California Form 592 - Quarterly Nonresident Withholding Statement - 2008
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YEAR
CALIFORNIA FORM
2008
592
Quarterly Nonresident Withholding Statement
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Amended
Schedule of Payees provided electronically
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FTB Use Only: Total Payment Enclosed:
or on magnetic media
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Payment Due Date:
April 15, 2008
June 15, 2008
September 15, 2008
January 15, 2009
Part I Withholding Agent
Name of Withholding Agent (Payer)
SSN or ITIN
Address (including suite, room, PO Box, or PMB no.)
FEIN or CA Corp no.
City
State
ZIP Code
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Total Number of Payees Included
Total California Source Income Subject to Withholding
Part II
Type of Income: Check one type only.
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1. Payment to Independent Contractor (I/C)
4. Rents or Royalties
6. Estate Distributions
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2. Payment to I/C
5. Distributions to Domestic Nonresident
7. Other________________________
Entertainers/Athletes/Speakers
S Corporation Shareholders/Partners/
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3. Trust Distributions
Members/Beneficiaries
Schedule of Payees
ID Number
ID Type
Total Quarterly Income
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SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
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SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
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SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
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1 Total Tax Withheld (side 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
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2 Total Tax Withheld including Side 2 and any additional pages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
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3 Add line 1 and line 2. This is the total Tax Withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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4 Enter amounts of prior payments or amounts previously withheld by another entity and being allocated
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to the taxpayers listed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
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5 Total Withhold Amount Due. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Part III Perjury Statement
Under penalties of perjury, I declare that I have examined this return, 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.
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Withholding Agent’s name ______________________________________________
Withholding Agent’s daytime phone number ______________________
Withholding Agent’s signature ______________________________________________________________________________________________________
Preparer’s name ______________________________________________________
Preparer’s signature ________________________________________
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Preparer’s address ____________________________________________________
Preparer’s daytime phone number _____________________________
7081083
Form 592
2007 Side 1
C3
For Privacy Notice, get form FTB 1131.
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