California Form 589 - Nonresident Reduced Withholding Request - 2010
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1TAXABLE YEAR
CALIFORNIA FORM
2010
Nonresident Reduced Withholding Request
589
Part I Withholding Agent
Business name
m SSN or ITIN m FEIN m CA Corp no.
First name
Initial Last name
Address (suite, room, PO Box, or PMB no.)
Withholding Agent fax number
–
( )
City
State
ZIP Code
Daytime telephone number
–
–
( )
Venue
Part II Vendor/Payee
m SSN or ITIN m FEIN m CA Corp no.
Business name
First name
Initial Last name
DBA (if applicable)
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Vendor/Payee fax number
–
–
( )
Part III Type of Income Subject to Withholding
I
Check one type only.
m
m
m
A
Payment to Independent Contractor (I/C)
C
Rents or Royalties
E
Estate Distributions
m
m
m
B
Trust Distributions
D
Distributions to Domestic Nonresident
F
Other _____________________
S Corporation Shareholders/Partners/
I
Date(s) of Service __________________________
Members/Beneficiaries
MM/DD/YYYY - MM/DD/YYYY
Part IV Withholding Amount
I
.
,
,
00
1 Gross California Source Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
I
.
00
,
,
2 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
I
.
,
,
00
3 Commissions and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
I
.
,
,
00
4 Cost of labor (contract labor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
I
.
00
,
,
5 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
I
.
,
,
00
6 Legal, professional, and/or management fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
I
.
00
,
,
7 Rent or lease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
I
.
,
,
00
8 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
I
.
,
,
00
9 Travel, meals, and entertainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Other Expenses (specify)
I
.
00
10 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
,
,
I
.
11 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
,
,
00
I
.
00
,
,
0
12 Total amount of expenses. Add line 2 through 11 and enter the amount here. . . . . . . . . . . . . . .
12
I
.
00
,
,
13 Net California Source Payment. Subtract line 12 from line 1 and enter the amount here . . . . . .
13
14 Withholding Amount. Multiply the amount on line 13 by seven percent (.07) and enter the amount
on line 14. This is the proposed reduced withholding amount. This amount must be verified and
I
.
00
,
,
approved by the Franchise Tax Board (FTB) prior to the requestor receiving payment for services .
14
0
Part V Vendor’s/Payee’s Signature
Under penalties of perjury, I hereby certify that the information provided is, to the best of my knowledge, true and correct. I understand that the Franchise Tax Board
may review all relevant documentation upon request in order to verify the payment amount and expenses above.
_________
Vendor’s/Payee’s Name _______________________________________________________________ Phone Number:
( )
____________
Vendor’s/Payee’s Signature______________________________________________________________________________ Date:_____________
Preparer’s Name_____________________________________________________________________ Phone Number:______________________
( )
Preparer’s Signature___________________________________________________ Date: ____________ Preparer’s SSN/PTIN________________
8101103
Form 589
2009
C2
For Privacy Notice, get form FTB 1131.
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