California Form 589 - Nonresident Reduced Withholding Request - 2016
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1
2
3Nonresident Reduced
TAXABLE YEAR
CALIFORNIA FORM
2016
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 (apt./ste., room, PO box, or PMB no.)
Telephone
(
)
City (If you have a foreign address, see instructions.)
State
ZIP code
Fax
(
)
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 (see instructions)
Address (apt./ste., room, PO box, or PMB no.)
Telephone
(
)
City (If you have a foreign address, see instructions.)
State
ZIP code
Fax
(
)
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
I
Other _____________________
Partners/Members/Beneficiaries/
I
Date(s) of Service __________________________
S corporation Shareholders
mm/dd/yyyy - mm/dd/yyyy
Part IV Withholding Computation
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
.
,
,
12 Total Amount of Expenses. Add lines 2 through 11.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
K
.
,
,
13 Net California Source Payment. Subtract line 12 from line 1. If zero or less, enter 0.. . . . . .
13
14 Withholding Amount. Multiply the amount on line 13 by 7%. This is the proposed
reduced withholding amount. This amount must be verified and approved by the
K
.
,
,
Franchise Tax Board (FTB) prior to the payee receiving payment for services. . . . . . . . . . . . . . .
14
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and search for
privacy notice. To request this notice by mail, call 800.852-5711. 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 documentation upon request in order to verify the payment amount and expenses above.
Sign
Print or type payee’s name
Here
Payee’s signature
Date
Print or type preparer’s name
Telephone
Preparer’s
(
)
Use Only
Preparer’s signature
Date
PTIN
Form 589
2015
C2
8101163
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