Schedule J - West Virginia Military Incentives Credit
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3Rev. 09-12
West Virginia
Schedule
J
West Virginia
Military Incentives Credit
State Tax
Department
Tax Year
Ending
Name(s) shown on tax return
Your social security number
Employer Name
Tax Identification Number
(1)
(2)
(3)
(4)
(5)
Veteran’s or Member’s
Category – Check one
Period of
Wages Paid
Credit
(if disabled check box and
Name & Social Security
Employment during
enter percent of disability.)
Number
tax year.
□
Name (Last, First, MI)
__%
Disabled
□
Beg. _____________
30%
Disadvantaged
a
$ _____________
$ _____________
________________________
□
25%
National Guard
End _____________
□
Reserves
25%
SSN ____________________
□
Name (Last, First, MI)
__%
Disabled
□
Beg. _____________
30%
Disadvantaged
b
$ _____________
$ _____________
________________________
□
25%
National Guard
End _____________
□
Reserves
25%
SSN ____________________
□
Name (Last, First, MI)
__%
Disabled
□
Beg. _____________
30%
Disadvantaged
c
$ _____________
$ _____________
________________________
□
25%
National Guard
End _____________
□
Reserves
25%
SSN ____________________
□
Name (Last, First, MI)
__%
Disabled
□
Beg. _____________
30%
Disadvantaged
d
$ _____________
$ _____________
________________________
□
25%
National Guard
End _____________
□
Reserves
25%
SSN ____________________
□
Name (Last, First, MI)
__%
Disabled
□
Beg. _____________
30%
Disadvantaged
e
$ _____________
$ _____________
________________________
□
25%
National Guard
End _____________
□
Reserves
25%
SSN ____________________
Total of column 5a through 5e.......................................................
Carry this total over to the appropriate line on your Personal Income Tax Form (IT-140) or Summary
Schedule TC of the West Virginia Corporation Net Income Tax Return (CNF-120).
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