Form Wv/cnf-139 - West Virginia Corporation Application For Refund From Carryback Of Net Operating Loss

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STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 1202
Charleston, WV 25324-1202
Craig A. Griffith, Tax Commissioner
Earl Ray Tomblin, Governor
Name
Address
Account #:
City
State
Zip
WEST VIRGINIA CORPORATION APPLICATION FOR REFUND FROM
CARRYBACK OF NET OPERATING LOSS
TO CARRYBACK A CAPITAL LOSS, USE FORM CNF-120 MARKED AMENDED
DO NOT ATTACH TO THE CORPORATION'S ORIGINAL INCOME TAX RETURN
LOSS YEAR
1 Loss Year Ended - state as mm/dd/yyyy
00
2 Amount of WV Net Operating Loss
CARRYBACK
$300,000
00
3 Net Operating Loss Carryback Limitation
LIMITATION
00
4 Loss Eligible for Carryback - Lessor of Line 2 or 3
Second Preceding Taxable Year Ended
First Preceding Taxable Year Ended
COMPUTATION OF
DECREASE IN TAX
(a)
(b)
5
West Virginia Net
00
00
Taxable Income
6
Net Operating Loss
00
00
Carryback Deduction
7
Net Taxable Income
00
00
after Loss Carryback
8
Net Income Tax (Attach
00
00
Computation Schedule)
9
Tax Credits (Attach
00
00
Credit Schedules)
10
Adjusted Net Income Tax
00
00
Line 8 minus Line 9
11
Net Payments (Original
Payments less Refunds
00
00
and Carryforward Credits)
12
Overpayment
00
00
13
Total Refund Claimed - add Lines 12(a) and 12(b)............................
00
Under penalties of perjury, I declare that I have examined this return (including attachments) and to the best of my knowledge and belief it is true and complete.
Signature of officer
Title
Paid preparer's signature
Date
WV/CNF-139 v.6 - Web

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