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Form It-141 - West Virginia Fiduciary Income Tax Return (For Resident And Non-Resident Estates And Trusts) - 2011 Page 6

Extension Of Time To File Fiduciary and Information Returns

NOTE: This form is to be used for requesting an extension of time to file the fiduciary return and for making tentative payments. This

form is not a substitute for filing the annual tax returns.

WHO MAY FILE - Any Estate or Trust needing an extension of time to file the West Virginia Fiduciary Income Tax Return (Form IT-

141) and expects to owe tax must file the voucher below. Any taxpayer granted an extension of time to file a federal return is granted

the same extension of time to file their West Virginia return. An extension of time for filing does not extend the time for payment. To

avoid interest and additions to tax for late payment, use this return to make a tentative payment pending the filing of your annual return.

WHEN TO FILE - An Estate or Trust annual West Virginia Fiduciary Income Tax return is due on or before the fifteenth day of the

fourth month following the end of the tax year.

HOW AND WHERE TO FILE - Payment of any tax balance due may be made by completing voucher below, detaching and mailing

to:

West Virginia State Tax Department

Tax Account Administration Division

P. O. Box 11751

Charleston, West Virginia 25339-1751

Make check payable to: West Virginia State Tax Department

CLAIMING OF TENTATIVE PAYMENT - A tentative payment made by filing this voucher must be claimed on line 13 of your

West Virginia Fiduciary Income Tax Return (Form IT-141).

PLEASE CUT HERE. USE BLUE OR BLACK INK TO COMPLETE VOUCHER. DO NOT WRITE IN BARCODE AREA.

IT-141T

West Virginia

EXTENSION OF TIME TO FILE

v. 1/10

State Tax Department

Fiduciary Tax

IT14111 v.2-Web

1. Period Ending

2. FEIN

3. Amount Enclosed

.00

Name

Address

City

State

Zip

Form It-141 - West Virginia Fiduciary Income Tax Return (For Resident And Non-Resident Estates And Trusts) - 2011 Page 6