Form It-140 Nrc - West Virginia Nonresident Composite Return - 2011 Page 4
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52011 West Virginia Non Resident Composite
IT-140 NRC-W
Withholding Tax Schedule
Do NOT send K-1s and/or WV/NRW-2s with your return.
Enter WV withholding information below.
ENTITY NAME SHOWN
FEIN
ON FORM
IT-140NRC
1
B - Employee or Taxpayer Information
C - WV Tax Withheld
A - Employer or Payer Information
.00
WV WITHOLDING
Name
Employer or payer ID from K-1 and/or WV/NRW-2
Check appropriate box.
Employer or payer name
K-1
WV/NRW-2
Social Security Number
Address
Enter State Abbreviation
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
2
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from K-1 and/or WV/NRW-2
Check appropriate box.
Employer or payer name
K-1
WV/NRW-2
Social Security Number
Address
Enter State Abbreviation
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
3
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from K-1 and/or WV/NRW-2
Check appropriate box.
Employer or payer name
K-1
WV/NRW-2
Social Security Number
Address
Enter State Abbreviation
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
4
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from K-1 and/or WV/NRW-2
Check appropriate box.
Employer or payer name
K-1
WV/NRW-2
Social Security Number
Address
Enter State Abbreviation
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
.00
Total WV tax withheld from column C above
If you have WV withholding on multiple pages, add the totals together and enter the GRAND total on line 5, Form IT-140NRC
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