[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] West Virginia State Tax Department Division of Tax Appeals P.O. Box 1061 Charleston, WV 25324-1061 Subject: Tax Return Supplement Request — [Your Name], [Taxpayer Identification Number] Dear Sir/Madam, I hope this letter finds you well. I am writing to request a tax return supplement for the tax year [Year]. I have recently identified some additional information that needs to be included in my tax return for the State of West Virginia. Please find the relevant details below: 1. Taxpayer Information: — Name: [Your Full Name— - Social Security Number/Taxpayer Identification Number: [Your SSN/TIN] — Mailing Address: [Your Full Address— - Contact Number: [Your Phone Number] — Email Address: [Your Email] 2. Tax Year Information: — Tax Year: [Year— - Original Tax Return Filing Due Date: [Due Date] — Date of Original Tax Return Filing: [Filing Date] 3. Supplement Details: [Describe the specific details of the supplement you are including. Elaborate on any additional income, deductions, exemptions, or changes to your original return that need to be considered by the West Virginia State Tax Department.] 4. Additional Documentation: I have enclosed the following supporting documents to substantiate the information provided in the tax return supplement: — [List all the attachments, such as W-2 forms, 1099 forms, receipts, etc., that are relevant to your supplement.] 5. Declaration and Signature: I affirm that the information provided in this supplement request, along with the attached documentation, is true and accurate to the best of my knowledge. I understand that providing false information may result in penalties and legal consequences. Signature: __________________________ Date: __________________________ Please let me know if there are any additional forms or documents required to process this tax return supplement. I appreciate your attention to this matter and look forward to a prompt response. Should you require any further information or have any questions regarding this request, please do not hesitate to contact me. Thank you for your cooperation. Sincerely, [Your Name]