Form Pw-1 - Wisconsin Nonresident Income Or Franchise Tax Withholding On Pass-Through Entity Income - 2006

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PW-1
Form
Wisconsin Nonresident Income or
2006
Franchise Tax Withholding on
Pass-Through Entity Income
For 2006 or taxable year beginning
and ending
.
Y
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
If this is an amended return, check here
Part 1: Pass-Through Entity Information
Federal Employer ID Number
Name of Pass-Through Entity Withholding the Tax
Number and Street
For Estates Only: Decedent’s Social Security Number
City
State
ZIP Code
Person to Contact Regarding This Information
Telephone Number
Income or franchise tax form number filed (or to be filed) by the pass-through entity for this period (check one)
5S
3
2
.
1 Total pass-through income under Wisconsin law (see instructions) . . . . . . . . . . . . .
1
00
.
2 Total tax withheld (from Part 2, line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
.
3 Interest due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
00
.
4 Total amount due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
Additional Information Required for Tiered Entities:
If the pass-through entity is claiming credit in Part 2, column G for tax withheld by one or more other pass-through entities,
enter the name and federal employer identification number (FEIN) of the entity (or entities) which withheld the tax. Attach
additional pages if necessary.
Name
FEIN
Name
FEIN
Name
FEIN
I declare, under penalties of law, that this return is true, correct, and complete to the best of my knowledge and belief.
Preparer’s Signature
Date
If you have obtained a waiver from electronic filing, mail completed form with payment to:
Wisconsin Department of Revenue
PO Box 8932
Madison, WI 53708-8932
*W1PW06991*
For DOR purposes only
IC-004i

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