Form It-140w - West Virginia Withholding Tax Schedule - 2011
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12011
IT-140W
West Virginia Withholding Tax Schedule
W
REV 08-11
Do NOT send W-2's, 1099's, K-1's and/or WV/NRW-2's with your return.
Enter WV withholding information below.
THIS FORM MUST BE FILED EVEN IF YOU HAVE NO INCOME OR WITHHOLDING
SOCIAL
PRIMARY LAST NAME
SECURITY
SHOWN ON FORM
NUMBER
IT-140
1
B - Employee or Taxpayer Information
C - WV Tax Withheld
A - Employer or Payer Information
.00
Name
WV WITHHOLDING
Employer or payer ID from W-2, 1099, K-1, and/or WV/NRW-2
Check appropriate box.
Employer or payer name
W-2
K-1
WV/NRW-2
1099
Social Security Number
Address
Enter State Abbreviation
(from Box #15 on W-2 or Box # 11 on 1099)
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
2
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from W-2, 1099, K-1, and/or WV/NRW-2
Check appropriate box.
Employer or payer name
W-2
WV/NRW-2
K-1
1099
Social Security Number
Address
Enter State Abbreviation
(from Box #15 on W-2 or Box # 11 on 1099)
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
3
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from W-2, 1099, K-1, and/or WV/NRW-2
Check appropriate box.
Employer or payer name
WV/NRW-2
W-2
K-1
1099
Social Security Number
Address
Enter State Abbreviation
(from Box #15 on W-2 or Box # 11 on 1099)
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
4
A - Employer or Payer Information
B - Employee or Taxpayer Information
C - WV Tax Withheld
.00
Name
WV WITHHOLDING
Employer or payer ID from W-2, 1099, K-1, and/or WV/NRW-2
Check appropriate box.
Employer or payer name
W-2
WV/NRW-2
K-1
1099W
Social Security Number
Address
Enter State Abbreviation
(from Box #15 on W-2 or Box # 11 on 1099)
.00
Enter WV withholding only
City, State, ZIP
Income Subject to WV WITHHOLDING
.00
Total WV tax withheld from column C above
If you have WV withholding on multiple pages, add the totals together and enter the GRAND total on line 11, Form IT-140.
*p40201103A*
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