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Get Wv Dor It-141 2012

Eparer. (Signature of Fiduciary or Officer Representing Fiduciary) Paid Preparer's Use Only (Date) (Date) (Signature of Preparer) (Firm's Name) (Address & ZIP Code) -2- (Telephone Number) P 3 5 2 0 1 2 0 2 W Estate or Trust Name: FEIN: SCHEDULE NR PART I - NONRESIDENT INCOME AND ALLOCATION (To be completed by nonresident estates and trusts only) COLUMN I REPORTED ON FEDERAL RETURN INCOME 1. 2. 3. 4. 5. 6. 7. 8. 9. Interest income (includes QFT) Dividends (includes QFT) Bu.

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