Form Tc-675r - Statement Of Utah Tax Withheld On Mineral Production - 2006
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1Clear form
2006
1
Type or print
Statement of Utah
Payer's name,
address, state,
Tax Withheld on Mineral
and ZIP code
Production
Utah State Tax Commission
2 Utah withholding account number
3 Utah tax withheld on mineral production
4 Utah gross production payment received
5 Recipient's Federal Identification number (or if an individual, Social Security number)
6 Recipient's name, address, state, ZIP code
7 Recipient entity type (check one)
C - Corporation
S - S Corporation
L - Limited Liability Company
P - Partnership
O - Limited Liability Partnership
I - Individual
T - Trust Estate or Fiduciary
TC-675R Rev. 10/06
All Recipients
The amount of Utah withholding shown on this statement should be claimed as a credit on
your Utah income tax return.
Recipients and
If production payments and withholding amounts are distributed to you, a Schedule K-1 should
Beneficiaries of
be furnished by the payer to show your proportionate share of production and withholding
payments. The proportioned withholding amount is the amount of credit to be claimed on the
Partnerships and
Utah tax return. If filing a paper return, attach a copy of the Schedule K-1 showing the credit to
Trusts, and Resident
support your claim. If filing electronically, keep the Schedule K-1 with your records.
Shareholders of
S Corporations
Partnerships, Trusts,
If production payments and withholding amounts are distributed to partners, beneficiaries and
and S Corporations
resident shareholders of S Corporations, you
MUST
furnish a Schedule K-1 to each recipient
that shows his or her proportionate amounts of production and withholding tax. Do not issue
separate forms TC-675R to show these amounts. Only producers licensed with the State of
Utah for mineral production tax withholding may issue form TC-675R.
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