Form Wv/nrsr - Return Of Income Tax Withholding For Nonresident Sale Of Real Property

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WV/NRSR
WEST VIRGINIA STATE TAX DEPARTMENT
REV 1/08
RETURN OF INCOME TAX WITHHOLDING FOR NONRESIDENT SALE OF REAL PROPERTY
2. Date of transfer
1. Property account ID number, address and description
MM
DD
YYYY
3. Check if the transferor/
seller is reporting gain under
the installment method
CHECK ONE
5. Spouse’s SSN number
7. Transferor/Seller is:
4. Transferor/Seller’s
SSN
Identification number
a. Individual
FEIN
b. Corporation
ITIN
c. Trust or Estate
6. Transferor/Seller’s name (Enter only one name, unless husband and wife filing a joint return. If
more than one transferor/seller, use separate forms for each.)
d. Business Trust
e. Partnership
f. S Corporation
Street Address including City, State and ZIP Code
g. Limited Liability Company
h. Limited Liability Partnership
8. Computation of total payment and tax to be withheld (see instructions)
a. Total sales price paid to transferor....................................................................
a
b. Less selling expenses.......................................................................................
b
c. Less debts secured by mortgages or other liens on the property........................
c
d. Net proceeds .............................................................................................................. d
e. Total payment (net proceeds paid to transferor)........................................................... e
f. Transferor/seller’s ownership
%
percentage................................................................................................................... f
g. Transferor/seller’s share of total payment. (multiply Line e by Line f)...............
g
h. Enter applicable rate:
1) 2.5% of total payments, or
2) 6.5% of estimated capital gain $
..........................
h
%
i. WV Income Tax withheld (multiply Line g or amount of estimated capital
gain by Line h) (If partial exemption granted, enter amount stated on
Form WV/NRCE)..............................................................................................
i
Under the penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, it is true, correct and complete. If
prepared by a person other than the transferor/seller, the declaration is based on all information to which the preparer has any knowledge.
Signature
Date
COPY A - FILE WITH THE WEST VIRGINIA STATE TAX DEPARTMENT
MAKE CHECK OR MONEY ORDER PAYABLE TO AND MAIL TO:
WEST VIRGINIA STATE TAX DEPARTMENT
INTERNAL AUDITING DIVISION
P. O. BOX 784
CHARLESTON, WV 25323-0784
*B56040801A*

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