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IT-140
REV 06-22 B WEST VIRGINIA PERSONAL INCOME TAX RETURN 2022
SOCIAL Deceased **SPOUSE’S Deceased
SECURITY SOCIAL SECURITY
NUMBER Date of Death* NUMBER Date of Death*
YOUR
LAST NAME SUFFIX FIRST MI
NAME
SPOUSE’S
SPOUSE’S SUFFIX FIRST MI
LAST NAME NAME
FIRST LINE SECOND LINE
OF ADDRESS OF ADDRESS
CITY STATE ZIP CODE
EXTENDED
TELEPHONE EMAIL DUE DATE
NUMBER MM/DD/YYYY
* ONLY INLCLUDE A DECEASED TAXPAYER AND THEIR DATE OF DEATH IF IT OCCURRED IN THIS TAX YEAR. FOR THE NEXT TWO YEARS, PLEASE LIST THEM BELOW ON THE SURVIVING SPOUSE EXPEMPTION.
AMENDED RETURN NONRESIDENT SPECIAL NONRESIDENT/PART YEAR RESIDENT FORM WV-8379 FI LED AS AN INJURED SPOUSE
FILING STATUS 1 SINGLE 2 HEAD OF 3 MARRIED, 4 MARRIED, FILING SEPARATE 5 WIDOW(ER) WITH
(CHECK ONE) HOUSEHOLD FILING JOINT **Enter spouse’s SS# and name in the boxes above DEPENDENT CHILD
EXEMPTIONS
(a) YOURSELF To claim an exemption for yourself, enter 1. If someone can claim you as a dependent, leave box (a) blank.) (a)
(b) SPOUSE To claim an exemption for your spouse, enter 1. They may not be claimed as an exemption by anyone else. (b)
(c) DEPENDENTS List your dependents. If over four dependents, continue on Schedule DP on page 11. Enter total number of dependents (c)
Dependent First name Dependent Last name Social Security Number Date of Birth (MM DD YYYY)
(d) SURVIVING SPOUSE (See page 21) Decedents SSN Year Spouse Died:
(d)
(e) Total Exemptions (add boxes a, b, c, and d). Enter here and on line 6 below. If box e is zero, enter $500 on line 6 below. (e)
1. Federal Adjusted Gross Income or income to claim senior citizen tax credit from Schedule SCTC-A 1 .00
2. Additions to income (line 58 of Schedule M)............................................................................................. 2 .00
3. Subtractions from income (line 49 of Schedule M).................................................................................... 3 .00
4. West Virginia Adjusted Gross Income (line 1 plus line 2 minus line 3)...................................................... 4 .00
5. Low-Income Earned Income Exclusion (see worksheet on page 25)........................................................ 5 .00
6. Total Exemptions as shown above on Exemption Box (e) ________ x $2,000 ........................................ 6 .00
7. West Virginia Taxable Income (line 4 minus lines 5 & 6) IF LESS THAN ZERO, ENTER ZERO ............ 7 .00
8. Income Tax Due (Check One) ................................................................................................................. 8 .00
Tax Table Rate Schedule Nonresident/Part-year resident
calculation schedule
TAX DEPT USE ONLY MUST INCLUDE WITHHOLDING
PAY
PLAN COR SCTC NRSR HEPTC FORMS WITH THIS RETURN
*P40202201A*
(W-2s, 1099s, Etc.) P40202201A
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