Form 592-F - Foreign Partner Or Member Annual Return

TAXABLE YEAR

CALIFORNIA FORM

Foreign Partner or Member Annual Return

2016

592-F

Amended

Federal Extension

Taxable year: Beginning (mm/dd/yyyy)

, and ending (mm/dd/yyyy)

Part I Withholding Agent

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FEIN

CA Corp no.

Business name

CA SOS file no.

First name

Initial Last name

Telephone

(

)

Address (apt./ste., room, PO box, or PMB no.)

City (If you have a foreign address, see instructions.)

State ZIP code

Total Number of Foreign Partners

or Members Included

Part II Tax Withheld

1 Total tax withheld from Schedule of Payees, excluding backup withholding

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(Side 2 and any additional pages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2 Total backup withholding (Side 2 and any additional pages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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3 Add line 1 and line 2. This is the total amount of tax withheld. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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4 Amount withheld by another entity and being allocated to partners or members . . . . . . . . . . . . . . . . .

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5 Prior payments of foreign partners’ or members’ withholding for taxable year shown above . . . . . . . .

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6 Amount credited from prior year’s withholding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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7 Add line 4, line 5, and line 6. This is the total amount of payments . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Balance due. If line 3 is more than line 7, subtract line 7 from line 3. Remit the withholding payment

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with the Supplemental Payment Voucher from Form 592-A, along with Form 592-F. . . . . . . . . . . . . . .

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9 Overpayment. If line 7 is greater than line 3, subtract line 3 from line 7 (complete lines 10 and 11).. .

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10 Credit to next year. Enter the amount from line 9 that you want applied to the 2017 Form 592-F . . . .

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11 Refund. Subtract line 10 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and

search for privacy notice. To request this notice by mail, call 800.852.5711.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and

belief, it is true, correct, and complete. Declaration of preparer (other than withholding agent) is based on all information of which preparer has any knowledge.

Sign

Print or type withholding agent’s name

Here

Withholding agent’s signature

Date



Print or type preparer’s name

Preparer’s PTIN

Preparer’s

Preparer’s signature

Date

Use Only