California Form 592-F - Foreign Partner Or Member Annual Return - 2009
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1
2TAXABLE YEAR
CALIFORNIA FORM
Foreign Partner or Member Annual Return
2009
592-F
I
I
Amended
Federal Extension
Taxable year: Beginning month __________________ day ________ year ________, and ending month __________________ day ________ year ________.
Part I Withholding Agent
Business name
SSN or ITIN
FEIN
CA Corp no.
First name
Initial Last name
Address (number and street, suite, Apt., PO Box, or PMB no.)
City
State ZIP Code
Total Number of Foreign Partners
or Members Included
Part II Tax Withheld
I
.
00
,
,
Total tax withheld from Schedule of Payees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I
.
00
,
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2 Amount withheld by another entity and being allocated to partners or members . . . . . . . . . . . . . . . . . . . . .
2
I
.
00
,
,
3 Prior payments of foreign partners’ or members’ withholding for taxable year shown above . . . . . . . . . . . .
3
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00
,
,
4 Amount credited from prior year’s withholding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
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.
00
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5 Total payments. Add line 2, line 3, and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Balance due. If line 1 is more than line 5, subtract line 5 from line 1. Make a check or money
order for the full amount payable to the “Franchise Tax Board.” Write the tax ID number and
I
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00
,
,
“2009 Form 592-F” on the check or money order and mail to: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
WITHHOLDING SERVICES AND COMPLIANCE
FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-065
I
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00
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7 Overpayment. If line 5 is greater than line 1, subtract line 1 from line 5 (complete lines 8 and 9). . . . . . . .
7
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00
,
,
8 Credit to next year. Enter the amount from line 7 that you want applied to the 2010 Form 592-F . . . . . . . .
8
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00
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9 Refund. Subtract line 8 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Part III Perjury Statement
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete. Declaration of preparer (other than withholding agent) is based on all information of which preparer has any knowledge.
Withholding agent’s name ______________________________________________
Withholding agent’s daytime phone number (
)
Withholding agent’s signature ______________________________________________________________________________________________________
Preparer’s name ______________________________________________________
Preparer’s signature ________________________________________
Preparer’s address _______________________________________________________________________________________________________________
Preparer’s SSN/PTIN __________________________________________________
Preparer’s daytime phone number (
)
Form 592-F
2009 Side
8081093
For Privacy Notice, get form FTB 1131.
For Privacy Notice, get form FTB 1131.
C3
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