Form Tc-40 Individual Income Tax Instructions - 2016 Page 2
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229
2016 Utah TC-40 Instructions
TC-40W, Part 2
withholding tax reported on Utah Schedule K-1 by a
pass-through entity.
To claim credit for Utah mineral production withholding tax,
Add the amounts of mineral production withholding tax from
enter the following information. If from form TC-675R, enter
all lines 5 and enter the total on form TC-40, page 2, line 36.
lines 1, 2, 3 and 5; if from Utah Schedule K-1, enter lines 4
and 5.
Do not send TC-675R(s) with your Utah return. Keep them
in your fi les.
Line 1 - Enter the mineral producer's federal EIN (TC-675R
box 2).
Processing may be delayed or the withholding tax credit
disallowed if you do not complete TC-40W with all required
Line 2 - Enter the mineral producer's name (TC-675R box 1).
information.
Line 3 - Enter the mineral producer's Utah withholding account
number (TC-675R box 3).
TC-40W, Part 3
FYI: Mineral Withholding Account Number
To claim credit for Utah withholding tax paid on your behalf by
a pass-through entity (partnership, LLC, LLP, S corporation or
The Utah mineral withholding account number is a
trust), enter the following information from the Utah Schedule
14- character number. The fi rst eleven characters are
K-1:
numeric and the last three are "WMP." Do not enter
hyphens. Example: 12345678901WMP.
Line 1 - Enter the pass-through entity's federal EIN (Schedule
K-1 box A).
If form TC-675R does not include this number, contact
the payer to obtain the correct number to enter on
Line 2 - Enter the pass-through entity's name (Schedule K-1
TC-40W, Part 2. Failure to include this number from a
box B).
TC-675R on TC-40W may cause your withholding to
Line 3 - Enter the Utah withholding tax withheld or paid on
be disallowed and delay any refund.
your behalf by the pass-through entity.
Add the amounts of pass-through entity Utah withholding
tax from all lines 3 and enter the total on form TC-40, page
Line 4 - If the mineral withholding tax distribution was received
2, line 35.
from a pass-through entity (partnership, LLC, LLP,
S corporation or trust), enter the pass-through entity's
Do not send the Utah Schedule(s) K-1 with your Utah return.
federal EIN. If you receive a TC-675R directly from
Keep them in your fi les.
the mineral producer, leave this line blank.
Processing may be delayed or the withholding tax credit
Line 5 - Enter your mineral production withholding tax
disallowed if you do not complete TC-40W with all required
(TC-675R box 6) or your share of mineral production
information.
TC-675R
Statement of Utah Tax Withheld on Mineral Production
Rev. 6/13
1. Producer’s name, address, city, state and ZIP code
ABC MINING COMPANY
PO BOX 4941
20__ __
PRICE UT 84501
For tax year:
1
5
2. Producer’s federal EIN
3. Producer’s Utah account number
4. Recipient’s federal EIN (or SSN if an individual)
84-1909732
12345678002WMP
545-18-6791
5. Utah mineral production gross payment to recipient
7. Utah mineral production gross payment
not
subject to
6. Utah tax withheld on mineral production
withholding
24,615.18
1,230.76
.00
8. Recipient's name, address, city, state, ZIP code
9. Recipient entity type (check one)
C - Corporation
L - Limited Liability Company
S - S Corporation
O - Limited Liability Partnership
I - Individual
T
- Trust Estate or Fiduciary
,
P - Partnership
Mineral Production and Pass-through Withholding
TC-40W
Pg. 2
40510
2015
545-18-6791
WINTER
SSN
Last name
USTC ORIGINAL FORM
Part 2 -Utah Mineral Production Withholding Tax - TC-675R
Do not send TC-675R or Utah Schedules K-1 with return. Enter TC-675R or Schedule K-1 information below. Use additional TC-40Ws if needed.
Line Explanations
1
Producer’s EIN from box “2” of TC-675R
4
Pass-through entity EIN if credit from partnership or S corporation
2
Producer’s name from box “1” of TC-675R
(enter EIN from Utah Schedule K-1)
3
Producer’s Utah withholding number from box “3” of TC-675R
5
Utah mineral production withholding tax from box”6” of TC-675R or
(14 characters, ending in WMP, no hyphens)
from Utah Schedule K-1.
First TC-675R or Utah Schedule K-1
Second TC-675R or Utah Schedule K-1
1
84-1909732
1
ABC MINING COMPANY
2
2
12345678002WMP
3
(14 characters, no hyphens)
3
(14 characters, no hyphens)
545-18-6791
4
4
1,231
.00
.00
5
5
Third TC-675R or Utah Schedule K-1
Fourth TC-675R or Utah Schedule K-1
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