West Virginia Income Tax Return
    PTE100-
    Rev 7-20               S Corporation & Partnership (Pass-Through Entity)
                                                                                                                                                                          2020
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 C OR SCHEDULE D):
                   ANY PTE YOU ARE A PARTNER, MEMBER, OR SHAREHOLDER DOING BUSINESS IN WV

                   ANY ENTITY YOU OWN 80% OF VOTING STOCK                                                                       ANY DISREGARDED ENTITY

                   ANY ENTITY THAT OWNED MORE THAN 80% OF YOUR STOCK                                                            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 TAX 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

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      NAME                                                                                                                    FEIN

11. Total WV withholding due (from previous page).........................................................                 11                                     .00

12. Prior year carryforward credit................................................................... 12                                          .00

13. Estimated and extension payments.........................................................         13                                          .00
14. Total Withholding credits (see instructions) ............................................
      CHECK HERE IF WITHHOLDING IS FROM NRSR (NONRESIDENT SALE OF REAL ESTATE)                        14                                          .00

15. Payments (add lines 12 through 14; must match total on Schedule C)                                                     15                                     .00

16. Overpayment previously refunded or credited (amended return only) ......................                               16                                     .00

17. TOTAL PAYMENTS (subtract line 16 from line 15)...................................................                      17                                     .00
18. Tax Due – If line 17 is smaller than line 11, enter amount owed. If line 17 is larger 
    than line 11 skip to Line 22 ........................................................................................  18                                     .00

19. Interest for late payment............................................................................................. 19                                     .00

20. Additions to tax for late filing and/or late payment.......................................................             20                                     .00
21. Total Due with this return (add lines 18 through 20)  
    Make check payable to West Virginia State Tax Department ....................................                          21                                       .00

22. Overpayment (Line 17 less line 11).........................................................       22                                          .00

23. Amount of line 22 to be credited to next year’s tax ................................              23                                          .00

24. Amount to be refunded (line 22 minus line 23)........................................             24                                          .00

Direct Deposit                  CHECKING                        SAVINGS
of Refund
                                                                                                      ROUTING NUMBER                      ACCOUNT NUMBER
      PLEASE REVIEW YOUR ACCOUNT INFORMATION FOR ACCURACY. INCORRECT ACCOUNT INFORMATION MAY RESULT IN A $15.00 RETURNED PAYMENT CHARGE.
                                                          PLEASE SEE PAGE 3 OF INSTRUCTIONS FOR PAYMENT OPTIONS.

I authorize the State Tax Department 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 O fficer/Partner or Member                             Print name of O fficer/Partner or Member                                      Date

Title                                                                                    Email                                                Business Telephone #

Signature of paid preparer                                        Print name of Preparer                                                      Date

Firm’s name and address                                                                  Preparer’s Email                                     Preparer’s Telephone #

MAIL TO:  WEST VIRGINIA STATE TAX DEPARTMENT 
                  TAX ACCOUNT ADMINISTRATION DIVISION 
                  PO BOX 11751 
                  CHARLESTON WV 25339-1751

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