Form Wv/it-140es - Individual Estimated Income Tax Payment printable pdf download

Form Wv/it-140es - Individual Estimated Income Tax Payment

STATE OF WEST VIRGINIA

State Tax Department, Tax Account Administration Div

P. O. Box 342

Charleston, WV 25322-0342

Name

Address

Account #:

City

State

Zip

WV/IT-140ES

rtL063 v 8-Web

INDIVIDUAL ESTIMATED INCOME TAX PAYMENT

Taxpayers required to file electronically will no longer receive returns for the tax types subject to the

mandatory requirement by mail. Please visit for additional information.

Taxable Year End:

Payment Due Date:

Your Social Security Number:

Spouse's Social Security Number:

Part 1: Payment

Amount of This Payment

Part 2: Change of Address

Check here and complete the CHANGE OF ADDRESS if any information preprinted on this form is incorrect or changed:

Name(s):

Mailing Address:

City:

State and Zip Code:

MAKE CHECK PAYABLE AND MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT

TAX ACCOUNT ADMINISTRATION DIVISION

PO BOX 342, CHARLESTON, WV 25322-0342

FOR ASSISTANCE CALL

(304) 558-3333

TOLL FREE WITHIN WV

(800) 982-8297

For more information visit our web site at:

File online at: https://mytaxes.wvtax.gov

Form Wv/it-140es - Individual Estimated Income Tax Payment