California Form 592 Draft - Resident And Nonresident Withholding Statement - 2016 Page 2
ADVERTISEMENT
1
2Withholding Agent Name: ___________________________________ Withholding Agent ID No.:__________________
Schedule of Payees (Enter business or individual name, not both.)
PRINT CLEARLY
Business name
m SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Last name
Initial
m
If backup withholding, check the box.
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State
ZIP code
Total income
Amount of tax withheld
.
.
,
,
,
,
Business name
m SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Initial
Last name
m
If backup withholding, check the box.
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State
ZIP code
Total income
Amount of tax withheld
.
.
,
,
,
,
Business name
m SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Last name
Initial
m
If backup withholding, check the box.
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State
ZIP code
Total income
Amount of tax withheld
.
.
,
,
,
,
Business name
m SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Initial
Last name
m
If backup withholding, check the box.
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State
ZIP code
Total income
Amount of tax withheld
.
.
,
,
,
,
Side 2 Form 592
2015
C3
7082163
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial