Form Spf-100t - West Virginia Extension Of Time To File Information Returns - 2011
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12011
SPF-100T
Extension of Time to File Information Returns
W
REV 8-11
See instructions
on reverse side.
EXTENDED DUE DATE
FEIN
TAX YEAR
BEGINNING
ENDING
MM
DD
YYYY
MM
DD
YYYY
BUSINESS NAME AND ADDRESS
TYPE OF ORGANIZATION:
(CHECK ONLY ONE)
Partnership Filing Form SPF-100
S Corporation Filing Form SPF-100
1
.00
1. Nonresident withholding tax due (do not include nonresident composite payments).........
2
.00
2. Business franchise tax due........................................................................................................
3
.00
3. Total tax due (add lines 1 and 2)...............................................................................................
SIGNATURE REQUIRED
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 and complete.
Signature of taxpayer
Title
Date
MAKE CHECK PAYABLE AND MAIL TO:
WEST VIRGINIA STATE TAX DEPARTMENT
TAX ACCOUNT ADMINISTRATION DIVISION
PO BOX 11751
CHARLESTON, WV 25339-1751
FOR ASSISTANCE CALL (304) 558-3333
TOLL FREE WITHIN WV 1-800-982-8297
For more information visit our website at
*b54201111W*
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