Form Pte-12 - Idaho Schedule For Nonelecting Owners
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1PTE-12
F
Idaho Schedule For Nonelecting Owners
O
R
EFO00241
M
09-15-11
Pass-through entity (PTE) name
PTE EIN
PTE tax year ending
Date of payment
PTE address
City
State
ZIP Code
Contact name
Contact telephone
Contact e-mail
Income Subject
Owner’s Name
Social Security
Income Tax
Owner’s Address
City
State
ZIP Code
To Withholding
(one owner per line)
Number
Withheld
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
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20.
If you have more than one schedule, enter the total amount withheld on last page only.
Total Income Tax Withheld
Page _______ of ________
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Parent category: Legal