The document is a declaration form for electronic filing of an individual West Virginia state income tax return for 2008. It includes sections to provide taxpayer identification and filing status information, direct deposit or withdrawal instructions, and a declaration by the taxpayer that the information provided agrees with the tax return and is true to the best of their knowledge. The checklist at the end reminds taxpayers not to send a copy of the return and to retain supporting documents for three years in case the state tax department requests them.