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

Any amount entered on this line may also be

his/her death, you MUST attach a 2005 West Vir-

ered by a guarantor whose maximum benefit guar-

subject to a twenty percent (20%) surtax (Sched-

ginia Schedule H. A copy of federal Schedule R

antee is less than the maximum benefit to which

ule T, page 22).

or a previously filed West Virginia Schedule H

you were entitled, you may be allowed a reducing

may be substituted for the 2005 Schedule H.

modification of the difference between the amount

Line 29. TOTAL ADDITIONS. Add lines 23

you would have received had the plan not termi-

through 28. Enter the result here and on line 2 of

If you are disabled AND OVER 65, you are not

nated and the amount actually received from the

Form IT-140.

required to complete Schedule H. Enter year of

guarantor.

birth on the front of Form IT-140.

Modifications Decreasing Federal Adjusted

Attach a completed Schedule PBGC (page 20)

Gross Income (subtractions from income).

If you claim a modification other than those

and a copy of 1099R provided by the guarantor.

shown on Schedule M, it must be explained

NOTE:

COMPLETE THIS SECTION OF

Failure to do so will delay the processing of your

on line 2 or 3 of your return.

SCHEDULE M LINE-BY-LINE. If filing a joint re-

return.

turn, enter the modification(s) for both you and

DO NOT DEDUCT LOTTERY WINNINGS ANY-

your spouse in Columns A and B. In cases of

Line 35. INCOME INCLUDIBLE IN FEDERAL

WHERE ON SCHEDULE M.

joint ownership of income-producing tangible or

ADJUSTED GROSS INCOME BUT EXEMPT

intangible property, each spouse should use the

FROM STATE TAX BY FEDERAL LAW. Enter

Modifications Increasing Federal Adjusted

total income multiplied by the relative percent-

the amount(s) of income received from the United

Gross Income (additions to income).

age of ownership.

States Railroad Retirement Board including un-

employment compensation, disability and sick

Line 23. INTEREST OR DIVIDEND INCOME

Line 30. INTEREST OR DIVIDENDS ON UNITED

pay which is included in your federal adjusted

ON FEDERAL OBLIGATIONS. Enter the

STATES OBLIGATIONS. Enter the total amount

gross income. Enclose form 1099RRB to sup-

amount of any interest or dividend income (re-

of interest or dividend income on obligations of

port modification.

West Virginia does not im-

ceived by or credited to you during the taxable

the United States and its possessions, bonds or

pose tax on this income.

year) on bonds or securities of any United States

securities from any United States authority, com-

authority, commission or instrumentality which

mission or instrumentality to the extent includible

Social Security benefits taxable on your federal

the laws of the United States exempt from fed-

in your federal adjusted gross income but exempt

return are also taxable to West Virginia and should

eral income tax but not from state income tax.

from state income tax under federal law. This will

NOT be included on this line.

include United States Savings Bonds and federal

Line 24. INTEREST OR DIVIDEND INCOME

Line 36. REFUNDS OF STATE AND LOCAL IN-

interest dividends paid to shareholders of a regu-

ON STATE AND LOCAL BONDS (OTHER

COME TAXES. Enter the amount reported on

lated investment company under Section 852 of

THAN WEST VIRGINIA). Enter the amount of

your federal return. Only refunds included in your

the IRS Code. Also include on this line interest

any interest or dividend income on state and lo-

federal adjusted gross income are subject to this

earned on West Virginia bonds which are subject

cal bonds (other than West Virginia and its politi-

modification.

to federal tax but exempt from state tax under West

cal subdivisions) received by or credited to you.

Line 37. CONTRIBUTIONS TO THE WEST VIR-

Virginia law.

Line 25. INTEREST ON MONEY BORROWED

GINIA PREPAID TUITION TRUST/WEST VIR-

Line 31. ANY WEST VIRGINIA STATE OR LO-

TO PURCHASE BONDS EARNING EXEMPT

GINIA SAVINGS PLAN TRUST.

