Form Tc-40w - Utah Withholding Tax Schedule
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TC-40W
40008
Part 1 - Utah Withholding Tax Schedule
Rev. 12/10
Your last name
Your social security number
IMPORTANT
Do not send your W-2s and 1099s with your return. Instead, enter W-2 and 1099 information below, but only if
there is Utah withholding on the form.
Enter mineral production withholding from TC-675R in Part 2 on page 2; enter pass-through entity withholding in Part 3
on page 2.
Use additional TC-40W forms if you have more than four W-2s and/or 1099s with Utah withholding tax.
Additional TC-40W forms, are available at tax.utah.gov/forms.
First W-2 or 1099
Second W-2 or 1099
1.
1.
Employer payer ID number (from W-2 box “b” or 1099)
/
Employer payer ID number (from W-2 box “b” or 1099)
/
2.
2.
Utah withholding ID number (from W-2 box “15” or 1099)
Utah withholding ID number (from W-2 box “15” or 1099)
3.
3.
Employer payer name and address (from W-2 box “c” or 1099)
/
Employer payer name and address (from W-2 box “c” or 1099)
/
4.
4.
“X” if form 1099
“X” if form 1099
5.
5.
Employee’s SSN (from W-2 box “a” or 1099)
Employee’s SSN (from W-2 box “a” or 1099)
6.
6.
.00
.00
Utah wages/income (from W-2 box “16” or 1099)
Utah wages/income (from W-2 box “16” or 1099)
7.
7.
.00
.00
Utah withholding tax (from W-2 box “17” or 1099)
Utah withholding tax (from W-2 box “17” or 1099)
Third W-2 or 1099
Fourth W-2 or 1099
1.
1.
Employer payer ID number (from W-2 box “b” or 1099)
/
Employer payer ID number (from W-2 box “b” or 1099)
/
2.
2.
Utah withholding ID number (from W-2 box “15” or 1099)
Utah withholding ID number (from W-2 box “15” or 1099)
3.
3.
Employer payer name and address (from W-2 box “c” or 1099)
/
Employer payer name and address (from W-2 box “c” or 1099)
/
4.
4.
“X” if form 1099
“X” if form 1099
5.
5.
Employee’s SSN (from W-2 box “a” or 1099)
Employee’s SSN (from W-2 box “a” or 1099)
6.
6.
.00
.00
Utah wages/income (from W-2 box “16” or 1099)
Utah wages/income (from W-2 box “16” or 1099)
7.
7.
.00
.00
Utah withholding tax (from W-2 box “17” or 1099)
Utah withholding tax (from W-2 box “17” or 1099)
Enter total income tax withholding from all lines 7.
Enter this total on form TC-40, page 2, line 33.
.00
Do not send W-2s or 1099s.
Attach completed schedule to your 2010 Utah income tax return.
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