Form Tc-49 - Schedule W Mineral Production Withholding Report
ADVERTISEMENT
1
2TC-49W
Rev. 9/11
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • tax.utah.gov
Bus. Name:
TC-49 Schedule W
Acct. #:
Mineral Production Withholding Report
Tax Period:
File this schedule to claim a credit for tax withheld on mineral production if you file the Insurance Premium Tax Return (TC-49). Report each TC-675R
below, including pass-through entity EIN if a credit is from a partnership or S corporation. Use addendum sheets as necessary to report all your
TC-675Rs.
Do not send your TC-675Rs with your return or attach them if you file electronically. Keep your TC-675Rs with your records in case of an audit.
A. Producer’s EIN
B. Producer’s Name
C. Producer’s UT Withholding
D. Pass-through Entity EIN
E. UT Mineral Withholding Tax
from box “2”
from box “1”
ID Number from box “3”
if credit from partnership or S corp.
from box “5”
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•
00
Total credit (add all the amounts in column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_ _ _ _ _ _ __ _ __ __ .
The Tax Commission will apply a mineral production withholding credit first to the current Insurance Premium Tax Return (TC-49).
If a credit amount remains, we will apply the credit to any outstanding amounts due. Any remaining credit will be refunded.
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