TAX YEAR ENDING EXTENDED BEGINNING DUE DATE YYYY MM YYYY TYPE OF RETURN: INITIAL FINAL AMENDED

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1 00 WV/SPF-00 REV 0-0 W WEST VIRGINIA INCOME/BUSINESS FRANCHISE TAX (PASSTHROUGH) TAX YEAR ENDING EXTENDED BEGINNING DUE DATE MM DD YYYY MM DD YYYY MM DD BUSINESS AND ADDRESS PRINCIPAL PLACE OF BUSINESS IN WV YYYY TYPE OF ACTIVITY IN WV CHECK APPLICABLE BOXES S CORPORATION PARTNERSHIP TYPE OF RETURN: INITIAL FINAL AMENDED / WEEK FILER day of week started FEDERAL RETURN ATTACHED 0S 0 NONRESIDENT WITHHOLDING - COMPLETE SCHEDULE SP BEFORE COMPLETING THIS SECTION. Percent of nonresidents filing composite personal income tax returns (from Schedule SP, Column C, Line ).... Percent of nonresidents filing nonresident personal income tax returns (from Schedule SP, Column D, Line ).... Income subject to withholding (from Schedule SP, Column G, Line ).... West Virginia income tax withheld for nonresident shareholders/partners (from Schedule SP, Column H, Line )... BUSINESS FRANCHISE TAX/WITHHOLDING TAX. West Virginia taxable capital (Schedule B, Line ). West Virginia business franchise tax (Line x 0 or $0, whichever is greater).... Tax credits (Schedule WV/SPF-00TC, Line ).... Adjusted business franchise tax (Line less Line ).... Combined withholding/business franchise tax (add Line and Line ) Prior year carryforward credit.... Tax payments.... Withholding payments.... Amount paid with original return (Amended Return Only) 0. Payments (add Lines 0 through ) Must match total of Schedule of Tax Payments.... Overpayment previously refunded or credited (Amended Return Only).... Total Payments (Line minus Line ).... Tax Due- If Line is smaller than Line, enter amount owed. If Line is larger than Line, enter -0- and skip to Line.... Interest for late payment.... Additions to tax for late filing and/or late payment Penalty for underpayment of business franchise estimated tax... Attach Form WV/SPF-00U - Check if requesting waiver/annualized worksheet used 0 Total due with this return (add Lines through 0)... Make check payable to West Virginia State Tax Department Overpayment (Line less Line )... Amount of Line to be credited to next year s tax Amount of Line to be refunded *b000w*

