Fillable Form 587 Ca , 2009 printable pdf download

TAXABLE YEAR

CALIFORNIA FORM

2009

587

Nonresident Withholding Allocation Worksheet

Part I

Withholding Agent

Withholding agent’s name

Address (including number and street, PO Box, or PMB no.)

Apt. no./Ste. no.

City

State

ZIP Code

Part II

Nonresident Vendor/Payee (Complete Part II through Part V and return this form to the above withholding agent)

Vendor/payee’s name

Owner’s full name if sole proprietor

Address (including number and street, PO Box, or PMB no.)

Apt. no./Ste. no.

City

State

ZIP Code

Daytime telephone number



Secretary of State (SOS) file no.

SSN or ITIN

CA Corp. no.

FEIN

(

)

Nonresident Vendor/Payee’s Entity Type: (Check one)



Individual/Sole Proprietor

Corporation

Partnership

Limited Liability Company (LLC)



Estate or Trust

Tax-Exempt (withholding not required, skip to Part V)

Part III Payment Type

Nonresident Vendor/Payee: (Check one)



Performs services totally outside California (no withholding required, skip to Part V)



Provides only goods or materials (no withholding required, skip to Part V)



Provides goods and services in California (see allocation in Part IV)



Provides services within and outside California (see allocation in Part IV)



Other (Describe)____________________________________________________________

If the vendor/payee performs all the services within California, withholding is required on the entire payment for services unless the vendor/payee is granted a

withholding waiver from the Franchise Tax Board (FTB) . For more information, get FTB Pub . 1017, Resident and Nonresident Withholding Guidelines .

Part IV Income Allocation

Gross payments expected from the above withholding agent during the calendar year for:

(a) Within California

(b) Outside California

1 Goods and Services:

Goods/materials (no withholding required) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___________________________

Services (withholding required) . . . . . . . . . . . . ___________________________ ___________________________ ___________________________

2 Rents on commercial or business property . . . . . ___________________________ ___________________________ ___________________________

3 Royalties on natural resources . . . . . . . . . . . . . . . ___________________________ ___________________________ ___________________________

4 Prizes and other winnings . . . . . . . . . . . . . . . ___________________________ ___________________________ ___________________________

5 Other payments . . . . . . . . . . . . . . . . . . . . . . . . . . ___________________________ ___________________________ ___________________________

6 Total payments subject to withholding .

Add column (a), line 1 through line 5 . . . . . . . ___________________________ ___________________________ ___________________________

$1,500 .00

Withholding threshold amount: . . . . . . . . . . . ___________________________

If the amount on line 6 is $1,500 or less, no withholding is required . If the amount on line 6 is greater than $1,500, withholding is required on the entire amount

at the rate of seven percent . If the FTB grants the withholding waiver, attach a copy of the FTB determination letter . See General Information E, Waivers .

Part V

Certification Of Vendor/Payee

Under penalties of perjury, I certify that the information provided on this document is true and correct. If the reported facts change, I will promptly inform the withholding agent.



(

)

Authorized representative’s signature

Title

Daytime telephone number



(

)

Vendor/Payee’s signature

Date

Daytime telephone number