31.07.2014 Views

WEST VIRGINIA FIDUCIARY INCOME TAX RETURN Filing Period ...

WEST VIRGINIA FIDUCIARY INCOME TAX RETURN Filing Period ...

WEST VIRGINIA FIDUCIARY INCOME TAX RETURN Filing Period ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

1.<br />

2.<br />

3.<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

4.<br />

5.<br />

6.<br />

7.<br />

8.<br />

9.<br />

Estate or Trust Name:<br />

NAME<br />

(A)<br />

SOCIAL<br />

SECURITY #<br />

SCHEDULE A - BENEFICIARY INFORMATION AND NON-RESIDENT WITHHOLDING <strong>TAX</strong><br />

ATTACH ADDITIONAL COPIES OF SCHEDULE AS NEEDED<br />

(B)<br />

RESIDENT<br />

NAME AND ADDRESS OF EACH BENEFICIARY<br />

STREET OR OTHER MAILING ADDRESS CITY STATE ZIP CODE<br />

<strong>WEST</strong> <strong>VIRGINIA</strong> FILING<br />

METHOD<br />

(C)<br />

COMPOSITE<br />

(D)<br />

NONRES<br />

(E)<br />

IF NRW-4<br />

ATTACHED OR<br />

PREVIOUSLY FILED<br />

(F)<br />

BENEFICIARY<br />

SHARE OF WV<br />

<strong>INCOME</strong><br />

6. TOTALS 6.5%<br />

10<br />

11.<br />

12.<br />

SCHEDULE B - <strong>WEST</strong> <strong>VIRGINIA</strong> <strong>FIDUCIARY</strong> MODIFICATIONS<br />

ADDITIONS:<br />

Interest Income on State and Municipal bonds, other than West Virginia<br />

Lump Sum Distribution (federal form 4972)<br />

Federal Exemption (form 1041, line 20)<br />

Other Additions - state nature and source ___________________________<br />

Total Additions (add lines 1 through 5, col. II enter here and on page 1, line 2)<br />

SUBTRACTIONS:<br />

COMPUTATION OF <strong>WEST</strong> <strong>VIRGINIA</strong> NON-RESIDENT BENEFICIARIES WITHHOLDING <strong>TAX</strong><br />

Electing Small Business Trusts Additions<br />

Interest Income on US Obligations specifically exempt from State Tax<br />

West Virginia Exemption<br />

Other Subtractions - state nature and source _________________________<br />

Electing Small Business Trusts Subtractions<br />

Total Subtractions (add lines 7 through 10, col. II enter here and on page 1, line 3)<br />

Net Fiduciary Modifications (line 6 minus line 11)<br />

FEIN:<br />

COLUMN I<br />

TOTAL<br />

600.00<br />

(G)<br />

RATE<br />

6.5%<br />

6.5%<br />

6.5%<br />

6.5%<br />

6.5%<br />

If this is a<br />

Simple<br />

Trust<br />

having<br />

NO<br />

Taxable<br />

Income,<br />

OMIT<br />

Col. II<br />

(H)<br />

<strong>TAX</strong> WITHHELD<br />

FOR<br />

BENEFICIARIES<br />

COLUMN II<br />

AMOUNT ALLOCATED<br />

600.00<br />

- 2 -<br />

P 3 5 0 8 0 9 0 2 W

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!