Form It-140w - West Virginia Withholding Tax Schedule - 2013
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113
IT-140W
West Virginia Withholding Tax Schedule
REV. 3-13
W
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
PRIMaRY LaST NaME
SOCIaL
SHOWN ON FORM
SECuRITY
IT-140
NuMbER
1
a – Employer or Payer Information
b – Employee or Taxpayer Information
C – WV Tax Withheld
.00
Employer or payer ID from W-2, 1099, k-1, and/or WV/NRW-2
Name
WV WITHHOLDINg
Check the appropriate box
Employer or Payer Name
Social Security Number
W-2
1099
k-1
WV/NRW-2
address
Enter State abbreviation
.00
(from Box #15 on W-2 or Box 13 on 1099R)
enter wv withholding Only
Income Subject to WV WITHHOLDINg
City, State, ZIP
2
a – Employer or Payer Information
b – Employee or Taxpayer Information
C – WV Tax Withheld
.00
Employer or payer ID from W-2, 1099, k-1, and/or WV/NRW-2
Name
WV WITHHOLDINg
Check the appropriate box
Employer or Payer Name
Social Security Number
W-2
1099
k-1
WV/NRW-2
address
Enter State abbreviation
.00
(from Box #15 on W-2 or Box 13 on 1099R)
enter wv withholding Only
Income Subject to WV WITHHOLDINg
City, State, ZIP
3
a – Employer or Payer Information
b – Employee or Taxpayer Information
C – WV Tax Withheld
.00
Employer or payer ID from W-2, 1099, k-1, and/or WV/NRW-2
Name
WV WITHHOLDINg
Check the appropriate box
Employer or Payer Name
Social Security Number
W-2
1099
k-1
WV/NRW-2
address
Enter State abbreviation
.00
(from Box #15 on W-2 or Box 13 on 1099R)
enter wv withholding Only
Income Subject to WV WITHHOLDINg
City, State, ZIP
4
a – Employer or Payer Information
b – Employee or Taxpayer Information
C – WV Tax Withheld
.00
Employer or payer ID from W-2, 1099, k-1, and/or WV/NRW-2
Name
WV WITHHOLDINg
Check the appropriate box
Employer or Payer Name
Social Security Number
W-2
1099
k-1
WV/NRW-2
address
Enter State abbreviation
.00
(from Box #15 on W-2 or Box 13 on 1099R)
enter wv withholding Only
Income Subject to WV WITHHOLDINg
City, State, ZIP
Total WV tax withheld from column C above....................................................
.00
If you have WV withholding on multiple pages, add the totals together and
enter the GRaND total on line 11, Form IT-140
*p40201303a*
–3–
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