Form It-140s - West Virginia Resident Income Tax Return - Short Form - 1998

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IT-140S
West Virginia RESIDENT Income Tax Return - SHORT FORM - 1998
B
First Name
Last Name
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,
PRINT
City or Town
County
State
Zip Code
If you are filing Form WV-8379 as an
OR
injured spouse, check this box.............
TYPE
Are the name(s) and address above the same as shown on your 1997
EXEMPTIONS. Enter the total number of exemptions
return?
YES
NO If "NO", enter the name(s) and address
claimed on your federal return
(If your total number of
shown on your 1997 return.
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
L
,
$600, YOU CANNOT USE THIS FORM. YOU MUST COMPLETE THE LONG FORM (IT-140) AND
.
1
10.
FORM IT-210. MAKE CHECKS PAYABLE TO WEST VIRGINIA DEPARTMENT OF TAX AND REVENUE .......
,
.
11. OVERPAYMENT (subtract line 6 from line 9) .................................................................. 11.
,
.
12. AMOUNT TO BE CREDITED TO 1999 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.
J
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: Department of Tax and Revenue,
P.O. Box 1071, Charleston, WV 25324-1071

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