Form It-141 - West Virginia Fiduciary Income Tax Return - 2015

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IT-141
West Virginia Fiduciary Income Tax Return
2015
REV 7-15
(for resident and non-resident estates and trusts)
Estate or
FEIN
Trust Name
Trustee
Executor Name
First Line of Address
Second Line of Address
—
City
State
Zip code
Filing Period
Extended Due
Fiscal Year Filer
Ended
Date
MM
DD
YYYY
MM
DD
YYYY
Check if Applicable:
Check one:
Final
Amended
Resident
Non-Resident
Type of
Simple Trust
Decedent’s Estate
Qualified Funeral Trust
Complex Trust
Entity:
Bankruptcy Estate
Grantor Type Trust
Qualified Funeral Trust Composite
Date of
Decedent
SSN: ______________________________________
Death:
Info:
MM
DD
YYYY
Final Individual Return Filed for Decedent
1
.00
1.
Federal taxable income (enter line 22, Federal Form 1041 or line 12, 1041-QFT)..............................................
2
.00
2.
West Virginia fiduciary additions (Schedule B, line 6)..........................................................................................
3
.00
3.
West Virginia fiduciary subtractions (Schedule B, line 11)...................................................................................
4
.00
4.
West Virginia taxable income (sum of lines 1 and 2 minus line 3).......................................................................
IF THIS IS A SIMPLE TRUST HAVING NO TAXABLE INCOME, OMIT LINES 5-7
5
.00
5.
West Virginia tax (check one)
Rate Schedule
Schedule NR.......................................................
6
.00
6.
Credits from Tax Credit Recap Schedule (see schedule page 4)........................................................................
7
.00
7.
Adjusted tax due (line 5 minus line 6)..................................................................................................................
.00
8
8.
Non-resident income subject to tax (total of Schedule A, column F)...................................................................
9
.00
9.
West Virginia income tax paid for non-resident beneficiaries (total of Schedule A, Column H)...........................
10
.00
10. Combined tax due (sum of lines 7 and 9)............................................................................................................
11. West Virginia fiduciary income tax withheld (See Instructions)
11
.00
CHECK HERE IF WITHHOLDING IS FROM NRSR (NON RESIDENT SALE OF REAL ESTATE)................
12
.00
12. Estimated payments/payments with extension of time........................................................................................
13
.00
13. Paid with original return (amended return only)...................................................................................................
14
.00
14. Overpayment previously refunded or credited (amended return only).................................................................
15
.00
15. Total payments (sum of lines 11, 12, and 13 minus line 14)................................................................................
16
.00
16. Balance of tax due (line 10 minus line 15)...........................................................................................................
17
.00
17. Overpayment (if line 15 is larger than line 10, enter amount)...............................................................................
18
.00
18. Amount of line 17 to be credited to next year’s tax..............................................................................................
19
.00
19. Amount to be refunded (line 17 minus line 18)....................................................................................................
IRC § 671-678 Grantor Trust Election
*p35201501w*
-1-

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