West Virginia State Tax Department                                      Tax Year:
FORM OPT-1
     REV 1-14                   Taxpayer E-File Opt Out Form                                _____________

Income Tax preparers who file more than 25 tax returns using tax preparation software are required to file returns electronically. 
If a return is not eligible for electronic filing, it may be filed on paper.

As a taxpayer receiving services from a tax preparer who is required to file all West Virginia Income Tax returns electronically, 
you may elect (opt out) to not have your return electronically filed.

If you elect to opt out, you are required to complete this form. Completing and signing this form will indicate that you have 
elected to not have your return electronically filed.

Taxpayer:

I have voluntarily chosen not to have my personal income tax return electronically filed for the following reason(s):

Furthermore, my preparer did not request that I opt out of electronically filing my return.

Taxpayer’s signature                             Date Spouse’s signature (if filing a jointly)                                 Date

Taxpayer’s name(s) please prinT                       Primary Social Security Number        Spouse’s Social Security Number (if filing jointly)

Income Tax Preparer:

The taxpayer above has voluntarily chosen not to have their personal income tax return electronically filed for the reason 
stated.

Furthermore, I, as the preparer did not request that the taxpayer opt out of electronically filing the return.

                    instructions for paid Tax preparer:

This form is to be retained by the tax preparer for a period of three (3) tax years immediately succeeding the tax year for 
which it was signed. For tax years beginning on or after January 1, 2011, the income tax preparer shall indicate on the 
taxpayer’s return that the taxpayer elected to opt-out of the electronic filing requirement.

Pursuant to IIO-CSR-IOD “Income tax preparer” means any person who prepares, in exchange for compensation, or who 
employs another person to prepare, in exchange for compensation, all or substantial portion of any return for a taxpayer 
for the tax imposed by this article and who is identified as the preparer for the taxpayer on the return. A person who only 
performs those acts described in clauses (i) through (iv) of Section 7701(a)(36)(8) of the Internal Revenue Code with 
respect to the preparation of a return for a trust or estate for which he or she is a fiduciary or a return for a partnership of 
which he or she is a partner is not an income tax preparer for purposes of this section.