Form 592 Draft - Nonresident Withholding Annual Return

YEAR

CALIFORNIA FORM

2007

592

Nonresident Withholding Annual Return

Nonresident Withholding

(Independent contractors, rents, royalties, estate & trust beneficiaries, domestic nonresident S corporation shareholders/partners/members)

If you withheld on foreign (non-U.S.) partners, use Side 2 of this form.

If you withheld on both foreign partners and other payees, file a separate Form 592 for the foreign partners.



Form 592-B Type:

Form 592-B attached for each recipient.

Form 592-B information on magnetic media.

Part I Withholding Agent



Name of Withholding Agent (Payer)

CA Corp no.

FEIN

Address (including suite, room, PO Box, or PMB no.)

Withholding Agent’s SSN or ITIN

City

State

ZIP Code

Contact person’s name and title (type or print)

Daytime telephone no.

(

)

Part II Tax Withheld



Type of Income:

Payment to Independent Contractor

Rents or Royalties

Estate Distributions

Trust Distributions



Distributions to Domestic Nonresident S Corporation Shareholders/Partners/Members (see Side 2 for foreign partners/members)



Other

_______________________

Enter number of 592-B for the type(s) of income checked above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total amount of California source income subject to withholding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Total withholding due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Prior payments for the above calendar year

Date

Amount

Date

Amount

Date

Amount

Total prior payments . . . . . .4

Balance due. Subtract line 4 from line 3 and enter the balance due . If less than zero, enter -0- .

Attach a check or money order for the full amount payable to the “Franchise Tax Board .”

Write the payer’s FEIN, CA corp no ., SSN or ITIN and “2007 Form 592” on the check or money order . . . . . . . . . 5

Mail Form 592 to the FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-065.

Part III Tax Withheld by Another Entity on this Partnership, Limited Liability Company (LLC), S Corporation, Estate, or Trust

Enter number of additional Forms 592-B attached, flowing through the credit . The credit must be allocated to all

S corporation shareholders, partners, members, or beneficiaries, whether residents or nonresidents of California,

according to their interests in the above S corporation, partnership, LLC, estate, or trust . (Do not include

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Forms 592-B already included on line 1 .)

Enter amount withheld by another entity and being allocated to the S corporation shareholders, partners, members, or

beneficiaries . This credit must be documented by a Form 592-B, 593-B, or 594 from the withholding entity . (Do not

include withholding included on line 3 or any credit being used against tax owed on the S corporation, partnership,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

LLC, estate, or trust California tax return .)

Part IV 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.

____________________________________________

________________________________________________



Name and title of withholding agent (type or print)

Signature of withholding agent

Date

____________________________________________



________________________________________________

Name of preparer company (type or print)

Signature of preparer other than withholding agent