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IT-141 WEST VIRGINIA FIDUCIARY INCOME TAX RETURN
REV 03/2022 (for resident and non-resident estates and trusts)
2022
Estate or FEIN
Trust Name
Trustee Executor
Name
FIRST LINE OF SECOND LINE OF
ADDRESS ADDRESS
CITY STATE ZIP
FILING PERIOD EXTENDED FISCAL YEAR FILER CHECK ONE: CHECK IF APPLICABLE:
ENDED DUE DATE
MM DD YYYY MM DD YYYY Resident Non-Resident Final Amended
TYPE OF ENTITY
SIMPLE COMPLEX DECEDENT’S CH7 CH11 QUALIFIED POOLED ESBT GRANTOR
TRUST TRUST ESTATE DISABILITY TRUST INCOME FUND (S portion only) TYPE TRUST
Bankruptcy estate
DECEDENT Date of Death SSN Final Individual Return
INFO MM/DD/YYYY Filed for Decedent
1. Federal taxable income (enter line 23, Federal Form 1041 or line 11, 1041-QFT) ............................................. 1 .00
2. West Virginia fiduciary additions (Schedule B, line 6) ........................................................................................ 2 .00
3. West Virginia fiduciary subtractions (Schedule B, line 11) .................................................................................. 3 .00
4. West Virginia taxable income (sum of lines 1 and 2 minus line 3) ...................................................................... 4 .00
IF THIS IS A SIMPLE TRUST HAVING NO TAXABLE INCOME, OMIT LINES 5-7
5. West Virginia tax (check one) Rate Schedule Schedule NR ................................................... 5 .00
6. Credits from Tax Credit Recap Schedule (see schedule page 6) ........................................................................ 6 .00
7. Adjusted tax due (line 5 minus line 6) .................................................................................................................. 7 .00
8. Non-resident income subject to tax (total of income for Bene ficiaries, column F) ............................................... 8 .00
9. West Virginia income tax paid for non-resident bene ficiaries (total of Withholding for Bene ficiaries, Column H) 9 .00
10. Combined tax due (sum of lines 7 and 9) .............................................................................................................. 10 .00
11. West Virginia fiduciary income tax withheld (See Instructions)
CHECK HERE IF WITHHOLDING IS FROM NRSR (NON RESIDENT SALE OF REAL ESTATE) ................................................... 11 .00
12. Estimated payments/payments with extension of time ......................................................................................... 12 .00
13. Paid with original return (amended return only) .................................................................................................... 13 .00
14. Overpayment previously refunded or credited (amended return only) ................................................................. 14 .00
15. Total payments (sum of lines 11, 12, and 13 minus line 14) .................................................................................. 15 .00
16. Balance of tax due (line 10 minus line 15) ............................................................................................................ 16 .00
17. Overpayment (if line 15 is larger than line 10, enter amount) ................................................................................ 17 .00
18. Amount of line 17 to be credited to next year’s tax 18 .00
19. Amount to be refunded (line 17 minus line 18) .... 19 .00
*P35202201W*
P35202201W
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