California Form 592-B (Draft) - Resident And Nonresident Withholding Tax Statement - 2016 Page 2

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Resident and Nonresident Withholding
TAXABLE YEAR
CALIFORNIA FORM
2016
592-B
Tax Statement
m
Amended
Part I Withholding Agent
Name of withholding agent (from Form 592 or 592-F)
SSN or ITIN
m
m
m
Address (apt./ste., room, PO box, or PMB no.)
FEIN
CA Corp no.
CA SOS file no.
City (If you have a foreign address, see instructions.)
State
ZIP code
Daytime telephone number
(
(
)
)
Part II Payee
Name of payee
SSN or ITIN
m
m
m
Address (apt./ste., room, PO box, or PMB no.)
FEIN
CA Corp no.
CA SOS file no.
City (If you have a foreign address, see instructions.)
State
ZIP code
Part III Type of Income Subject to Withholding. Check the applicable box(es).
m
m
m
A
Payments to Independent Contractors
E
Estate Distributions
H
Allocations to Foreign (non-U.S.)
m
m
B
Trust Distributions
F
Elective Withholding
Nonresident Partners/Members
m
m
m
C
Rents or Royalties
G
Elective Withholding/Indian Tribe
I
Other ___________________________
m
D
Distributions to Domestic (U.S.)
Nonresident Partners/Members/
Beneficiaries/S Corporation Shareholders
Part IV Tax Withheld
1 Total income subject to withholding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Total California tax withheld (excluding backup withholding). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Total Backup Withholding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
2016 Instructions for Form 592-B
Resident and Nonresident Withholding Tax Statement
References in these instructions are to the Internal Revenue Code (IRC) as of January 1, 2015, and to the California Revenue and Taxation Code (R&TC).
What's New
interests, and any financial institutions release
“partner” and a California registered domestic
of loan funds made in the normal course of
“partnership,” as applicable. For more
Penalty Increase - For taxable years beginning
business are exempt from backup withholding.
information on RDPs, get FTB Pub. 737, Tax
on or after January 1, 2016, the penalties
For additional information on California backup
Information for Registered Domestic Partners.
related to failure to file information returns have
withholding, go to ftb.ca.gov and search for
increased. See General Information F, Interest
backup withholding.
A Purpose
and Penalties, or get FTB Pub. 1150, Withhold
If a payee has backup withholding, the payee
Use Form 592-B, Resident and Nonresident
at Source Penalty Information, for more
must contact the FTB to provide a valid
Withholding Tax Statement, to report to the
information.
Taxpayer Identification Number (TIN) before
payee the amount of payment or distribution
filing a tax return. The following are acceptable
subject to withholding and tax as reported
General Information
TINs: social security number (SSN); individual
on Form 592, Resident and Nonresident
taxpayer identification number (ITIN); federal
Withholding Statement, or Form 592-F, Foreign
Do Not Round Cents to Dollars – On this form,
employer identification number (FEIN);
Partner or Member Annual Return. Complete a
do not round cents to the nearest whole dollar.
California corporation number (CA Corp no.);
separate Form 592-B for each payee.
Enter the amounts with dollars and cents as
or California Secretary of State (CA SOS) file
Form 592-B is provided to the payee to file
actually withheld.
number. Failure to provide a valid TIN will result
with their state tax return. This form can be
in the denial of the backup withholding credit.
Backup Withholding – With certain limited
provided to the payee electronically. For more
exceptions, payers that are required to withhold
Registered Domestic Partners (RDPs) –
information, go to ftb.ca.gov and search for
and remit backup withholding to the Internal
For purposes of California income tax,
electronic 592-B requirements. A broker can
Revenue Service (IRS) are also required to
references to a spouse, husband, or wife also
provide Form 592-B as a composite statement.
withhold and remit to the Franchise Tax Board
refer to a California RDP, unless otherwise
For more information, go to ftb.ca.gov and
(FTB) on income sourced to California. The
specified. When we use the initials RDP they
search for composite 592-B.
California backup withholding rate is 7% of the
refer to both a California registered domestic
Do not use Form 592-B to allocate or distribute
payment. For California purposes, dividends,
withholding to each payee. Use Form 592 or
Form 592-F.
Form 592-B 2015
7101163
For Privacy Notice, get FTB 1131 ENG/SP.

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