Form Eta - Nonresident Entertainer Tax
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1
2ETA
Nonresident Entertainer Tax
Promoter’s Annual Reconciliation
File Form ETA by Feb . 28 to reconcile deposits made to the actual tax withheld for the previous year .
Attach copies of the 1099-MISC forms issued to entertainers and entertainment entities for the year .
Check if amended
Name of promoter
For calendar year
Address
Federal tax ID number
Check if new address
City
State
Zip code
Minnesota tax ID number
.
1 Total nonresident entertainer tax withheld (attach all 1099s for the year) . . . . . . . . . . . . . . . . . . . . . . 1
.
2 Tax deposited with Form ETD for:
January . . . . . . . . . .
.
February . . . . . . . . .
.
March . . . . . . . . . . .
.
April . . . . . . . . . . . .
.
May . . . . . . . . . . . . .
.
June . . . . . . . . . . . .
.
July . . . . . . . . . . . . .
.
August . . . . . . . . . .
.
September . . . . . . .
.
October . . . . . . . . . .
.
November . . . . . . . .
.
December . . . . . . .
.
Total tax deposited for the year . . . . . . . . . . . . . . . . . . . . . . . . . 2
If line 1 equals line 2, sign and date this form and mail it to the address below .
If line 1 does not equal line 2, complete line 3 or 4 .
.
3 If line 2 is more than line 1, enter the amount of REFUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.
4 If line 2 is less than line 1, enter the additional TAX OWED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
See instructions for depositing requirements .
I declare this form is correct and complete to the best of my knowledge and belief. I know I owe the tax listed on this form, and I give
up my right to contest any court order requiring me to pay this amount.
Your signature
Date
Daytime phone
Paid preparer’s signature
PTIN
Date
Daytime phone
By Feb . 28, mail return and copies of 1099-MISC forms to: Minnesota Revenue, Mail Station 6525, St . Paul, MN 55146-6525
Phone: 651-282-9999 or 1-800-657-3594 (TTY: Call 711 for Minnesota Relay) . Email: withholding .tax@state .mn .us
(Rev . 8/12)
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Parent category: Financial