Form 592-B - Nonresident Withholding Tax Statement

YEAR

CALIFORNIA FORM

Nonresident Withholding Tax Statement

592-B

Attach to Form 592 for each recipient. See the separate instructions for

FOR FRANCHISE

Copy A

Forms 592 and 592-A.

TAX BOARD

Part I

Recipient

Recipient’s name

SSN

Address (number and street)

PMB no.

FEIN

California corp. no.

City

State

ZIP Code

Country

Part II Withholding agent

SSN

Withholding agent’s (payer’s/partnership’s/limited liability company’s) name

PMB no.

FEIN

California corp. no.

Address (number and street)

Daytime telephone number

City

State

ZIP Code

(

)

Part III Type of income subject to withholding. Check the applicable box(es).

Payment to

Rents

Estate

Trust

Allocations

Distributions

Other_________________________

Independent

Distributions

to Foreign (non-U.S.)

to Domestic (U.S.)

(describe)

Contractor

Royalties

Nonresident Partner/Member

Part IV Tax Withheld

1 Total amount subject to withholding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Total California tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withholding Agent Instructions

(FTB) and give copies of Form 592-B to the

• Copies B & C – Send to the vendor/payee

General Information

persons or entities withheld upon.

at the same time that Form 592 is due to

Changes for 2005

the FTB.

Note: Withholding agents who withhold

• Copy D – Retained by withholding agent.

based on Form 594, Notice to Withhold Tax at

Revised Instructions – We have expanded the

Source, should not include that withholding

instructions. Please read the instructions

on Form 592-B.

Penalties

before completing the form.

New Payment Address – Send payments and

The withholding agent must furnish complete

When and Where to File

Forms 592 and 592-B to:

and correct copies of Forms 592-B to the FTB

and to the recipient (vendor/payee) by the due

FRANCHISE TAX BOARD

File Copy A of this form together with

date.

PO BOX 942867

Form 592, Nonresident Withholding Annual

SACRAMENTO CA 94267-0651

Return, with the FTB on or before January 31

If the withholding agent fails to provide

following the close of the calendar year unless

complete, correct, and timely Forms 592-B to

you are withholding on foreign (non-U.S.)

the FTB for all nonresident withholding other

Purpose

partners. For withholding on foreign

than foreign partner withholding, the penalty

Use Form 592-B, Nonresident Withholding

partners, file Forms 592-B with Form 592,

per Form 592-B is:

Tax Statement, to show the amount of income

Side 2 on or before the 15th day of the 4th

• $15 if filed within 30 days after the due

subject to withholding and tax withheld for

month following the close of the partnership's

date.

nonresidents for the year. File a separate

tax year. (If all the partners are foreign,

• $30 if filed by August 1.

Form 592-B for each nonresident.

Forms 592-B and Form 592 must be filed on

• $50 If filed after August 1 or a correct

Note: Use Form 592-A, Nonresident

or before the 15th day of the 6th month after

forms is not filed.

Withholding Remittance Statement, to remit

the close of the partnership's tax year.)

• If the failure is due to intentional disregard

withholding payments during the year. Use

Attach Copy A of Form 592-B to the back of

of the requirement – $100 or ten percent of

Form 592, Nonresident Withholding Annual

Form 592 and mail with payment to:

the amount required to be reported

Return, to report the total withholding for the

(whichever is greater).

FRANCHISE TAX BOARD

year and as a transmittal form for

PO BOX 942867

If the withholding agent fails to provide

Forms 592-B.

SACRAMENTO CA 94267-0651

complete, correct, and timely Forms 592-B to

the FTB for foreign partner withholding, the

If you are filing Forms 592-B by magnetic

Who Must File

penalty per Form 592-B is:

media, see Instructions for Form 592,

Any person who has withheld on payments to

Magnetic Media Requirements, for instruc-

• $15 if filed within 30 days after the due

nonresidents or is a pass-through entity that

tions on mailing the disk or CD to FTB.

date.

was withheld upon and must flow through the

• $50 if filed more than 30 days late or a

Distribute the other copies of Form 592-B as

withholding credit must file Forms 592-B

correct form is not filed.

follows:

(with Form 592, Nonresident Withholding

Annual Return) with the Franchise Tax Board

592B04104

Form 592-B 2004

For Privacy Act Notice, get form FTB 1131 (Individuals only).

Form 592-B - Nonresident Withholding Tax Statement - 2004

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