Forms Kw-7s And Kw-7s - Nonresident Owner Withholding Page 3

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KW-7
KANSAS
FOR OFFICE USE ONLY
Nonresident Owner
Number of KW-7S
(Rev. 9/12)
schedules included
Withholding Return
with this return.
Name of Partnership, S corporation, LLC or LLP
Tax Account
037
F
__ __ __ __ __ __ __ __ __
__ __
Number
Address
Employer ID
___ ___
___ ___ ___ ___ ___ ___ ___
Number (EIN)
Tax Year
___ ___ / ___ ___ / ___ ___
Zip Code
City, Town, or Post Office
State
Beginning Date
Tax Year
___ ___ / ___ ___ / ___ ___
Ending Date
Name of Contact Person
Phone Number
Total withholding due from
.
line 4 of Form KW-7S
Withholding
Name or
Amended
Additional
Account
Address
Return
Return
Closed On:
Change
,
,
.
$
Payment
M
M
D
D
Y
Y
Amount
Please Sign The Back of This Return
531003

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