California Form 588 Draft - Nonresident Withholding Waiver Request - 2015 Page 2
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5YEAR
CALIFORNIA FORM
Nonresident Withholding Waiver Request
2015
588
Part I
Withholding Agent Information
Business name (S corp., partnership, LLC, estate, or trust)
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial
Last name
Telephone
(
)
Address (apt./ste., room, PO Box, or PMB no.)
Fax
(
)
State
ZIP Code
City (If you have a foreign address, see instructions.)
Part II
Requester Information
Check one box.
Withholding Agent
Payee
Authorized Representative for Withholding Agent
Authorized Representative for Payee
Business name
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial
Last name
Telephone
(
)
Address (apt./ste., room, PO Box, or PMB no.)
Fax
(
)
City (If you have a foreign address, see instructions.)
State
ZIP Code
Part III
Type of Income Subject to Withholding
Check one type only.
A
Payment to Independent Contractor
B
Trust Distributions
C
Rents or Royalties
D
Distributions to Domestic Nonresident Partners/Members/Beneficiaries/S Corporation Shareholders
E
Estate Distributions
I
Other
Under penalties of perjury, I declare that I have examined this request, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of paid preparer is based on all information of which preparer has any knowledge.
Type or print requester’s name and title
Telephone
Sign
Here
______________________________________________________________________________________ (________)_____________________________
Requester’s signature
Date
______________________________________________________________________________________ ______________________________________
7051153
Form 588
2014
Side 1
C2
For Privacy Notice, get FTB 1131 ENG/SP.
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