It-140 - West Virginia Personal Income Tax Return - 2015

ADVERTISEMENT

IT-140
2015
West Virginia Personal Income Tax Return
REV 10-15
Extended
Check box ONLY if you are a
Year End
Due Date
¿VFDO \HDU ¿OHU
MM
DD
YYYY
MM
DD
YYYY
Deceased
Deceased
SOCIAL
*SPOUSE’S SOCIAL
Prime
Spouse
SECURITY
SECURITY NUMBER
NUMBER
Date of Death
Date of Death
Last Name
6XI¿[
Your First Name
MI
Spouse’s Last Name – Only if different from Last Name above
6XI¿[
Spouse’s First Name
MI
First Line of Address
Second Line of Address
City
State
Zip Code
Telephone Number:
__________________________________________
Amended
Net Operating
Filing as a nonresident/part-year resident
)RUP :9 ¿OHG DV
Check before 4/18/16 if you wish to stop the
return
Loss
(See instructions on Page 15)
an injured spouse
original debit (amended return only)
Exemptions: (If someone can claim you as a dependent, leave
Yourself (a)
Enter “1” in boxes a
{
Filing Status
and b if they apply
box (a) blank.)
Spouse (b)
(Check One)
F /LVW \RXU GHSHQGHQWV ,I PRUH WKDQ ¿YH GHSHQGHQWV FRQWLQXH RQ 6FKHGXOH '3
Enter total number here..................................................................................................................................................... (c)
First name
Last name
Social Security Number
1
Single
'DWH RI %LUWK 00 '' <<<<
2
Head of Household
3
Married, Filing Joint
4
Married, Filing Separate
*Enter spouse’s SS# and
name in the boxes above
d. Additional exemption if surviving spouse (see page 20)
5
Widow(er) with
Enter decedents SSN:
______________________
_____________________
<HDU 6SRXVH 'LHG
(d)
dependent child
e. Total Exemptions (add boxes a, b, c, and d). Enter here and on line 6 below. If box e is zero, enter $500 on line 6 below. (e)
1
.00
1. Federal Adjusted Gross Income or income to claim senior citizen tax credit from Schedule SCTC-1..................
2
.00
 $GGLWLRQV WR LQFRPH OLQH  RI 6FKHGXOH 0 
3
.00
 6XEWUDFWLRQV IURP LQFRPH OLQH  RI 6FKHGXOH 0 
4
.00
4. West Virginia Adjusted Gross Income (line 1 plus line 2 minus line 3).................................................................
5
.00
5. Low-Income Earned Income Exclusion (see worksheet on page 24 of the instruction booklet)...........................
6
.00
________
x $2,000 ...................................................
 7RWDO ([HPSWLRQV DV VKRZQ DERYH RQ ([HPSWLRQ %R[ H
7
.00
7. West Virginia Taxable Income (line 4, minus lines 5 & 6) IF LESS THAN ZERO, ENTER ZERO .......................
 ,QFRPH 7D[ 'XH &KHFN 2QH
8
.00
Tax Table
Rate Schedule
1RQUHVLGHQW3DUW\HDU UHVLGHQW FDOFXODWLRQ VFKHGXOH
9
.00
9. Family Tax Credit if applicable (see required schedule on page 14).....................................................................
10
.00
10. Total Taxes Due (line 8 minus line 9).........................................................
TAX DEPT USE ONLY
*p40201501F*
3$<0(17
CORR
SCTC
NRSR
HEPTC
3/$1
–1–

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2