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West Virginia Nonresident COMPOSITE
                                                                                              Income Tax Return
                                                                                                           Or other taxable year
                                      IT-140NRC                                     Period                                                        Period
                                  Rev.10/07                                         Beginning                                                     Ending
                                                                                                         MM          DD                                            MM           DD         YYYY
                                                                                                                                 YYYY
                                                                                                                                                                                      West Virginia Identification Number
                                                    E      Name of S corporation, partnership, estate or trust
                                            PRINT


                                           ORTYPE
                                                           Mailing address                                                                                    State                          Enter Extended Due Date
                                           BLUE OR

                                                           City, Town, or Post Office                                                                       Zip Code
                                                                                                                                                                                                             YYYY
                                                                                                                                                                                            MM         DD
                                          BLACK INK



                                                 TYPE OF ENTITY                              AMENDED RETURN (check box):
                                                                                                                                                                                                  Telephone Number
                                                        (check one)
                                                                                        Form IT-140NRC is for use by an entity electing to file a composite return for a
                                                          S corporation
                                                                                        S corporation, partnership, estate or trust to report the West Virginia taxable income of its
                                                          Partnership
                                                                                        nonresident shareholders, partners or beneficiaries, and to make payment of the tax due on
                                                          Estate or Trust
                                                                                        behalf of the shareholders, partners or beneficiaries, in lieu of individual reporting.


                                              A PROCESSING FEE OF $50.00 MUST BE SUBMITTED WITH THIS RETURN!
                                            1.      TOTAL WEST VIRGINIA SOURCE INCOME as reported
                                                                                                                                                                                                       1                  00
                                                    on S corporation, partnership, estate or trust return ...........................................................................

                                                                                                                                                                                                       2                  00
                                            2.      TAX (line 1 multiplied by 6.5%) ................................................................................................................

                                                                                                                                                                                                       3             50 00
                                            3.      COMPOSITE RETURN PROCESSING FEE ..........................................................................................

                                                                                                                                                                                                       4                  00
                                            4.      TOTAL TAXES AND FEES DUE (line 2 plus line 3) ..................................
                                            5.      WEST VIRGINIA INCOME TAX WITHHELD
                                                    you must attach legible NRW-2's to support this amount ...................... 5                                                          00
                                            6.      ESTIMATED TAX PAYMENTS and payments made
                                                    with extensions of time (complete Schedule 1 on reverse) ................... 6                                                           00
                                                    BUSINESS TAX/INVESTMENT/EMPLOYMENT CREDITS ....................... 7                                                                     00
                                            7.

                                                                                                                                                                                                       8                  00
                                            8.      SUM OF PAYMENTS (add lines 5 through 7) ........................................................................................

                                                                                                                                                                                                       9                  00
                                            9.      BALANCE DUE THE STATE (subtract line 8 from line 4) ...................................................................
                                                           Check Here           If Payment By Credit/Debit Card
                                                                                                                                                                                                       10                 00
                                           10. OVERPAYMENT (subtract line 4 from line 8) ............................................
      Enclose But Do Not Attach Payment




                                           11. CREDIT TO NEXT YEARS ESTIMATED TAX .............................................. 11                                                          00
                                           12. REFUND (subtract line 11 from line 10) ................................................................................................ 12                                 00
                                              DIRECT
                                                                           Routing Number
                                              DEPOSIT
                                                                                                                                                                                             Checking           Savings
                                                                          Account Number
                                              OF REFUND

                                                              Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and
                                            SIGN HERE.
                                             statements, and to the best of my knowledge and belief it is true, correct, and complete. If prepared by a person other than the taxpayer,
                                             his certification is based on all information of which he has any knowledge.

                                             Signature of partner, corporate officer, trustee, executor or administrator                                           Title                                    Date


                                             Signature of preparer other than above                                                             Address                                                     Title
                                                                                         MAIL TO:
                                                                                         REFUND                                BALANCE DUE



                                                                                                                                                                    *P31200701A*
                                                                                         WV State Tax Department               WV State Tax Department
                                          Preparer’s EIN                                 P.O. Box 1071                         P.O. Box 3694
                                                                                         Charleston, WV 25324-1071             Charleston, WV 25336-3694
-1-
SCHEDULE 1
                                                                           TAX PAYMENTS
            Enter the requested information in each column below to identify each payment to be applied to the tax liability for this return.