2 WV/SPF-00 REV 0-0 W SCHEDULE A - INCOME/LOSS WEST VIRGINIA INCOME/BUSINESS FRANCHISE TAX Income/Loss: S Corporation use Federal Form 0S; Partnership use Federal Form Other income: S Corporation use Federal Form 0S, Schedule K and K-, supplemental income; Partnership use Federal Form 0, Schedule K and K- supplemental income.... Other expenses/deductions: S Corporation use Federal form 0S, Schedule K; Partnership use Federal Form 0, Schedule K.... TOTAL FEDERAL INCOME: Add Lines and minus Line - Attach federal return.... Net modifications to federal income (from Schedule A-, Line or Schedule A-, Line ).... Modified federal income (sum of Lines and ). Wholly WV business go to Line ; Multistate Corporation go to Line. Modified federal Partnership income (sum of Lines and ), go to Line Total nonbusiness income allocated everywhere: S CORPORATION ONLY use Form WV/SPF-00APT, Schedule A, Column, Line.... Income subject to apportionment (Line less Line ).... West Virginia apportionment factor: (Round to decimal places) from WV/SPF-00APT, S Corporation use Schedule B, Line ; or Part, Column ; or Part, Column ; Partnership use Schedule B, Line West Virginia apportioned income (Line multiplied by Line ) If Line 0 shows a loss, omit Page, Lines through. However you must complete Schedule SP. S Corporations complete Lines and.... Nonbusiness income allocated to West Virginia; S CORPORATION ONLY. Use Form WV/SPF-00APT, Schedule A, Line.... West Virginia income (wholly WV S-Corporations enter Line : Multistate Corporations add Lines 0 and ). If Line shows a loss, omit Page, Lines through. However, you must complete Schedule SP... SCHEDULE A- - MODIFICATIONS TO FEDERAL PARTNERSHIP INCOME INCREASING. Interest income from obligations or securities of any state, or political subdivision other than this state.... US Government obligation interest or dividends exempt from federal but not exempt from state tax, less related expenses not deducted on federal return.... Interest expenses deducted on your federal return on indebtedness to purchase or carry securities exempt from West Virginia income tax.... Total increasing modifications - Add Lines through... DECREASING. Interest or dividends from US government obligations, included on your federal return.... US Government obligation interest or dividends subject to federal but exempt from state tax, less related expenses deducted on your federal return.... Refund or credit of income taxes or taxes based upon income, imposed by this state or any other jurisdiction, included on your federal return Total decreasing modifications - Add Lines through... NET. Net modifications to federal partnership income - Line less Line 0. Enter here and on Schedule A, Line TYPE DIRECT CHECKING ROUTING ACCOUNT DEPOSIT NUMBER NUMBER OF REFUND SAVINGS 0 0 Under penalties of perjury, I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true and complete. All appropriate sections of the return must be completed. An incomplete return will not be accepted as timely filed. Checking this box indicates waiver of my/our rights of confidentiality for the purpose of contacting the preparer regarding this return. Signature of Officer/Partner or Member Name of Officer/Partner or member-print Title Date Business Phone Number Paid preparer's signature Firm's name and address Date Preparer phone number MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT TAX ACCOUNT ADMINISTRATION DIVISION PO BOX CHARLESTON, WV - -- *b000w*

3 WV/SPF-00 WEST VIRGINIA INCOME/BUSINESS FRANCHISE TAX 00 REV 0-0 W SCHEDULE A- - MODIFICATIONS TO FEDERAL S CORPORATION INCOME S CORPORATION INCOME TAX - CALCULATION OF WEST VIRGINIA TAXABLE INCOME (-- and a). Interest or dividends from any state or local bonds or securities.... U.S. Government obligation interest or dividends not exempt from state tax, less related expenses not deducted on federal return.... Income taxes or taxes based upon net income, imposed by this state or any other jurisdiction, deducted on your federal return.... Federal depreciation/amortization for WV water/air pollution control facilities - wholly WV corporations only.... Unrelated business taxable income of a corporation exempt from federal tax (IRC ).... Federal net operating loss deduction.... Federal deduction for charitable contributions to Neighborhood Investment Programs if claiming the WV Neighborhood Investment Programs Tax credit.... Net operating loss from sources outside the United States.... Foreign taxes deducted on your federal return Deduction taken under IRC (WV Code --a).... Add back for expenses related to certain REIT s and Regulated Investment Companies (WV Code --b).... TOTAL INCREASING ADJUSTMENTS - add Lines through.... Refund or credit of income taxes or taxes based upon net income, imposed by this state or any other jurisdiction, included in federal taxable income.... Interest expense on obligations or securities of any state or its political subdivisions, disallowed in determining federal taxable income Salary expense not allowed on federal return due to claiming the federal jobs credit.... Foreign dividend gross-up (IRC Section ).... Subpart F income (IRC Section ).... Taxable income from sources outside the United States.... Cost of West Virginia water/air pollution control facilities - wholly WV only Employer contributions to medical savings accounts (WV Code --) included in federal taxable income less amounts withdrawn for non-medical purposes.... SUBTOTAL of decreasing adjustments - add Lines through Allowance for governmental obligations/obligations secured by residential property (from Schedule A-, Line ) *b000w*

