Personal Income Tax Forms And Instructions Resident & Nonresident/part-Year Resident

SCHEDULE L

2005

APPLICATION FOR EXTENSION OF TIME TO FILE

WEST VIRGINIA PERSONAL INCOME TAX RETURN

Taxable year beginning

, 20

, and ending

, 20

Name (if joint return, give first names and initials of both)

Last Name

Your Social Security Number

Present Home Address

Spouse's Social Security Number

TYPE

City or Town

County

State

Zip Code

Telephone Number

Individual Income Tax Return Only - See Instructions Below

Check box if address is same as last year

Extended Due Date

a. Total income tax liability ................................................ $

Requested:

b. Total payments (West Virginia withholding and/or

credit for estimated payments) ...................................... $

c. Amount of West Virginia personal income tax due (subtract line b from line a)

The amount of tax due is payable with this form.

. ................................................................................................

If no tax is due, enter ZERO (0)

This form is NOT an extension of time to pay personal income taxes due. File this form to request a four-month extension

of time to file your 2005 West Virginia personal income tax return (August 15, 2006). Note: This form and payment should

be filed on or before the due date of the return (April 17, 2006). 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 tax 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.

INSTRUCTIONS FOR FILING SCHEDULE L

File Schedule L if you:

The Mailing Address for Schedule L is:

1. Need an extension of time to file your state return,

West Virginia State Tax Department

even though no extension was necessary to file

Internal Auditing Division

your federal return; or

P. O. Box 2585

2. Are granted an extension of time to file your fed-

Charleston, West Virginia 25329-2585

eral return and expect to owe additional West

Virginia income tax.

File this form to pay any tax expected to be due before the

Special Instructions

due date of your personal income tax return (April 15 of the

following year for calendar year taxpayers; the fifteenth day

The form for requesting an extension of time to file a

of the fourth month following the end of the taxable year for

Partnership, Fiduciary and S Corporation Return

fiscal year taxpayers). Any application filed after the due

is the WV/NRW-1, not the Schedule L.

date will be denied and subject to interest and penalties.

Any amount paid with Schedule L should be included on

line 10 of Form IT-140, or line 13 of Form IT-140NR/

PY.

You will be notified only if the request for extension of

time to file is denied. When filing your return, attach a copy

of this form.

DO NOT USE SPACE BELOW

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Personal Income Tax Forms And Instructions Resident & Nonresident/part-Year Resident - 2005 Page 12

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