PTE-100 WEST VIRGINIA TAX RETURN
REV 07/2022 W S CORPORATION & PARTNERSHIP (PASS-THROUGH ENTITY)
2022
TAX PERIOD BEGINNING ENDING EXTENDED
MM/DD/YYYY MM/DD/YYYY DUE DATE
MM/DD/YYYY
ENTITY NAME FEIN WV ACCOUNT NUMBER
MAILING ADDRESS HAS THE PARTNERSHIP ELECTED OUT OF THE CENTRALIZED AUDIT REGIME
UNDER IRC SECTION 6221(b)?
IF NO, PROVIDE A DESIGNATION OF THE STATE
Yes NO PARTNERSHIP REPRESENTATIVE (OR THE FEDERAL
CITY STATE ZIP PARTNERSHIP REPRESENTATIVE)
REPRESENTATIVE FIRST NAME LAST NAME
STATE OF DOMICILE NAICS
CHANGE OF REPRESENTATIVE TIN REPRESENTATIVE US PHONE
ADDRESS
CONTACT FIRST NAME CONTACT LAST NAME
REPRESENTATIVE US ADDRESS
CONTACT PHONE CONTACT EMAIL
1) ENTITY S-CORPORATION PARTNERSHIP
CHECK ALL APPLICABLE BOXES TYPE (INCLUDE 1120S) (INCLUDE 1065)
2) RETURN TYPE ANNUAL INITIAL FINAL AMENDED OTHER
52/53 WEEK FILER DAY OF WEEK ENDING FISCAL
3) IF FINAL/SHORT/ CEASED OPERATIONS IN WV CHANGE OF OWNERSHIP CHANGE OF FILING STATUS MERGER
INITIAL RETURN
SUCCESSOR FEIN OF PREDECESSOR: TECHNICAL TERMINATIONS OTHER
4) ACTIVITY DESCRIPTION: WHOLLY WV ACTIVITY MULTISTATE ACTIVITY
5) REPORTABLE ENTITIES (ALL ENTITIES MUST BE INCLUDED ON SCHEDULE D):
A. ANY PTE YOU ARE A PARTNER, MEMBER, OR SHAREHOLDER DOING BUSINESS IN WV
B. ANY ENTITY YOU OWN 80% OF VOTING STOCK D. ANY DISREGARDED ENTITY, INCLUDING QSUBS
C. ANY ENTITY THAT OWNED MORE THAN 80% OF YOUR STOCK E. ANY CONTROLLED FOREIGN CORPORATION
(A) INCOME (B) WITHHOLDING
6) WV DISTRIBUTIVE INCOME OF RESIDENTS............................................................... .00
7) WV DISTRIBUTIVE INCOME OF NONRESIDENTS FILING ON A NONRESIDENT
COMPOSITE TAX RETURN AND WITHHOLDING DUE
(SCHEDULE SP, COLUMN F)....................................................................................... .00 .00
8) WV DISTRIBUTIVE INCOME OF NONRESIDENTS SUBJECT TO WV
WITHHOLDING THAT ARE NOT FILING A NONRESIDENT COMPOSITE TAX
RETURN AND WITHHOLDING DUE (SCHEDULE SP, COLUMN G) .............. .00 .00
9) WV DISTRIBUTIVE INCOME OF NONRESIDENTS WHO HAVE ATTESTED ON A
NRW-4 THAT THEY WILL FILE AND PAY WV INCOME TAX DIRECTLY OR ARE
TAX EXEMPT ENTITIES ............................................................................................ .00
10) TOTAL WV INCOME
(SUM OF LINE 6 THROUGH 9, MUST MATCH SCHEDULE A, LINE 13)................... .00
11) TOTAL WV WITHHOLDING DUE (LINE 7 PLUS LINE 8)..................................
.00
*B54202201W*
B54202201W