Form Tc-65pa - Utah Composite Return For Nonresident Professional Team Members - 2006

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65PA061
Utah Composite Return for
2006
Nonresident Professional Team Members
TC-65PA
For the year ending Dec. 31, 2006, or fiscal taxable year beginning
Rev. 12/06
___________________ and ending ___________________.
9999
FOR AMENDED RETURN - ENTER CODE (1 - 4) from page 2
Enter “X” if you filed federal form 8886
Team name
Team Employer Identification Number
Check box(es)
if this is a
Team address
Telephone number
new address:
Physical
address
Mailing
City
State
ZIP Code
Foreign country, if not U.S.
address
1. Utah income attributable to nonresident team members included in composite filing ...................
1
.00
(from form TC-65PA Schedule N)
2. Deduction amount — 15 percent (multiply line 1 by .15) ................................................................
2
.00
3. Utah taxable income attributable to nonresident team members ...................................................
3
.00
included in composite filing (line 1 less line 2)
.0698
4. Tax rate ...........................................................................................................................................
4
5. Tax (line 3 multiplied by line 4)........................................................................................................
5
.00
6. Amended returns only — refund received on original return ..........................................................
6
.00
7. Total (add lines 5 and 6) .................................................................................................................
7
.00
8. Taxes prepaid (this includes extension prepayments and voluntary tax prepayments). ................
8
.00
If this an amended return, also include payments made on original return.
9. Tax Due (if line 7 is greater than line 8, subtract line 8 from line 7)................................................
9
.00
10. Refund (if line 8 is greater than line 7, subtract line 7 from line 8).................................................
10
.00
Official Use Only
Under penalties of perjury, I declare to the best of my knowledge, this return and accompanying
schedules are true, correct and complete.
Signature of authorized representative
Date
Enter “X” if the Tax Commission
may discuss this return with the
preparer shown below (see page 2)
Paid preparer’s signature
Date
Preparer’s SSN/PTIN
Paid
Firm’s name (or yours if self-employed)
Telephone number
Employer identification number
Preparer’s
Section
Paid preparer’s complete address
City
State
ZIP Code
File return with the Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0270, telephone (801) 297-2200 or 1-800-662-4335.

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