Schedule J - West Virginia Military Incentives Credit
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3Rev. 07-11
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
Name & Social Security
(if disabled – enter
Employment during
Number
percent of disability.)
tax year.
Disabled
__%
Name (Last, First, MI)
Disadvantaged
30%
Beg. _____________
a
National Guard
25%
$ _____________
$ _____________
________________________
or
End _____________
Reserves
25%
SSN ____________________
Disabled
__%
Name (Last, First, MI)
Disadvantaged
30%
Beg. _____________
b
National Guard
25%
$ _____________
$ _____________
________________________
or
End _____________
Reserves
25%
SSN ____________________
Disabled
__%
Name (Last, First, MI)
Disadvantaged
30%
Beg. _____________
c
National Guard
25%
$ _____________
$ _____________
________________________
or
End _____________
Reserves
25%
SSN ____________________
Disabled
__%
Name (Last, First, MI)
Disadvantaged
30%
Beg. _____________
d
National Guard
25%
$ _____________
$ _____________
________________________
or
End _____________
Reserves
25%
SSN ____________________
Disabled
__%
Name (Last, First, MI)
Disadvantaged
30%
Beg. _____________
e
National Guard
25%
$ _____________
$ _____________
________________________
or
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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