4 WV/SPF-00 WEST VIRGINIA INCOME/BUSINESS FRANCHISE TAX 00 REV 0-0 W. TOTAL DECREASING ADJUSTMENTS - add Lines and.... Net modifications to Federal S Corporation Income - Line less Line. Enter here and on Schedule A, Line... SCHEDULE A- - ALLOWANCE FOR GOVERNMENTAL OBLIGATIONS/OBLIGATIONS SECURED BY RESIDENTIAL PROPERTY (--(f)). Federal obligations and securities.... Obligations of WV and any political subdivision of WV.... Investments or loans primarily secured by mortgages or deeds of trust on residential property located in WV.... Loans primarily secured by a lien or security agreement on a mobile home or double-wide located in WV.... TOTAL - add Lines through.... Total assets as shown on Schedule L, Federal Form 0S.... Line divided by Line (round to six () decimal places).... Adjusted income - Add Schedule A, Line and Schedule A-, Line minus Schedule A- Line plus total from Form WV/SPF-00APT, Schedule A, Lines 0 through... COMPLETED SCHEDULE B MUST BE ATTACHED. ALLOWANCE - Line x Line, disregard sign - enter here and on Schedule A- Line... SCHEDULE OF TAX PAYMENTS Name of business West Virginia Account Identification Number Date of Payment MM DD YEAR Indicate if EFT Type: withholding, estimated,extension, other pmts or prior year credit Amount of payment TOTAL - This amount must agree with the amount on Line, on front of return *b000w*

5 WV/SPF-00 WEST VIRGINIA INCOME/BUSINESS FRANCHISE TAX 00 SCHEDULE B - BUSINESS FRANCHISE TAX - CALCULATION OF WEST VIRGINIA TAXABLE CAPITAL (--(b)()) Column Column Column - Average Beginning Balance Ending Balance (Col + Col ) divided by. Dollar amount of common stock & preferred stock. Paid-in or capital surplus.... Retained earnings appropriated & unappropriated. Adjustments to shareholders equity.... Shareholders undistributed taxable income.... Accumulated adjustments account.... Other adjustments account.... Add Lines through of Column.... Less: Cost of Treasury Stock Dollar amount of partner s capital accounts.... Capital - Column, Line less Column, Line.... Multiplier for allowance for certain obligations/investments - Schedule A-, Line.... Allowance - Line 0 or multiplied by Line.... Adjusted capital - subtract Line from Line 0, or. If taxable only in West Virginia check here and enter this amount on Line.... Apportionment factor - Form WV/SPF-00APT, Schedule B, Line or Part, Column.... TAXABLE CAPITAL - Line multiplied by Line - Enter on front of return, Line... BUSINESS FRANCHISE TAX - SUBSIDIARY CREDIT (--(c)) Column Column Column Account number and name Recomputed Business Percentage of Subsidiary or Partnership Franchise Tax Liability of Ownership COMPLETED FORM MUST BE ATTACHED Column Allowable Credit (Column x Column ). TOTAL - (Enter here and on Schedule WV/SPF-00TC, Line ) attach additional sheets if needed... BUSINESS FRANCHISE TAX - TAX CREDIT FOR PUBLIC UTILITIES AND ELECTRIC POWER GENERATORS (--(b)). Gross income in West Virginia subject to the STATE Business and Occupation Tax.... Total gross income of taxpayer from all activity in West Virginia Line divided by Line (Round to decimal places).... Business Franchise liability - From front of return, Line, reduced by any Subsidiary Credit.... Allowable credit - Line multiplied by line 0 - Enter here and on Schedule WV/SPF-00TC, Line... **IMPORTANT NOTE REGARDING LINE ** FORM WV/SPF-00APT, SCHEDULE B MUST BE COMPLETED AND ATTACHED FAILURE TO ATTACH COMPLETED FORM WILL RESULT IN 00% APPORTIONMENT TO WEST VIRGINIA -- *b000w*

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