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    SCHEDULE 
             B
    F    IT-141            WEST VIRGINIA FIDUCIARY MODIFICATIONS 
                                                                                                                                     2022
                                                                                                                                     COLUMN II:AMOUNT ALLOCATED
                                                                                                                 COLUMN I:TOTAL      If this is a Simple Trust having 
ADDITIONS:                                                                                                                           NO Taxable Income, OMIT Col. II

1.  Interest income on state and municipal bonds, other than West Virginia .........

2.  Lump sum distribution (Federal Form 4972) .....................................................

3.  Federal exemption (Form 1041, line 21) ...........................................................

4.  Other additions – state nature and source ___________________________....

5.  Electing small business trust additions ..............................................................
6. TOTAL ADDITIONS 
    (Add Lines 1 through 5, Col. II and enter here and on Page 1, Line 2)..............
SUBTRACTIONS:                                                                                                    COLUMN I:TOTAL      COLUMN II:AMOUNT ALLOCATED

7.  Interest income on US obligations speci cally exempt from state tax ...............
8.  West Virginia exemption ....................................................................................              600.00                                                       600.00

9.  Other subtractions – state nature and source ________________________ ...

10. Electing small business trusts subtractions .......................................................
11. TOTAL SUBTRACTIONS 
    (Add Lines 7 through 10, Col. II and enter here and on Page 1, Line 3) .........
NET FIDUCIARY MODIFICATIONS                                                                                      COLUMN I:TOTAL      COLUMN II:AMOUNT ALLOCATED

12. NET FIDUCIARY MODIFICATIONS (Line 6 minus Line 11) 

Direct Deposit             
of Refund                  CHECKING                SAVINGS                           ROUTING NUMBER                                  ACCOUNT NUMBER
    PLEASE REVIEW YOUR ACCOUNT INFORMATION FOR ACCURACY. INCORRECT ACCOUNT INFORMATION MAY RESULT IN A $15.00 RETURNED PAYMENT CHARGE.
I authorize the State Tax Division to discuss my return with my preparer    YES    NO
Under penalty of perjury, I declare that I have examined this return, accompanying schedules, and statements, and to the best of my knowledge and belief, it is true, correct and complete.

_________________________________________________________________________________________________________________________
(Signature of Fiduciary or O  cer Representing Fiduciary)                                             (Date)                 (Email)

Paid          (Signature of Preparer)                                                                                                                                        (Date)
Preparer’s
Use Only
              (Preparer’s EIN)                                                 (Printed Name)                                                                 (Telephone Number)

                                                                                                                 *P35202203W*
                                                                                                                              P35202203W
                                                                                     3






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