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                                                                                   WEST VIRGINIA CORPORATION APPLICATION FOR REFUND FROM                                                                                                   West Virginia 
                                                               CIT-139                                                                                                                                                                     State Tax 
                                                               REV. 8/2020         CARRYBACK OF NET OPERATING LOSS
                                                                                                                                                                                                                                           Department
                                                                                   ►►Combined Filers can NOT use this form.
                                                                              To carryback a capital loss, use form CIT-120 marked amended.
                                                                                   Do not attach to the corporation’s original income tax return.
                      NAME                                                                                                                                                  FEIN

ADDRESS                                                                                  CITY &                                                                                                                                    ZIP
                                                                                         STATE

                                                               1. LOSS YEAR ENDED – STATE AS MM/DD/YYYY ..................................................................................

                                                               2. AMOUNT OF WV NET OPERATING LOSS ..........................................................................................                                                             .00

                                                               3. NET OPERATING LOSS CARRYBACK LIMITATION ...........................................................................                                                         $300,000.00
           CARRYBACK                                 LIMITATION
                                                               4. LOSS ELIGIBLE FOR CARRYBACK – LESSOR OF LINE 2 OR 3 ......................................................                                                                             .00
                                                                                                                                                SECOND PRECEDING TAXABLE YEAR ENDED                                                FIRST PRECEDING TAXABLE YEAR ENDED
                                                                                                                                                      (STATE AS MM/DD/YYYY)                                                        (STATE AS MM/DD/YYYY)
                                                                                                                                                                 (A)                                                                       (B)

                                                               5. WEST VIRGINIA NET TAXABLE INCOME ........................                                                 .00                                                                          .00

                                                               6. NET OPERATING LOSS CARRYBACK DEDUCTION .....                                                              .00                                                                          .00

                                                               7. NET TAXABLE INCOME AFTER LOSS CARRYBACK ....                                                              .00                                                                          .00

                                                               8. NET INCOME TAX (Attach Computation Schedule) ............                                                 .00                                                                          .00

                                                               9. TAX CREDITS STOP! CANNOT USE FORM CIT-139  .....                                                          .00                                                                          .00

                                                               10. ADJUSTED NET INCOME TAX LINE 8 MINUS LINE 9  ..                                                          .00                                                                          .00
                                                               11.NET PAYMENTS
                      COMPUTATION OF DECREASE IN TAX           (Original Payments less Refunds and Carryforward Credits) ...                                                .00                                                                          .00

                                                               12. OVERPAYMENT ................................................................                             .00                                                                          .00

                                                               13. Total Refund Claimed – add Lines 12(a) and 12(b) ..............................................................................................................                       .00

*If entry on line 9, Tax Credits,STOP. Taxpayer must                                                                                           le an amended West Virginia CIT-120 return when applying for a
refund from a carryback of Net Operating Loss.
Under penalties of perjury, I declare that I have examined this return (including attachments) and to the best of my knowl-
edge and belief it is true and complete.

                                                                                                                                                Signature of o  cer                                                                  Title

                                                                                                                                                Paid preparer’s signature                                                             Date

                                                                                                                                                                          *B44202001W*
                                                                                                                                                                          *B44202001W*
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