Form Nrw-2 - Statement Of West Virginia Income Tax Withheld For Nonresident Individual Or Organization

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Statement of west Virginia income Tax
nRw-2
withheld for nonresident individual or organization
REV 8-11
read Instructions on reverse Side
oRgAniZATion nAME AnD MAiling ADDRESS
nonRESiDEnT’S nAME AnD MAiling ADDRESS
Name (please type or print)
Name (please type or print)
Street or Post Office Box
Street or Post Office Box
Zip Code
Zip Code
City/Town
State
City/Town
State
West Virginia Identification Number
Federal Identification Number
Social Security Number
West Virginia Identification Number
1. Income subject to withholding
Check One:
for nonresident as reported on
$
organization’s S Corporation,
Trust
S Corporation
Partnership
Partnership or Fiduciary Return
Limited Liability Company
Estate
2. amount of West Virginia income
$
tax withheld and refunded (see
instructions).................................
Taxable Year of organization
Beginning
Ending
MM
dd
YYYY
MM
dd
YYYY
To bE FilED in ThE AbSEnCE oF FoRM wV/nRw-4, wEST ViRginiA nonRESiDEnT inCoME TAx AgREEMEnT
Statement of west Virginia income Tax
nRw-2
withheld for nonresident individual or organization
REV 8-11
read Instructions on reverse Side
oRgAniZATion nAME AnD MAiling ADDRESS
nonRESiDEnT’S nAME AnD MAiling ADDRESS
Name (please type or print)
Name (please type or print)
Street or Post Office Box
Street or Post Office Box
Zip Code
Zip Code
City/Town
State
City/Town
State
West Virginia Identification Number
Federal Identification Number
Social Security Number
West Virginia Identification Number
1. Income subject to withholding
Check One:
for nonresident as reported on
$
organization’s S corporation,
Trust
S Corporation
Partnership
Partnership or Fiduciary Return
Limited Liability Company
Estate
2. amount of West Virginia income
$
tax withheld and refunded (see
instructions).................................
Taxable Year of organization
Beginning
Ending
MM
dd
YYYY
MM
dd
YYYY
To bE FilED in ThE AbSEnCE oF FoRM wV/nRw-4, wEST ViRginiA nonRESiDEnT inCoME TAx AgREEMEnT

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