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SCHEDULE
B
F IT-141 WEST VIRGINIA FIDUCIARY MODIFICATIONS
2022
COLUMN II:AMOUNT ALLOCATED
COLUMN I:TOTAL If this is a Simple Trust having
ADDITIONS: NO Taxable Income, OMIT Col. II
1. Interest income on state and municipal bonds, other than West Virginia .........
2. Lump sum distribution (Federal Form 4972) .....................................................
3. Federal exemption (Form 1041, line 21) ...........................................................
4. Other additions – state nature and source ___________________________....
5. Electing small business trust additions ..............................................................
6. TOTAL ADDITIONS
(Add Lines 1 through 5, Col. II and enter here and on Page 1, Line 2)..............
SUBTRACTIONS: COLUMN I:TOTAL COLUMN II:AMOUNT ALLOCATED
7. Interest income on US obligations speci fically exempt from state tax ...............
8. West Virginia exemption .................................................................................... 600.00 600.00
9. Other subtractions – state nature and source ________________________ ...
10. Electing small business trusts subtractions .......................................................
11. TOTAL SUBTRACTIONS
(Add Lines 7 through 10, Col. II and enter here and on Page 1, Line 3) .........
NET FIDUCIARY MODIFICATIONS COLUMN I:TOTAL COLUMN II:AMOUNT ALLOCATED
12. NET FIDUCIARY MODIFICATIONS (Line 6 minus Line 11)
Direct Deposit
of Refund CHECKING SAVINGS ROUTING NUMBER ACCOUNT NUMBER
PLEASE REVIEW YOUR ACCOUNT INFORMATION FOR ACCURACY. INCORRECT ACCOUNT INFORMATION MAY RESULT IN A $15.00 RETURNED PAYMENT CHARGE.
I authorize the State Tax Division to discuss my return with my preparer YES NO
Under penalty of perjury, I declare that I have examined this return, accompanying schedules, and statements, and to the best of my knowledge and belief, it is true, correct and complete.
_________________________________________________________________________________________________________________________
(Signature of Fiduciary or O fficer Representing Fiduciary) (Date) (Email)
Paid (Signature of Preparer) (Date)
Preparer’s
Use Only
(Preparer’s EIN) (Printed Name) (Telephone Number)
*P35202203W*
P35202203W
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