Enlarge image | 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 fically 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 fficer Representing Fiduciary) (Date) (Email) Paid (Signature of Preparer) (Date) Preparer’s Use Only (Preparer’s EIN) (Printed Name) (Telephone Number) *P35202203W* P35202203W 3 |