PDF document
- 1 -

Enlarge image
     Schedule 
            M         B
     Form IT-140              MODIFICATIONS TO ADJUSTED GROSS INCOME                                                                                                      2022
Modi cations Decreasing Federal Adjusted Gross Income                                                                                  Column A (You)                Column B (Spouse)
27. Interest or dividends received on United States or West Virginia obligations, or 
    allowance for government obligation income, included in federal adjusted gross income                                                                         .00                  .00
    but exempt from state tax                                                                                                        27
28. Total amount of any bene t (including survivorship annuities) received from certain 
    federal retirement systems by retired federal law enforcement o  cers ........................                                  28                           .00                  .00
29. Total amount of any bene  t(including survivorship annuities) received from WV 
    state or local police, deputy sheri s’ or  remen’s retirement system, Excluding PERS                                                                        .00                  .00
    – see page 23 .................................................................................................................  29
30. Military Retirement Modi cation .....................................................................................
                                                                                                                                     30                           .00                  .00
31. Other Retirement Modi cation             Column A (You)        Column B (Spouse)
(a)  West Virginia Teachers’ and 
     Public Employees’ Retirement                        .00                          .00                                               Add lines 31 (a) and (b). If that sum is greater than $2000, enter $2000
(b)Federal   Retirement Systems 
    (Title 4 USC §111)                                   .00                          .00                                            31                           .00                  .00
32. Social Security Bene ts                                                                                                                     You cannot claim this modi cation if 
(a) TOTAL Social Security Bene ts.                      .00                          .00                                                                your Federal AGI exceeds
                                                                                                                                        $ 50,000 for SINGLE or MARRIED SEPARATE       lers
(b) Bene ts exempt for Federal tax                                                                                                     $100,000 for MARRIED JOINT  lers 
    purposes                                             .00                          .00
(c) Bene ts taxable for Federal tax purposes (line a minus line b) .....................................                            32                           .00                  .00

33. Certain assets held by subchapter S Corporation bank..................................................                           33                           .00                  .00
34. Active Duty Military pay for personnel with West Virginia Domicile  
    (See instructions on page 18) ........................................................................................           34                           .00                  .00
35. Active Military Separation (see instructions on page 18)  
    Must enclose military orders and discharge papers .......................................................                        35                           .00                  .00

36. Refunds of state and local income taxes received and reported as income to the IRS ...                                           36                           .00                  .00
37. Contributions to the West Virginia Prepaid Tuition/Savings Plan Trust Funds 
    Annual Statement must be included ...............................................................................                37                           .00                  .00

38. Railroad Retirement Board Income received ..................................................................                     38                           .00                  .00

39. Long-Term Care Insurance ............................................................................................            39                           .00                  .00

40. IRC 1341 Repayments ...................................................................................................          40                           .00                  .00

41. Autism Modi cation (instructions on page 19) ................................................................                   41                           .00                  .00
42. ABLE Act  
    Annual Statement must be included ...............................................................................                42                           .00                  .00
43. West Virginia Jumpstart Savings Program deposits made (not to exceed $25000)
    Annual Statement must be included................................................................................                43                           .00                  .00
44. PBGC Modi cation ..................... 
(a)  retirement bene ts that would have been            .00                          .00                                               Subtract line 44 (b) from (a)
    paid from your employer-provided plan                                                                                            
(b) retirement bene  tsactually received  
    from PBGC                                            .00                          .00                                            44                           .00                  .00

45. Quali ed Opportunity Zone business income .................................................................                     45                           .00                  .00
                                                                    Modi cations Decreasing Federal Adjusted Gross Income
                                                                    Continues on next page

     *P40202203A*
          P40202203A
                                                                            –3–



- 2 -

Enlarge image
     Schedule 
        M        B
     Form IT-140    MODIFICATIONS TO ADJUSTED GROSS INCOME                                                                                 2022
Modi cations Decreasing Federal Adjusted Gross Income                                                                 Column A (You)      Column B (Spouse)
          (  a)        (b)                       (c)     (d) 
      Year of         Year of  Income not included       Add 
          birth     disability in lines 33 to 45         lines 27                                                      Subtract line 46 column (d) from (c) 
46.   (65 or older)            (NOT TO EXCEED $8000)     through 32                                                                 (If less than zero, enter zero) 
You
                                                     .00            .00                                                                .00
Spouse
                                                     .00            .00                                             46                                              .00

47. Surviving spouse deduction (instructions on page 26) ....................................................       47                 .00                          .00

48. Add lines 27 through 47 for each column ....................................................................... 48                 .00                          .00

49. Total Subtractions (line 48, Col A plus line 48,Col B)   Enter here and on line 3 of FORM IT-140 .............................                                  .00

Modi cations Increasing Federal Adjusted Gross Income 
Do not provide negative amounts in this section. 

50. Interest or dividend income on federal obligations which is exempt from federal tax but subject to state tax                    50                              .00

51. Interest or dividend income on state and local bonds other than bonds from West Virginia sources ...........                    51                              .00

52. Interest on money borrowed to purchase bonds earning income exempt from West Virginia tax...................                    52                              .00

53. Qualifying 402(e) lump-sum income NOT included in federal adjusted gross income but subject to state tax                        53                              .00

54. Other income deducted from federal adjusted gross income but subject to state tax ..................................            54                              .00

55. Withdrawals from a WV Prepaid Tuition/Savings Plan Trust Funds  NOT used for payment of qualifying expenses                     55                              .00

56. ABLE ACT withdrawals NOT used for qualifying expenses ......................................................................... 56                              .00

57. West Virginia Jumpstart Savings Program withdrawals NOT used for qualifying expenses .............................              57                              .00

58. TOTAL ADDITIONS (Add lines 50 through 57). Enter here and on Line 2 of Form IT-140 ..........................                   58                              .00

                                                                                                                       *P40202204A*
                                                                                                                       P40202204A
                                                         –4–






PDF file checksum: 3323480850

(Plugin #1/9.12/13.0)