WV/IT-101
EMPLOYER’S RETURN OF WEST VIRGINIA INCOME TAX WITHHELD
WV STATE TAX DEPARTMENT
REV 01/08
INTERNAL AUDITING DIVISION PO BOX 1667
CHARLESTON WV 25326-1667
PERIOD ENDING
DUE DATE
NO OF EMPLOYEES AT END
1 TAX WITHHELD
OF PERIOD
,
,
.
THIS PERIOD...............
2 ADJUSTMENTS
MM
DD YYYY
MM
DD YYYY
(PLUS OR MINUS).......
,
,
.
EMPLOYER’S IDENTIFICATION NUMBER, NAME AND ADDRESS
3 TAX DUE THIS
PERIOD.......................
,
,
.
,
.
4 INTEREST..................................
5 PENALTY..................................
,
.
6 TOTAL
,
,
.
REMITTANCE...............
*B02010801A*
SIGNATURE _______________________________DATE_____________