–16–
IT-210
REV.7-15 F
Underpayment of Estimated Tax by Individuals
(Enclose this form with your Personal Income Tax Return) 2015
PRIMARY LAST NAME
SHOWN ON FORM
IT-140
SOCIAL
SECURITY
NUMBER
PART I: All lers must complete this part
1. Enter your 2015 tax as shown on line 10 of Form IT-140............................................................................................. 1 .00
2. Enter the credits against your tax from your return.................................................. 2 .00
3. Tax after credits (subtract line 2 from line 1)................................................................................................................ 3 .00
4. Tax withheld.............................................................................................................. 4 .00
5. Subtract line 4 from line 3............................................................................................................................................ 5 .00
IF LINE 5 IS LESS THAN $600, DO NOT COMPLETE THIS FORM! YOU ARE NOT SUBJECT TO THE PENALTY.
6. Multiply line 3 by ninety percent (.90)...................................................................... 6 .00
7. Enter the tax after credits from your 2014 return (see instructions)......................... 7 .00
8. Enter the smaller of line 6 or line 7 (if line 7 is zero and line 3 is more than $5,000, enter the amount shown on line 6).. 8 .00
REFER TO THE INSTRUCTIONS TO DETERMINE YOUR OPTIONS FOR CALCULATING THE AMOUNT OF UNDERPAYMENT PENALTY.
DeterMIne yoUr Penalty by CoMPletIng Part II, Part III, or Part IV.
9. If you are requesting a waiver of the penalty calculated, check here and attach your written request (see form on page 12)................................
10. If you are a qualied farmer (see instructions for income on page 28 of the instruction booklet), check here.......................................................
11. If you used Part IV on the reverse side to apply the tax withheld to the period when the corresponding income was actually received rather
than in equal amounts on the payment due dates, check here..............................................................................................................................
12. If you are using the annualized income worksheet to compute your underpayment penalty, check here and attach Annualized Income Worksheet
PART II: If you are using the ANNUALIZED INCOME WORKSHEET to compute your underpayment and penalty, complete the worksheet below.
ANNUALIZED INCOME WORKSHEET 1/1/15 – 3/31/15 1/1/15 – 5/31/15 1/1/15 – 8/31/15 1/1/15 – 12/31/15
1. Federal adjusted gross income year-to-date..... .00 .00 .00 .00
2. Annualized amounts.......................................... 4 2.4 1.5 1
3. Annualized income (line 1 X line 2)................... .00 .00 .00 .00
4. Modications to income (see instructions)........ .00 .00 .00 .00
5. West Virginia adjusted gross income (combine
lines 3 and 4)..................................................... .00 .00 .00 .00
6. Exemption allowance......................................... .00 .00 .00 .00
7. West Virginia taxable income (see instructions) .00 .00 .00 .00
8. Annualized tax................................................... .00 .00 .00 .00
9. Credits against tax.............................................
DO NOT INCLUDE TAX WITHHELD OR
ESTIMATED PAYMENTS!
.00 .00 .00 .00
10. Subtract line 9 from line 8 (if less than zero, enter zero). .00 .00 .00 .00
11. Applicable percentage...................................... 22.5% 45% 67.5% 90%
12. Multiply line 10 by line 11................................ .00 .00 .00 .00
13. Add the amounts in all previous columns of line 19........ .00 .00 .00
14. Subtract line 13 from line 12 (if less than
zero, enter zero).............................................. .00 .00 .00 .00
15. Enter ¼ of line 8, Part 1, of Form IT-210 in
each column.................................................... .00 .00 .00 .00
16. Enter the amount from line 18 of the previous
column of this worksheet................................. .00 .00 .00
17. Add lines 15 and 16 and enter total................. .00 .00 .00 .00
18. Subtract line 14 from line 17 (if less than
zero, enter zero).............................................. .00 .00 .00
19. Enter the smaller of line 14 or line 17 here
and on Form IT-210, Part IV, line 1.................. .00 .00 .00 .00
NOTE: The sum of all columns for line 19 should equal line 8, Part I, of IT-210
.
