STATE OF WEST VIRGINIA
                                                                                                      
           State Tax Department, Tax Account Administration Div
                                                                                                      
                                                                                                      P.O. Box 342 
                                                                                                      Charleston, WV 25322-0342
                                                                                                      
                                                                                                      _____________________________________________________________
                                                                                                      NameDONNA J. AAROE                                                                      Letter Id: L0045367296
                                                                                                      17_____________________________________________________________           CLUB HOUSE DR Issued:    02/01/2019
                                                                                                      AddressEVANS WV  25241-9402                                                             Account #: 2094-9145
                                                                                                      _____________________________________________________________                           Period:    12/31/2018
           City                                                                      State                        Zip
                                                                                                      
                             INDIVIDUAL ESTIMATED INCOME TAX PAYMENT
WV/IT-140ES
rtL063 v.12

Account #:                                              Taxable Year End:                                                                                                                     Payment Due Date:

Your Social Security Number:                                          Spouse's Social Security Number:

  Part 1: Payment

Amount of This Payment

  Part 2: Change of Address

Check here and complete the CHANGE OF ADDRESS if any information preprinted on this form is incorrect or changed:

Name(s):

Mailing Address:

City:

State and Zip Code:

           MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
                   Tax Account Administration Div
                P.O. Box 342 , Charleston, WV 25322-0342
           FOR ASSISTANCE CALL (304) 558-3333 TOLL FREE (800) 982-8297
           For more information visit our web site at: www.tax.wv.gov
                File online at https://mytaxes.wvtax.gov
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INSTRUCTIONS FOR MAKING ESTIMATED PAYMENTS

If you expect to owe at least $600 in State tax when you file your annual income
tax return, you are required to make estimated tax payments using this form.

Determine your estimated tax using the instruction brochure (Form IT-140ESI)
avaliable atwww.tax.wv.gov

Write the amount of your payment on this form. You must pay at least the
minimum amount calculated using the instructions to avoid being penalized;
however, you may pay more than the minimum if you wish.

Be sure to post your payment in the payment table. If you are not a calendar
year taxpayer, you should see the instructions to determine the due dates of
your payments.

Estimated tax payments should be mailed by the due date to:

State Tax Department
Tax Account Administration Division - EST
P.O. Box 342
Charleston WV 25322-0342