Schedule Kw-7a - Nonresident Owner Withholding Affidavit printable pdf download

KW-7A

KANSAS

(Rev. 9/10)

Nonresident Owner Withholding Affidavit

PART A - PARTNERSHIP, S CORPORATION, LLC OR LLP

Partnership, S Corporation, LLC or LLP

Employer Identification Number (EIN)

Street Address, City, State & Zip Code

PART B - WITHHOLDING TAX EXEMPTION

Nonresident Owner’s Name

Social Security Number (If not an individual, enter the EIN)

Street Address, City, State & Zip Code

I, _____________________________________, as a partner/shareholder/member of the above-named partnership, S corporation,

LLC or LLP, request to be exempt from the Kansas income tax withholding required on my share of the Kansas taxable income of the

above-named partnership, S corporation, LLC or LLP for tax year ____________, and all subsequent years, until I notify the department

of a change in this election. By signing this affidavit, I agree to:

1) File a Kansas income tax return, and make timely payment of all Kansas income tax imposed by the laws of this state with respect

to my share of the Kansas taxable income of the above-named partnership, S corporation, LLC or LLP for every year in which I

maintain my exemption status.

2) Be subject to the “personal jurisdiction” of the Kansas Department of Revenue in courts of the state of Kansas for the purpose of

determining and collecting any Kansas taxes, including estimated taxes, together with any related interest and penalties, imposed

on me by the state of Kansas with respect to my share of the Kansas taxable income of the above-named partnership, S

corporation, LLC or LLP.

If I fail to abide by the terms of this affidavit, I understand that the department may revoke the exemption from withholding at any time.

PART C - WITHHOLDING TAX EXEMPTION REVOCATION

Nonresident Owner’s Name

Social Security Number (If not an individual, enter the EIN)

Street Address, City, State & Zip Code

I, ____________________________________, as a partner/shareholder/member of the above-named partnership, S corporation,

LLC or LLP, hereby revoke my previous withholding election dated _______________. At this time, I request to be subject to withholding

on my share of the Kansas taxable income of the above-named partnership, S corporation, LLC or LLP for tax year ____________, and

all subsequent years, until I notify the department of a change in this election.

PART D - SIGNATURE

(

)

Signature of Nonresident Owner

Date

Daytime Phone

(If not an individual, signature of officer or director.)

INSTRUCTIONS. Partnerships, S corporations, LLCs and LLPs

tax is not being paid on behalf of that nonresident owner. Part C

are required to withhold Kansas income tax from a nonresident

of the affidavit is to be used only to revoke a prior election.

owner’s share (whether distributed or undistributed) of Kansas

TAXPAYER ASSISTANCE. Contact our office if you need

taxable income from the partnership, S corporation, LLC or LLP.

assistance with this form.

This withholding requirement, imposed by K.S.A. 79-32,100e,

Withholding Tax Section

went into effect July 1, 2003 for all taxable years beginning after

Kansas Department of Revenue

2002. The nonresident owner withholding rate is 6.45% of the

Docking State Office Building, 1st Floor

nonresident owner’s share of Kansas taxable income.

915 SW Harrison Street

A nonresident owner who elects to be subject to the personal

Topeka, KS 66625-0002

jurisdiction of the department for the purpose of determining and

Phone: (785) 368-8222

collecting any Kansas taxes may “opt-out” of this withholding

Fax: (785) 296-2073

requirement by providing this completed affidavit to the pass-

through entity. A copy of this affidavit must be submitted by the

Additional copies of this and other tax forms are available from

pass-through entity with Form KW-7S to show why withholding

our office or web site:

Schedule Kw-7a - Nonresident Owner Withholding Affidavit

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