                      Type of Return                        Tax Identification Number
                                                                  from Return
                  Submitted with Payment                                                                  Date of Payment                 Amount of Payment

       1.

       2.

       3.

       4.

       5.

       6.

       7.

       8.

            TOTAL PAYMENTS. Enter this total on line 6 of Form IT-140NRC ..............................................................



                                                  WEST VIRGINIA COMPOSITE INCOME TAX RETURN
      Nonresident individuals who are partners in a partnership, shareholders in a S-corporation, or beneficiaries of an estate or trust, that
      derives income from West Virginia sources may elect to file a composite nonresident income tax return upon payment of a $50 processing
      fee for each composite return filed.

      A composite return is a return filed by a pass-through entity for its nonresident distributees who consent to be included in the composite
      return.

      The pass through entity filing a composite return is responsible for maintaining a list, which must set forth the name, address, taxpayer
      identification number, and percent of ownership or interest in the pass-through entity, of those nonresident individuals included in the
      composite return. The list should NOT be submitted with the composite return, but should be made available to the WV State Tax
      Department upon request.

      There is no requirement that all nonresident distributees join in filing a composite return.

      When determining the amount of tax due, West Virginia taxable income is determined as if there is only one taxpayer. No personal
      exemptions are allowed and tax must be calculated using the 6.5% rate of tax.

      A composite return need not be signed by the individuals included in the return. It must be signed by a partner of the partnership, an officer
      of the S-corporation, a trustee of the trust, or the executor or administrator of the estate, filing the composite return.

      The pass-through entity filing the return is responsible for collection and remittance of the income tax shown due on the return.

      An election to file a composite return does not prevent the nonresident from filing his or her separate nonresident return, FORM IT-140NR/
      PY, and such return is required if the nonresident has taxable income from any other West Virginia source. If a separate return is filed,
      the nonresident must include in that return the West Virginia income the nonresident derives from the pass-through entity filing the
      composite return and may claim credit for his or her share of West Virginia income tax remitted with the composite return.

      Payment of tax can be paid by check certified funds, or credit/debit card. If payment is by credit/debit card, call 1-800-2PAYTAX or access
      on the internet at www.officialpayments.com as provuided by Official Payments Corporation, a private credit card payment services
      provider. A convenience fee of 2.5% will be charged to the card by the provider. The state receives no part of the fee. Once the transaction
      is complete, a confirmation number will be given to show the payment was received.

      Contact the Taxpayer Services Division at (304) 558-3333 or 1-800-982-8297 (toll-free within West Virginia) if you need additional information.




-2-                                                                                                                                                           -2-

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WV Nonresident Composite Income Tax Return

