 1071
P.O. Box 3694
Charleston, WV 25324-1071
Charleston, WV 25336-3694
-1-

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