Instructions For Form W-4na

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INSTRUCTIONS
PURPOSE. Form W-4NA is to be used by payors of nonresident
braska 68509-4818. In the continental United States, call toll free
individuals to compute Nebraska income tax to be withheld from
(800) 742-7474; Lincoln residents call 471-5729.
payments for personal services in Nebraska. Personal services
PAYOR INSTRUCTIONS
include, but are not limited to, payments to nonresident entertain-
NAME AND LOCATION ADDRESS. Payor must complete the
ers, individual athletes, jockeys, performers, consultants, public
payee’s name, address, and social security number or federal
speakers, or other professional services.
employer identification number of the nonresident individual,
WHO MUST WITHHOLD. Any person paying a nonresident for
corporation, partnership, or limited liability company.
services substantially performed in Nebraska may be required to
LINE 2. Enter the total amount of the payment for personal
withhold Nebraska income tax. A person must withhold if the
services. Include any amounts paid to the service provider as
payee is not an employee; the payment is not subject to federal
reimbursement for expenses.
withholding; and the payor is either (1) making a payment or
LINE 9. If line 8 is less than $28,000 compute the amount to be
payments in excess of five thousand dollars ($5,000), or (2) main-
withheld. Otherwise, enter zero (0) and compute the amount to be
taining an office or transacting business within Nebraska and
withheld using line 10 instructions.
making a payment or payments of more than six hundred dollars
($600).
PAYEE INSTRUCTIONS
The payor and the nonresident must complete Form W-4NA
LINE 3. Ordinary and necessary business ex-
together. Nonresident individuals can use Form W-4NA to report
penses reasonably related to Nebraska income.
their business expenses and payments in performing personal
Expenses listed on this schedule are amounts paid for
services in Nebraska. If there are other payees receiving payments
travel, lodging, meals and other ordinary and necessary
for services performed in Nebraska as nonresident individuals,
expenses spent in earning your income in Nebraska.
each must complete a separate Form W-4NA.
LINE 4. Payments made to others for perform-
A U.S. nonresident alien whose country has a tax treaty with the
ances or appearances and other fees reasonably
U.S. may not be subject to nonresident withholding. The payor is
related to Nebraska income. Payments listed are
to obtain a written statement from the payee certifying the exis-
amounts paid to agents, or to others such as a percentage to
tence of such a treaty exempting U.S. income earned by the alien
agents or payments made to others assisting in the perfor-
from federal or state income tax.
mance. This does not include payments to partners, share-
holders, or members.
Payments to a corporation are subject to withholding require-
ments if 80% or more of the voting stock of the corporation is held
Special Note: If persons providing personal services also
by the shareholders who are performing personal services. Pay-
hire others to assist them, they may have a withholding
ments to a partnership or limited liability company are subject
responsibility on the payments made to such persons. If the
to withholding requirements if 80% or more of the capital interest
persons are hired as employees, then Nebraska’s regular
or profits interest of the partnership or limited liability company is
withholding rules apply. If the persons are not employees
held by the partners or members who are performing personal
and are nonresidents of Nebraska, then the person paying
services. See line 11 instructions.
them must follow the guidelines in Form W-4NA. They
should contact the department to receive a Withholding
The completed Form W-4NA is a part of the payor’s records
Certificate to withhold Nebraska tax.
and must be kept with other withholding tax records. Federal
Form 1099-MISC will be issued by the payor based on the infor-
LINE 11. If the payment was payable to a nonresident
mation on the completed Form W-4NA. The Forms 1099-MISC,
corporation, partnership, or limited liability company, the
state copies, will be included with the Form W-3N, Nebraska
Nebraska income tax withheld, computed on line 9 or line
Reconciliation of Income Tax Withheld, filed with the department.
10, must be distributed to the appropriate nonresident
shareholders, partners, or members.
PENALTIES. A penalty may be imposed, in addition to other
penalties provided by law, on a nonresident individual for giving
The payee is to use line 11 to distribute the amount withheld
false information to a payor regarding payments subject to with-
to the appropriate nonresident shareholders, partners, or
holding, if the information could result in the amount withheld
members. Federal Form 1099-MISC will be issued by the
totaling less than 75% of the income tax liability on such pay-
payor to each shareholder, partner, or member and must be
ments. A penalty may also be imposed on any payor who either
attached to their individual income tax return to receive
knowingly uses false information or who maintains records which
proper credit.
show the information is false.
SIGNATURES. The nonresident individual, corporate officer,
The penalties will equal: (a) the amount of tax evaded, not col-
partner, or member is to sign this certificate, and include his or her
lected, or not accounted for and paid over; and (b) an additional
telephone number. If the payee authorizes another person to sign,
amount up to $1,000.
there must be a power of attorney on file with the department or
TAXPAYER ASSISTANCE. Questions can be directed to the
attached to this certificate. Any person paid to prepare Form
Nebraska Department of Revenue, P.O. Box 94818, Lincoln, Ne-
W-4NA must also sign the certificate.

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