California Form 592 - Quarterly Nonresident Withholding Statement - 2008 Page 2

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Quarterly Nonresident Withholding Statement
Name of Withholding Agent (Payer)
SSN, ITIN, FEIN, or CA Corp no.
Schedule of Payees
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
ID Number
ID Type
Total Quarterly Income
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name:
Amount of Tax Withheld
Address
.
00
,
,
Total Tax Withheld this page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side 2 Form 592
2007
7082083
C3

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