California Form 592-B - Resident And Nonresident Withholding Tax Statement - 2009 Page 2
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1
2Resident and Nonresident Withholding
TAXABLE YEAR
CALIFORNIA FORM
592-B
2009
Tax Statement
Copy B
FILE WITH THE
STATE RETURN
Part I Recipient
Name of Recipient
SSN or ITIN
Address (including suite, room, PO Box, or PMB no.)
FEIN
CA Corp no.
City
State
ZIP Code
Part II Withholding Agent
Name of Withholding Agent (Payer/S Corporation/Partnership/LLC/Trust)
SSN or ITIN
Address (including suite, room, PO Box, or PMB no.)
FEIN
CA Corp no.
City
State ZIP Code
Daytime telephone number
(
)
Part III Type of Income Subject to Withholding. Check the applicable box(es).
Payment to
Payment to I/C
Rents
Estate
Trust
Allocations
Distributions
Other _______________
Independent
Entertainer/
or
Distributions
Distributions
to Foreign (non U.S.)
to Domestic (U.S.)
(describe)
Contractor (I/C)
Athletes/
Royalties
Nonresident Partners/Members
Nonresident S corporation
Speakers
Shareholders/Partners/Members/Beneficiaries
Part IV Tax Withheld
1 Total income subject to withholding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
2 Total California tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
7101093
Form 592-B 2008
For Privacy Notice, get form FTB 1131.
DETACH HERE
you must claim the withholding on the fiduciary
For information on requirements to file a California
Instructions for Recipient
return, Form 541, California Fiduciary Income Tax
tax return or to get forms, call:
This withholding of tax does not relieve you of the
Return.
From within the
requirement to file a California tax return within
If you are an S corporation, you can flow-through
United States. . . . . . . . . . . . . . . . . 800.852.5711
three months and fifteen days (two months and
all of the withholding to your shareholders, claim
From outside the
fifteen days for a corporation) after the close of
a portion on your corporation return, Form 100S,
United States. . . . . . . . . . . . . . . . . 916.845.6500
your taxable year.
California S Corporation Franchise or Income
(not toll-free)
You may be assessed a penalty if:
Tax Return, and flow-through the rest to your
You can download, view, and print California tax
shareholders, or claim all of the withholding on the
• You do not file a California tax return.
forms and publications from our website at
S corporation return. Use Forms 592 and 592-B to
• You file your tax return late.
ftb.ca.gov.
flow-through the withholding to your shareholders.
• The amount of withholding does not satisfy your
OR to get forms by mail, write to:
tax liability.
The amount shown as “Total income subject to
withholding” may be an estimate or may only reflect
TAX FORMS REQUEST UNIT
How to Claim the Withholding
how withholding was calculated. Be sure to report
FRANCHISE TAX BOARD
Report the income as required and enter the
your actual taxable California source income. If you
PO BOX 307
amount from line 2 above on your California tax
are an independent contractor or receive rents or
RANCHO CORDOVA CA 95741-0307
return as real estate and other withholding or
royalties, see your contract and/or Form 1099 to
nonresident withholding. Attach the top portion
Assistance for Persons with Disabilities
determine your California source income. If you are
of Form 592-B, Copy B to the lower front of your
We comply with the Americans with Disabilities
an S corporation shareholder, partner, member, or
California tax return. Make a copy for your records.
Act. Persons with hearing or speech impairments
beneficiary of an S corporation, partnership, LLC,
please call:
If you are a partnership or LLC, you may either
estate, or trust, see your California Schedule K-1
flow-through the entire amount to your partners or
TTY/TDD . . . . . . . . . . . . . . . . . . . . . . 800.822.6268
(100S, 565, 568, 541), Share of Income, Deductions,
members or claim the withholding, to the extent of
Asistencia Telefonica y en el Internet
Credits, etc., issued by that entity to determine your
your outstanding tax liability, on your tax return. If
California source income.
Sitio web: ftb.ca.gov
the withholding exceeds the amount of tax you still
owe on your tax return, you must flow-through the
Additional Information
Dentro de los Estados Unido
excess to your partners or members. If you do not
llame al . . . . . . . . . . . . . . . . . . . . . 800.852.5711
For more information or to speak to a representative
have an outstanding balance on your tax return,
Fuera de los Estados Unidos,
regarding this form, call the Withholding Services
you must flow-through the entire amount to your
llame al . . . . . . . . . . . . . . . . . . . . . 916.845.6500
and Compliance’s automated telephone service at:
partners or members. Use Forms 592 and 592-B to
(cargos aplican)
888.792.4900 or 916.845.4900 (not toll free).
flow the withholding to your partners or members.
Asistencia para Personas Discapacitadas
OR write to:
If you are an estate or trust, you must flow-through
Nosotros estamos en conformidad con el Acta
the withholding to your beneficiaries if the related
de Americanos Discapacitados. Personas con
WITHHOLDING SERVICES AND COMPLIANCE
income was distributed. Use Forms 592 and
problemas auditivos o de habla pueden llamar al
FRANCHISE TAX BOARD
592-B to flow-through the withholding to your
TTY/TDD 800.822.6268.
PO BOX 942867
beneficiaries. If you did not distribute the income,
SACRAMENTO CA 94267-0651
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