Form It-140nr/py - West Virginia Nonresident/part-Year Resident Income Tax Return - 2000 Page 2

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COLUMN A
COLUMN B
COLUMN C
ALL INCOME DURING
WEST VIRGINIA SOURCE
INCOME FROM YOUR FEDERAL RETURN
AMOUNT FROM
PERIOD OF WEST
INCOME DURING
FEDERAL RETURN
VIRGINIA RESIDENCY
NONRESIDENT PERIOD
25
25.
Wages, salaries, tips (attach W-2's) ..............................
26
26.
Interest ..........................................................................
27
27.
Dividends ......................................................................
28.
Refunds of state and local income tax
28
(see line 72 of Schedule M) ...........................................
29
29.
Alimony received ...........................................................
30
30.
Business profit (or loss) .................................................
31
31.
Capital gains (or losses) ................................................
32
32.
Supplemental gains (or losses) ......................................
33
33.
Total taxable pensions and annuities .............................
34
34.
Farm income (or loss) ....................................................
35
35.
Unemployment compensation insurance .......................
36.
Total taxable Social Security and Railroad
Retirement benefits (see line 71 of Schedule M
36
for Railroad Retirement benefits) ...................................
37.
Other income from federal return
37
(identify source) ______________________________
38
38.
Total income (add lines 25 through 37) ..........................
ADJUSTMENTS TO YOUR INCOME
39
39.
Deductible payments to an IRA ......................................
40
40.
Moving expenses (line 26 of Form 1040) .......................
41
41.
Self employment tax deduction (line 27 of Form 1040) ...
42.
Self employment health insurance deduction
42
(line 28 of Form 1040) ...................................................
43
43.
Payments to a Keogh retirement plan .............................
44
44.
Penalty for early withdrawal of savings ...........................
45
45.
Other deductions ...........................................................
46
46.
Total deductions (add lines 39 through 45) ....................
47.
Adjusted gross income (subtract line 46 from line 38)
47
Enter the amount in Column A on line 2 of your return ...
48
48.
West Virginia income (line 47, Column B plus line 47, Column C).........................
49
49.
Income subject to West Virginia state tax but exempt from federal tax .................
50
50.
Total West Virginia income (line 48 plus line 49). Enter this amount on line 1 of your return .......................
❐
Nonresident - did not maintain a residence in West Virginia during the taxable year (NO CREDIT IS ALLOWED).
RESIDENCY
❐
STATUS
Part-Year Resident - maintained a residence in West Virginia for part of the year;
check the box which describes your situation and enter the date of your move:
❐
moved into West Virginia.
❐
moved out of West Virginia, but had West Virginia source income during your nonresident period.
❐
moved out of West Virginia and had no West Virginia source income during your nonresident period.
51
51.
Income tax computed on your 2000 ___________________ return ...........................................................
NAME OF STATE
52
52.
West Virginia total income tax (line 11 of Form IT-140NR/PY) ......................................................................
53
53.
Net income derived from above state included in West Virginia total income .................................................
54
54.
Total West Virginia income (line 50 of Schedule A) ......................................................................................
55
55.
Limitation of credit (line 52 multiplied by line 53 and divided by line 54) .........................................................
56
56.
Alternative West Virginia taxable income (line 54 minus line 53) ...................................................................
57
57.
Alternative West Virginia total income tax (see instructions to calculate tax on the amount on line 56) ..........
58
58.
Limitation of credit (line 52 minus line 57) .....................................................................................................
59
59.
Maximum credit (line 52 minus line 14 of Form IT-140NR/PY) ......................................................................
60
60.
Total credit (the SMALLEST of lines 51, 52, 55, 58, or 59). Enter on line 15 of your return ..........................
ATTACH A TRUE COPY OF THE OTHER STATE'S RETURN. FAILURE TO DO SO WILL RESULT IN THE CLAIMED
CREDIT BEING DISALLOWED. THIS CREDIT IS NOT ALLOWED IN ANY CASE FOR INCOME TAX IMPOSED BY
A CITY, TOWNSHIP, BOROUGH, OR ANY POLITICAL SUBDIVISION OF A STATE.

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