Form 740np-Wh - Kentucky Nonresident Income Tax Withholding On Distributive Share Income Report And Composite Income Tax Return - 2016

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2016
740NP-WH
*1600010292*
40A201 (10-16)
Commonwealth of Kentucky
Taxable Year Ending
DEPARTMENT OF REVENUE
KENTUCKY NONRESIDENT INCOME TAX WITHHOLDING ON
__ __ / __ __
DISTRIBUTIVE SHARE INCOME REPORT AND COMPOSITE INCOME TAX RETURN
Mo.
Yr.
(To be completed by a Pass-through Entity Only)
KRS 141.206
➤ See instructions.
Taxable period beginning _____/_____/201_____, and ending _____/_____/201_____.
A Name of Pass-through Entity
B Federal Identification Number
¨  Change of Name
C Kentucky NRWH
Number and Street
¨  Change of Address
Account Number
City
State
ZIP Code
D Check applicable box:
¨ 
Nonresident Income Tax Withholding on Distributive Share Income Report and/or Composite Income Tax Return
¨  Amended-
   
Nonresident Income Tax Withholding on Distributive Share Income Report and/or Composite Income Tax Return
E Check applicable box(es):
¨  Change of accounting period
¨  Final return
   
(1) Number of nonresident individuals, estates, trusts and corporations included in this withholding
1
(2) Number of nonresident individuals, estates, trusts and corporations exempt from this withholding
2
(3) Number of nonresident individuals, estates, and trusts included in this composite income tax return
3
(4) Net distributive share income subject to withholding/composite return before apportionment
4
00
%
(5) 100% or the apportionment fraction from the pass-through entity’s Schedule A, Section I, line 12
5
(6) Kentucky distributive share income subject to withholding/composite return (line 4 multiplied by line 5)
6
00
(7) Tax before tax credits (line 6 multiplied by .06 (6%))
7
00
(8) Enter the partners’, members’ or shareholders’ nonrefundable tax credits
8
00
(9) Kentucky income tax liability (line 7 less line 8)
9
00
(10) Estimated tax payments
¨ 
Check if Form 740NP-WH-P attached
10
00
(11) Extension payment
11
00
(12) Prior year’s tax credit
12
00
(13) Total Tax Paid on original return
13
00
(14) Total Payments (lines 10 through 13)
14
00
(15) Tax overpayment on original return
15
00
(16) Income Tax Due (line 9 and 15 less line 14)
TAX DUE 16
00
(17) Income tax overpayment (line 14 less line 9 and 15)
17
00
(18) Credited to 2016 Interest
18
00
(19) Credited to 2016 Penalty
19
00
(20) Credited to 2017 NRWH
20
00
(21) Amount to be refunded (line 17 less lines 18 through 20)
REFUND 21
00
OFFICIAL USE ONLY
TAX PAYMENT SUMMARY
Make check(s) or money
V
order(s) payable to:
A
Kentucky State Treasurer
.00
Tax (Line (16))
$_____________________________
1.
L
(Additional Tax Paid)
#
Mail to:
.00
Interest
$_____________________________
2.
P
Kentucky Department of Revenue
W
Penalty
3.
$_____________________________
.00
Frankfort, KY 40619-0006
2
0
Total Payment
$_____________________________
4.
.00
4
I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying
schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Print name of partner, member or shareholder
Signature of partner, member or shareholder
Daytime telephone number
Date
May the DOR discuss this return with the preparer?
Yes
No
Name of person or firm preparing return
Date
Email Address:
Telephone No.:
SSN, PTIN or FEIN

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