Form It-140s - West Virginia Resident Income Tax Return - Short Form - 1999

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WEST VIRGINIA RESIDENT INCOME TAX RETURN - SHORT FORM - 1999
IT-140S
(Married Taxpayers Filing Separate Returns MUST Use Long Form IT-140)
First Name
Last Name
B
Your Social Security Number
If Joint Return, Spouse's First Name
Spouse's Last Name (if different)
Spouse's Social Security Number
Present Home Address
USE
LABEL,
If you are filing Form WV-8379 as an injured
PRINT
City or Town
County
State
Zip Code
spouse, check this box.........................
OR
TYPE
Are the name(s) and address above the same as shown on your 1998
return?
YES
NO
If "NO", enter the name(s) and address
EXEMPTIONS. Enter the total number of exemptions
shown on your 1998 return.
claimed on your federal return
(If your total number of
federal exemptions is zero, enter $500 on line 4 below) ......................
1. FEDERAL ADJUSTED GROSS INCOME (the same income reported on federal
,
.
Form 1040, line 33; Form 1040A, line 18; or Form 1040EZ, line 4) ................................... 1.
2. LOW-INCOME EARNED INCOME EXCLUSION
,
.
from the worksheet on the back of this return ................................................................... 2.
,
.
3. Subtract line 2 from line 1 ................................................................................................. 3.
.
,
4. EXEMPTIONS (number claimed above
X $2,000) ............................................. 4.
,
.
5. WEST VIRGINIA TAXABLE INCOME (line 3 minus line 4)
5.
IF LESS THAN ZERO, ENTER ZERO
6. WEST VIRGINIA INCOME TAX
,
.
Apply tax tables to the amount shown on line 5 ................................................................. 6.
7. WEST VIRGINIA INCOME TAX WITHHELD
,
.
ATTACH W-2’S OR 1099’S TO SUPPORT THIS AMOUNT ........................................... 7.
,
.
8. ESTIMATED TAX PAYMENTS AND PAYMENTS WITH EXTENSION ... 8.
,
.
9. TOTAL PAYMENTS (add lines 7 and 8) ........................................................................... 9.
10. BALANCE DUE THE STATE (subtract line 9 from line 6)
IF YOU OWE MORE THAN
,
.
1
$600, YOU CANNOT USE THIS FORM. YOU MUST COMPLETE THE LONG FORM (IT-140) AND
. ...................... 10.
FORM IT-210. MAKE CHECKS PAYABLE TO WEST VIRGINIA STATE TAX DEPARTMENT
,
.
11. OVERPAYMENT (subtract line 6 from line 9) ................................................................. 11.
,
.
12. AMOUNT TO BE CREDITED TO 2000 ESTIMATED TAX ............................................ 12.
13. WEST VIRGINIA CHILDREN'S TRUST FUND to help prevent child abuse
and neglect. Enter contribution amount:
,
.
$2,
$5,
$10,
Other $ ______________ ........................................ 13.
,
.
14. DEDUCTIONS FROM YOUR OVERPAYMENT (add lines 12 and 13) .......................... 14.
15. REFUND DUE YOU (subtract line 14 from line 11) REFUND OF
,
.
2
$1 OR LESS will be issued ONLY if you attach a written request to this return ......................... 15.
SIGN HERE
– Returns which are not signed will NOT be processed (joint returns must be signed by BOTH spouses, even if only one had income).
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.
Your Signature
Date
Spouse's Signature
Date
DO NOT USE SPACE BELOW
Signature of preparer other than taxpayer
Date
Address of preparer
Telephone
MAIL TO: West Virginia State Tax Department,
P.O. Box 1071, Charleston, WV 25324-1071

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