West Virginia Fiduciary Income Tax
IT-141V                                                     Electronic Payment Voucher and Instructions
REV. 6-20

Do I need to use a payment voucher?
1. If you owe tax on your return, send the payment voucher to us with your payment. You must pay the amount you owe
   by the 15th day of the fourth month after your year end to avoid interest and penalties.
2. If your return shows a refund or no tax due, there is no need to use the payment voucher.

How do I prepare my payment?
1. Make your check or money order payable to the West Virginia State Tax Department. Do not send cash!
2. If your name and address are not printed on your check or money order, write them on it.
3. Write your FEIN, daytime phone number, and “Form IT-141V” on your payment.

How do I prepare my payment voucher?
1. Enter your FEIN in the   rstfi          block.
2. Enter the period ending date in the second box.
3. Enter your name(s) and address on the last three lines.
4. Mark the Amended box if payment is associated with an amended tax return to ensure the proper direction and
   processing. Failure to do so could result in the assessment of late payment penalties.

How do I send my payment and the payment voucher?

1. Detach the payment voucher by cutting along the dotted line.
2. DO NOT attach the payment voucher or your payment to your return or to each other.
3. Mail your payment and payment voucher to the following address:

   West Virginia State Tax Department
   Tax Account Administration Division
   P.O. Box 2585
   Charleston, WV 25329-2585

   Rev                       IT–141V                        STATE OF WEST VIRGINIA
   6-20                      EPV                            FIDUCIARY INCOME TAX
                                                                                           AMOUNT OF PAYMENT
                             FEIN
                             Period                                   Amended $_________________________________________
                             Ending
                                                                              Do not send cash! Make your check or money order payable 
                                                                              to the West Virginia State Tax Department and write your social 
                                                                              security number and “Form IT-141V” on your check or money 
   Name of Business                                                           order. Mail your payment to:
                                                                              West Virginia State Tax Department
   Mailing Address                                                            Tax Account Administration Division
                                                                              P.O. Box 2585
   Please print or type City                    State               Zip Code  Charleston, WV 25329-2585

                        NOTE: Electronic  filers must inform taxpayers 
                        that full payment of taxes due must be submitted 
                                    th 
                        by April 15 to avoid interest and penalties           *P35032008W*
                                                                              P35032008W