STATE WV
IT-140 REV 10-12 Extended Due Date SOCIAL SECURITY NUMBER MM W West Virginia Personal Income Tax Return DD YYYY 2012 DD YYYY Deceased Spouse Check box ONLY if you Year End are a fiscal year filer *SPOUSE'S SOCIAL SECURITY NUMBER MM Deceased Prime Date of Death Date of Death Last Name Suffix Your First Name MI Spouse's Last Name Only if different from Last Name above Suffix Spouse's First Name MI First Line of Address Second Line of Address -- City State Zip Code Telephone
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