Form It-140 Nrc- West Virginia Nonresident Composite Return

IT-140 NRC

West Virginia

Nonresident COMPOSITE Return

REV 9-12

Period

Amended

Beginning:

Ending:

Return

MM-DD-YYYY

Name of S Corporation, partnership, estate, or trust

FEIN

A processing fee of

Mailing Address

MM-DD-YYYY

$50.00

Extended Due Date

must be submitted

City

State

Zip Code

with this return

Telephone Number

Partnership

S Corp.

Estate or

Entity Type

Trust

1. Total West Virginia Source Income as reported on S corporation, partnership,

estate, or trust return...................................................................................................

.00

2. Tax (line 1 multiplied by 6.5%)......................................

.00

3. Composite return processing fee..................................

50.00

4. Total taxes and fees due (line 2 plus line 3)................................................................

.00

5. West Virginia income tax withheld – you must

complete the IT-140NRCW West Virginia Nonresident

Composite Withholding Tax Schedule to support this

amount.........................................................................

.00

6. Estimated Tax Payments and payments made with

extensions of time........................................................

.00

7. Total amount from Credit Recap Schedule...................

.00

8. Payment made with original return (amended return

only).............................................................................

.00

9. Sum of payments (add lines 5 through 8)...................

.00

10. Overpayment previously credited or refunded (Amended return only)......................

.00

11. Balance due the State (add line 4 and 10; subtract line 9)........................................

***Enclose payment but do NOT attach!***

.00

12. Overpayment (subtract line 4 from line 9; subtract line 10).......................................

.00

13. Credit to next year’s estimated tax............................. 13

.00

14. Refund (subtract line 13 from line 12).......................................................................

.00

Direct

Deposit

ING

SAVINGS

CHECK

of Refund

ROUTING NUMBER

ACCOUNT NUMBER

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. If prepared by a person other than the taxpayer, his certification is based on all information of which he has any

knowledge.

Signature of partner, corporate officer, trustee, executor, or administrator

Title

Date

Signature of preparer other than above

Date

Address

Title

MAIL TO

*p31201201w*

REFUND

BALANCE DUE