Form It-141 - West Virginia Fiduciary Income Tax Return - 2015 Page 3

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Estate or
FEIN
Trust Name
SCHEDULE NR
PART I – NONRESIDENT INCOME AND ALLOCATION
(To be completed by nonresident estates and trusts only)
COLUMN I
COLUMN II
REPORTED ON
ALLOCATED TO
INCOME
FEDERAL RETURN
WEST VIRGINIA
.00
.00
1
1
1.
Interest income (includes QFT)....................................................
2
.00
2
.00
2.
Dividends (includes QFT).............................................................
3
.00
3
.00
3.
Business income or loss...............................................................
.00
.00
4
4
4.
Capital gain or loss (includes QFT)..............................................
5
.00
5
.00
5.
Rents, royalties, partnerships, other estates and trusts, etc. ......
6
.00
6
.00
6.
Farm income or loss.....................................................................
7
.00
7
.00
7.
Ordinary gain or loss....................................................................
8
.00
8
.00
8.
Other income (state nature of income) ___________________ .
9
.00
9
.00
9.
Total income (add lines 1 through 8) ...........................................
COLUMN I
COLUMN II
REPORTED ON
ALLOCATED TO
DEDUCTIONS
FEDERAL RETURN
WEST VIRGINIA
10. Interest...........................................................................................
10
.00
10
.00
11. Taxes (includes QFT).....................................................................
11
.00
11
.00
12. Fiduciary fees (includes QFT).......................................................
12
.00
12
.00
13. Charitable deduction......................................................................
.00
.00
13
13
14. Attorney, accountant, and return preparer fees (includes QFT)....
14
.00
14
.00
15. Other deductions (see instructions for QFT).................................
15
.00
15
.00
16. Total (sum of lines 10 through 15).................................................
.00
.00
16
16
17. Adjusted total income or loss (line 9 minus line 16).......................
17
.00
17
.00
18. Income distribution deduction........................................................
18
.00
18
.00
19. Federal exemption.........................................................................
19
.00
19
.00
20. Total deductions (sum of lines 18 and 19).....................................
20
.00
20
.00
21. Taxable income of fiduciary (line 17 minus line 20).......................
21
.00
21
.00
PART II – CALCULATION OF WEST VIRGINIA TAX
22
.00
22. West Virginia taxable income (page 1, line 4)..................................................................................................
.00
23
23. Tentative tax (apply rate schedule to amount on line 22).................................................................................
24. Income percentage (carry to four decimal places
=
WV income (line 21, col. II)
24
Federal income (line 21, col. I)
●
25
.00
25. West Virginia tax (line 23 times line 24) – enter here and on page 1, line 5....................................................
*p35201503w*
-3-

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