California Form 589 - Nonresident Reduced Withholding Request - 2017
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1Nonresident Reduced
TAXABLE YEAR
CALIFORNIA FORM
2017
Withholding Request
589
Part I Withholding Agent Information
m
m
m
m
Business name
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial Last name
Address (apt./ste., room, PO box, or PMB no.)
Telephone
–
(
)
City (If you have a foreign address, see instructions.)
State
ZIP code
Fax
–
–
(
)
Venue
Part II Payee Information
m
m
m
m
Business name
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial Last name
DBA (see instructions)
Address (apt./ste., room, PO box, or PMB no.)
Telephone
–
(
)
City (If you have a foreign address, see instructions.)
State
ZIP code
Fax
–
–
(
)
Part III Type of Income Subject to Withholding
I
Check one type only.
m
m
m
A
Payment to Independent Contractor
C
Rents or Royalties
E
Estate Distributions
m
m
m
B
Trust Distributions
D
Distributions to Domestic Nonresident
I
Other _____________________
Partners/Members/Beneficiaries/
I
Date(s) of Service __________________________
S Corporation Shareholders
mm/dd/yyyy - mm/dd/yyyy
Part IV Withholding Computation
K
.
,
,
1 Gross California Source Payment. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
K
.
,
,
2 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
K
.
,
,
3 Commissions and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
K
.
,
,
4 Cost of labor (contract labor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
K
.
,
,
5 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
K
.
,
,
6 Legal, professional, and/or management fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
K
.
,
,
7 Rent or lease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
K
.
,
,
8 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
K
.
,
,
9 Travel, meals, and entertainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Other Expenses (specify). See instructions.
K
.
,
,
10 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . .
10
K
.
,
,
11 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . .
11
K
.
,
,
12 Total Amount of Expenses. Add lines 2 through 11.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
K
.
,
,
13 Net California Source Payment. Subtract line 12 from line 1. If zero or less, enter 0.. . . . . .
13
14 Withholding Amount. Multiply the amount on line 13 by 7%. This is the proposed
reduced withholding amount. This amount must be verified and approved by the
K
.
,
,
Franchise Tax Board (FTB) prior to the payee receiving payment for services. . . . . . . . . . . . . . .
14
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 form, 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 the withholding agent) is based on all information of which preparer has any knowledge.
Sign
Print or type payee’s name
Here
Payee’s signature
Date
Print or type preparer’s name
Telephone
Preparer’s
(
)
Use Only
Preparer’s signature
Date
PTIN
Form 589
2016
8101173
C2
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