California Form 592-F - Foreign Partner Or Member Annual Return - 2017
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1
2TAXABLE YEAR
CALIFORNIA FORM
Foreign Partner or Member Annual Return
2017
592-F
I
I
Amended
Federal Extension
Taxable year: Beginning (mm/dd/yyyy)
, and ending (mm/dd/yyyy)
.
Part I Withholding Agent Information
Business name
FEIN
CA Corp no.
CA SOS file no.
First name
Initial Last name
Telephone
(
)
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)
State ZIP code
Total Number of Foreign Partners
or Members Included
Part II Tax Withheld
1 Total tax withheld from Schedule of Payees, excluding backup withholding
.
,
,
(Side 2 and any additional pages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
.
,
,
2 Total backup withholding (Side 2 and any additional pages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
.
,
,
3 Add line 1 and line 2. This is the total amount of tax withheld. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
.
,
,
4 Amount withheld by another entity and being allocated to partners or members . . . . . . . . . . . . . . . . .
4
.
,
,
5 Prior payments of foreign partners’ or members’ withholding for taxable year shown above . . . . . . . .
5
.
,
,
6 Amount credited from prior year’s withholding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
.
,
,
7 Add line 4, line 5, and line 6. This is the total amount of payments . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Balance due. If line 3 is more than line 7, subtract line 7 from line 3. Remit the withholding payment
.
,
,
with the Supplemental Payment Voucher from Form 592-A, along with Form 592-F. . . . . . . . . . . . . . .
8
.
,
,
9 Overpayment. If line 7 is greater than line 3, subtract line 3 from line 7 (complete lines 10 and 11).. .
9
.
,
,
10 Credit to next year. Enter the amount from line 9 that you want applied to the 2018 Form 592-F . . . .
10
.
,
,
11 Refund. Subtract line 10 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
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 withholding agent) is based on all information of which preparer has any knowledge.
Print or type withholding agent’s name
Sign
Here
Withholding agent’s signature
Date
Print or type preparer’s name
Preparer’s PTIN
Preparer’s
Preparer’s signature
Date
Use Only
Preparer’s address
Telephone
(
)
Form 592-F
2016 Side 1
8081173
C3
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