*p40201513F*
Clear Tax Return
Check your return for errors
* Required Fields
(Web Fill-In Form)
Print Tax Return
0.00
0.00
0.00
0.00
0.00
Clear Check Boxes
Enter 1 if
Single,
Head of
household,
or Widow
(er) with
Dependent
child.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Enter 2 if
Married
filing jointly
(even if
only one
spouse
had
income).
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Enter 3 if
Married
Filing
Separately
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Calculate Worksheet
–17–
PRIMARY LAST NAME
SHOWN ON FORM
IT-140
SOCIAL
SECURITY
NUMBER
PART III SHORT METHOD
Read the instructions on pages 28 & 29 to see if you can use the short method. If you checked BOX 11 of PART I or annualized in PART II skip this part and go to PART IV.
1. Enter the amount from line 8 of Part I of IT-210......................................................................................................... 1 .00
2. Enter the amount from line 4, Part I................................................................. 2 .00
3. Enter the total, if any, of the estimated payments made.................................. 3 .00
4. Add lines 2 and 3...................................................................................................................................................... 4 .00
5. Total underpayment for the year (subtract line 4 from line 1). If zero or less, stop here. No penalty due................. 5 .00
6. Multiply line 5 by .06312........................................................................................................................................... 6 .00
7. If the amount on line 5 was paid on or after April 15, 2016, enter zero.
If paid prior to April 15, 2016 line 5 X number of days paid before
April 15, 2016 X .000260.................................................................................
7 .00
8. Penalty due (subtract line 7 from line 6). Enter here and on the PENALTY DUE line of your personal income tax return..................................... 8 .00
PART IV REGULAR METHOD
SECTION A – FIGURE THE UNDERPAYMENT
(a)
4/15/15
(b)
6/15/15
(c)
9/15/15
(d)
1/15/16
1. If you are using the annualized method, enter the
amounts from line 19 of the Annualized Income
Worksheet; otherwise, enter 1/4 of line 8 of PART
I in each column..................................................... 1 .00 .00 .00 .00
2. Estimated tax paid and tax withheld (see
instructions). For column (a) only, enter the
amount from line 2 on line 6. If line 2 is equal to
or more than line 1 for all payment periods, stop
here; you do not owe any penalty.......................... 2 .00 .00 .00 .00
NOTE: Complete Lines 3 through 9 before going to the next column.
3. Enter the amount, if any, from line 9 of the
previous column.................................................. 3 .00 .00 .00
4. Add lines 2 and 3................................................. 4 .00 .00 .00
5. Add lines 7 and 8 of the previous column............ 5 .00 .00 .00
6. Subtract line 5 from line 4. If zero or less, enter
zero. For column (a) only, enter the amount
from line 2............................................................ 6 .00 .00 .00 .00
7. If line 6 is zero, subtract line 4 from line 5.
Otherwise, enter zero.......................................... 7 .00 .00 .00 .00
8. UNDERPAYMENT. If line 1 is equal to or more
than line 6, subtract line 6 from line 1, enter the
result here and go to line 3 of the next column.
Otherwise, go to line 9......................................... 8 .00 .00 .00 .00
9. OVERPAYMENT. If line 6 is more than line 1,
subtract line 1 from line 6, enter the result here
and go to line 3 of the next column..................... 9 .00 .00 .00 .00
SECTION B – FIGURE THE PENALTY
NOTE: Complete Lines 10 through 12 for each column before going to the next column
10. Number of days FROM the date shown at the
top of the column TO the date the amount on
line 8 was paid, or 4/15/2016, whichever is
earlier..................................................................
(a)
4/15/15
(b)
6/15/15
(c)
9/15/15
(d)
1/15/16
10
11. Daily penalty rate for each quarter....................... 11 0.000260 0.000260 0.000260 0.000260
12. Penalty due for each quarter (line 8 x 10 x 11)..... 12 .00 .00 .00 .00
13. Penalty due (add all amounts on line 12). Enter here and on the PENALTY DUE line of your personal income tax return (line 20)...................... 13 .00
0
0
0
0
0
0
0
0
ENTER DATE PAYMENT WAS MADE (mm/dd/yyyy) FROM LINE 7
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
**
*
0
0
0
0
**ENTER DATE PAID.
0.00
0.00
0.00
0.00
0.00
Calculate Sections A & B