California Form 589 - Nonresident Reduced Withholding Request - 2013
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1
2
3Nonresident Reduced
TAXABLE YEAR
CALIFORNIA FORM
2013
Withholding Request
589
Part I Withholding Agent
m
m
m
m
Business name
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial Last name
Address (suite, room, PO Box, or PMB no.)
Withholding Agent fax number
–
(
)
City
State
ZIP Code
Daytime telephone number
–
–
(
)
Venue
Part II Payee
m
m
m
m
Business name
SSN or ITIN
FEIN
CA Corp no.
CA SOS file no.
First name
Initial Last name
DBA (if applicable)
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Payee fax number
–
–
(
)
Part III Type of Income Subject to Withholding
I
Check one type only.
m
m
m
A
Payment to Independent Contractor
C
Rents or Royalties
E
Estate Distributions
m
m
m
B
Trust Distributions
D
Distributions to Domestic Nonresident
F
Other _____________________
S Corporation Shareholders/Partners/
I
Date(s) of Service __________________________
Members/Beneficiaries
MM/DD/YYYY - MM/DD/YYYY
Part IV Withholding Amount
K
.
,
,
1 Gross California Source Payment. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
K
.
,
,
2 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
K
.
,
,
3 Commissions and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
K
.
,
,
4 Cost of labor (contract labor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
K
.
,
,
5 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
K
.
,
,
6 Legal, professional, and/or management fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
K
.
,
,
7 Rent or lease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
K
.
,
,
8 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
K
.
,
,
9 Travel, meals, and entertainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Other Expenses (specify). See instructions.
K
.
10 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
,
,
K
.
11 ________________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
,
,
K
.
,
,
0
12 Total amount of expenses. Add line 2 through 11.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
K
.
13 Net California Source Payment. Subtract line 12 from line 1. If zero or less, enter 0.. . . . . . . . .
13
,
,
0
14 Withholding Amount. Multiply the amount on line 13 by seven percent (.07). This is the
proposed reduced withholding amount. This amount must be verified and approved by the
K
.
0
,
,
Franchise Tax Board (FTB) prior to the requestor receiving payment for services. . . . . . . . . . . . . . .
14
Part V Payee’s Signature
Under penalties of perjury, I hereby certify that the information provided is, to the best of my knowledge, true and correct. I understand that the Franchise Tax Board
may review all relevant documentation upon request in order to verify the payment amount and expenses above.
_________
Payee’s Name ______________________________________________________________________ Phone Number:
____________
(
)
Payee’s Signature_____________________________________________________________________________________ Date:_____________
Preparer’s Name_____________________________________________________________________ Phone Number:______________________
(
)
Preparer’s Signature_______________________________________________________________ Date: ____________ PTIN________________
Form 589
2012
C2
8101133
For Privacy Notice, get form FTB 1131.
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