Form Tc-40w - Withholding Tax Schedule Page 2
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40080
Part 2 - Utah Mineral Production Withholding (TC-675R)
TC-40W
Rev. 12/08
Last name
SSN
Do not send TC-675Rs with return. Instead, enter TC-675R information below.
A - Spouse
B - Payer EIN and Name
C - UT Withholding ID
D - UT Withholding
EIN
Name
EIN
Name
EIN
Name
EIN
Name
EIN
Name
Total production withholding tax from TC-675Rs. Enter on TC-40, page 2, line 35
Part 3 - Utah Nonresident Shareholder Withholding
Do not send Schedules K-1 with return. Instead, enter Schedule K-1 information below.
A - Spouse
B - Corporation EIN and Name
C - UT Withholding
EIN
Name
EIN
Name
EIN
Name
EIN
Name
EIN
Name
Total withholding tax from Schedules K-1. Enter on TC-40, page 2, line 34
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