INSTRUCTIONS: AFFIDAVIT OF WEST VIRGINIA INCOME TAX WITHHELD BY EMPLOYER DURING THE CALENDAR YEAR (Form IT-102-1)

West Virginia employers are required to provide their workers with W-2 forms documenting their income and wages withheld. If an employer does not provide this document, the worker must file a form IT-102-1 to document the wages withheld. A separate form IT-102-1 must be filed for every employer. The form can be obtained from the website of the West Virginia State Tax Department.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 1: Enter the calendar year for which you are filing this affidavit.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 2: Enter the amount of the wages received from the employer and the amount of West Virginia tax withheld.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 3: Type or print the employer's name and address where indicated.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 4: Below this, type or print your own name and address.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 5: In the section headed "Affidavit," enter the year for which you are filing.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 6: Sign the Affidavit section before a notary public or a similarly authorized officer. This will sign the form, as well as entering the county, state and date.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 7: On the first line of the additional information section, explain why you were not given a W-2 form.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 8: On the second line of the additional information section, enter your employer's present name and address if not the same as entered at the top of the form.

Affidavit Of West Virginia Income Tax Withheld By Employer During The Calendar Year IT-102-1 Step 9: On the third line of the additional information section, enter any other information that may be helpful in aiding the West Virginia State Tax Department in locating your employer.