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                                                                                TaxTYear:ax Year:
                             Election to Report Based on
CIT-120OPT
Rev. 1/2021          Worldwide Unitary Combined Basis                           ____________________________

In accordance with the provisions of §11-24-13f of the West Virginia Code, election is hereby made to 
report on a worldwide unitary combined basis.  

  A worldwide unitary combined reporting election is binding for and applicable to the tax year it is 
     made and all tax years thereafter for a period of ten years. 

  It may be withdrawn or reinstituted after withdrawal, prior to the expiration of the ten-year 
     period, only upon written request for reasonable cause based on extraordinary hardship due 
     to unforeseen changes in state tax statutes, law or policy and only with the written permission 
     of the Tax Commissioner.  If the Tax Commissioner grants a withdrawal of election, he or she 
     shall impose reasonable conditions necessary to prevent the evasion of tax or to clearly re ect 
     income for the election period prior to or after the withdrawal.

  Upon the expiration of the ten-year period, a taxpayer may withdraw from the worldwide unitary 
     combined reporting election.  

  Withdrawal must be made in writing within one year of the expiration of the election and is binding 
     for a period of ten years, subject to the same conditions as applied to the original election. 

  If no withdrawal is properly made, the worldwide unitary combined reporting election shall be in 
     place for an additional ten-year period, subject to the same conditions as applied to the original 
     election.

COMPANY
NAME                                                                 FEIN

                     Date Beginning 
                     Tax Period
                                    MM            DD              YYYY

                     Date Ending 
                     Tax Period
                                    MM            DD              YYYY

Authorized Signature                Printed Name                            Date






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