Enter here

CAL POLICE, DEPUTY SHERIFF’S OR

WEST VIRGINIA INCOME. Enter the amount of

payments paid to prepaid tuition trust fund/sav-

FIREMEN’S RETIREMENT. Enter the taxable

any interest deducted, as a business expense

ings plan trust, but only to the extent the amount

amount of retirement income reported on your

or otherwise, from your federal adjusted gross

is not already allowable as a deduction when ar-

federal return which was received from any West

income, in connection with money borrowed to

riving at your federal adjusted gross income.

Virginia state or local police, deputy sheriff’s or

purchase or carry bonds or securities, the income

firemen’s retirement system, REGARDLESS OF

from which is exempt from West Virginia income

Line 38. OTHER DEDUCTION(S). Enter here

YOUR AGE. This is the taxable amount of retire-

tax.

payment(s) for premiums paid for long-term care

ment income received from these sources, includ-

Line 26. LUMP SUM PENSION DISTRIBU-

insurance and contribution(s) made to a West Vir-

ing any survivorship annuities, which is included

TIONS. Enter the amount of any qualifying 402(e)

ginia Medical Savings Account, but only to the

in your federal adjusted gross income.

lump sum distributions not included in your fed-

extent the amount is not already allowable as a

eral adjusted gross income that was separately

deduction when arriving at your federal adjusted

Line 32. WEST VIRGINIA TEACHERS RETIRE-

reported and taxed on federal Form 4972.

gross income.

MENT, WEST VIRGINIA PUBLIC EMPLOYEES

Line 27. OTHER INCOME EXCLUDED FROM

RETIREMENT, MILITARY RETIREMENT AND

Line 39. SENIOR CITIZEN OR DISABILITY

FEDERAL ADJUSTED GROSS INCOME BUT

FEDERAL RETIREMENT. Regardless of age,

DEDUCTION. Taxpayers MUST be age 65 or

SUBJECT TO STATE TAX. West Virginia income

enter the taxable amount of retirement income

older or certified as permanently and totally dis-

tax is based on federal adjusted gross income de-

(not to exceed $2,000) reported on your federal

abled during 2005 to receive this deduction. If

termined by existing law at the beginning of the

return received from (A) The West Virginia Teach-

you and/or your spouse meet these requirements,

taxable year. If Congress changes federal tax law

ers Retirement System, (B) The West Virginia

complete this line. If filing a joint return, income

to exclude certain income from 2005 federal ad-

Public Employees Retirement System, (C) Mili-

must be allocated according to which spouse ac-

justed gross income after December 31, 2004,

tary Retirement and (D) Federal Retirement. Do

tually received it. Joint income should be divided

enter the amount of that income on line 27 of

not enter more than $2,000.

between husband and wife in the ratio of their re-

Schedule M (for example; income deducted

spective percentage of ownership. (See example

Line 33. MILITARY RETIREMENT MODIFICA-

under Section 199 of the Internal Revenue

on page 8).

TION. There is an additional modification for a

Code). Attach Schedule K-1(s).

maximum of $20,000. If your pension is equal to

Line 39(a). Enter all income (for each spouse, if

Line 28. WITHDRAWALS FROM A MEDICAL

or greater than $22,000, enter $20,000 here. If

joint return) which has not been reported on lines

SAVINGS ACCOUNT OR PREPAID TUITION /

the pension is less than $22,000, enter $20,000 or

30 through 38 of Schedule M.

SAVINGS PLAN NOT USED FOR PAYMENT OF

the total amount of the pension received less the

Line 39(b). $8,000 is the maximum modification

QUALIFYING EXPENSES. Enter the amount of

$2,000 claimed on line 32. In no case should the

allowed for each senior citizen or disabled tax-

any withdrawal you made from a qualified medi-

combined amount (line 32 and line 33) exceed the

payer under state law.

cal savings account or prepaid tuition contract/

total amount of military retirement income.

plan which was spent for OTHER than qualifying

Line 39(c). Enter the total shown for each spouse

Line 34. PENSION BENEFIT GUARANTY MODI-

expenses.

as deductions from lines 30 through 33 of Sched-

FICATION. If you retired under an employer-pro-

ule M. Your maximum deduction on line 39(b) is

vided defined benefit plan that terminated prior to

reduced by this amount.

or after retirement and the pension plan is cov-

Personal Income Tax Forms And Instructions Resident & Nonresident/part-Year Resident - 2005 Page 7

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