  • 1. West Virginia Nonresident COMPOSITE Income Tax Return Or other taxable year IT-140NRC Period Period Rev.10/07 Beginning Ending MM DD MM DD YYYY YYYY West Virginia Identification Number E Name of S corporation, partnership, estate or trust PRINT ORTYPE Mailing address State Enter Extended Due Date BLUE OR City, Town, or Post Office Zip Code YYYY MM DD BLACK INK TYPE OF ENTITY AMENDED RETURN (check box): Telephone Number (check one) Form IT-140NRC is for use by an entity electing to file a composite return for a S corporation S corporation, partnership, estate or trust to report the West Virginia taxable income of its Partnership nonresident shareholders, partners or beneficiaries, and to make payment of the tax due on Estate or Trust behalf of the shareholders, partners or beneficiaries, in lieu of individual reporting. A PROCESSING FEE OF $50.00 MUST BE SUBMITTED WITH THIS RETURN! 1. TOTAL WEST VIRGINIA SOURCE INCOME as reported 1 00 on S corporation, partnership, estate or trust return ........................................................................... 2 00 2. TAX (line 1 multiplied by 6.5%) ................................................................................................................ 3 50 00 3. COMPOSITE RETURN PROCESSING FEE .......................................................................................... 4 00 4. TOTAL TAXES AND FEES DUE (line 2 plus line 3) .................................. 5. WEST VIRGINIA INCOME TAX WITHHELD you must attach legible NRW-2's to support this amount ...................... 5 00 6. ESTIMATED TAX PAYMENTS and payments made with extensions of time (complete Schedule 1 on reverse) ................... 6 00 BUSINESS TAX/INVESTMENT/EMPLOYMENT CREDITS ....................... 7 00 7. 8 00 8. SUM OF PAYMENTS (add lines 5 through 7) ........................................................................................ 9 00 9. BALANCE DUE THE STATE (subtract line 8 from line 4) ................................................................... Check Here If Payment By Credit/Debit Card 10 00 10. OVERPAYMENT (subtract line 4 from line 8) ............................................ Enclose But Do Not Attach Payment 11. CREDIT TO NEXT YEARS ESTIMATED TAX .............................................. 11 00 12. REFUND (subtract line 11 from line 10) ................................................................................................ 12 00 DIRECT Routing Number DEPOSIT Checking Savings Account Number OF REFUND Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and SIGN HERE. statements, and to the best of my knowledge and belief it is true, correct, and complete. If prepared by a person other than the taxpayer, his certification is based on all information of which he has any knowledge. Signature of partner, corporate officer, trustee, executor or administrator Title Date Signature of preparer other than above Address Title MAIL TO: REFUND BALANCE DUE *P31200701A* WV State Tax Department WV State Tax Department Preparer’s EIN P.O. Box 1071 P.O. Box 3694 Charleston, WV 25324-1071 Charleston, WV 25336-3694 -1-
  • 2. SCHEDULE 1 TAX PAYMENTS Enter the requested information in each column below to identify each payment to be applied to the tax liability for this return. Type of Return Tax Identification Number from Return Submitted with Payment Date of Payment Amount of Payment 1. 2. 3. 4. 5. 6. 7. 8. TOTAL PAYMENTS. Enter this total on line 6 of Form IT-140NRC .............................................................. WEST VIRGINIA COMPOSITE INCOME TAX RETURN Nonresident individuals who are partners in a partnership, shareholders in a S-corporation, or beneficiaries of an estate or trust, that derives income from West Virginia sources may elect to file a composite nonresident income tax return upon payment of a $50 processing fee for each composite return filed. A composite return is a return filed by a pass-through entity for its nonresident distributees who consent to be included in the composite return. The pass through entity filing a composite return is responsible for maintaining a list, which must set forth the name, address, taxpayer identification number, and percent of ownership or interest in the pass-through entity, of those nonresident individuals included in the composite return. The list should NOT be submitted with the composite return, but should be made available to the WV State Tax Department upon request. There is no requirement that all nonresident distributees join in filing a composite return. When determining the amount of tax due, West Virginia taxable income is determined as if there is only one taxpayer. No personal exemptions are allowed and tax must be calculated using the 6.5% rate of tax. A composite return need not be signed by the individuals included in the return. It must be signed by a partner of the partnership, an officer of the S-corporation, a trustee of the trust, or the executor or administrator of the estate, filing the composite return. The pass-through entity filing the return is responsible for collection and remittance of the income tax shown due on the return. An election to file a composite return does not prevent the nonresident from filing his or her separate nonresident return, FORM IT-140NR/ PY, and such return is required if the nonresident has taxable income from any other West Virginia source. If a separate return is filed, the nonresident must include in that return the West Virginia income the nonresident derives from the pass-through entity filing the composite return and may claim credit for his or her share of West Virginia income tax remitted with the composite return. Payment of tax can be paid by check certified funds, or credit/debit card. If payment is by credit/debit card, call 1-800-2PAYTAX or access on the internet at www.officialpayments.com as provuided by Official Payments Corporation, a private credit card payment services provider. A convenience fee of 2.5% will be charged to the card by the provider. The state receives no part of the fee. Once the transaction is complete, a confirmation number will be given to show the payment was received. Contact the Taxpayer Services Division at (304) 558-3333 or 1-800-982-8297 (toll-free within West Virginia) if you need additional information. -2- -2-