Form Pw-2 - Wisconsin Nonresident Partner, Member, Shareholder, Or Beneficiary Withholding Exemption Affidavit - 2015
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Form
Wisconsin Nonresident Partner,
PW-2
2015
Member, Shareholder, or Beneficiary
Withholding Exemption Affidavit
Note: This form is due within one month or two months after the close of the pass-through entity’s taxable year. See instructions for details.
Part 1: Information for Department of Revenue
Pass-Through Entity Information
Entity’s Identification Number
Pass-Through Entity Name
FEIN
or SSN
Number and Street
WI TAN
ZIP (+ 4 digit suffix if known)
City
State
This pass-through entity files as a (check one):
Last Day of Entity’s Taxable Year
Tax-option (S) Corporation
Partnership
Estate or Trust
M
M
D
D
Y
Y
Y
Y
(if nonresident is a disregarded entity, grantor trust, or combined return filer).
Reporting Entity
Taxpayer’s Identification Number (Enter one)
Taxpayer Name
SSN
FEIN
Disregarded Entity
Grantor Trust
Combined Return Filer
Nonresident Information
Taxpayer’s Identification Number (Enter one)
Taxpayer Name
SSN
FEIN
Number and Street
City
ZIP (+ 4 digit suffix if known)
State
Person to Contact Regarding This Information
Telephone Number
Form that you will use to report your income or franchise tax for this period (check one):
1NPR
1CNP
1CNS
2
3
4
4T
5S
6
Required Information
Nonresident’s Last Day of 2015 Taxable Year
Amount of WI income from the pass-through entity:
.00
Amount of WI credits from the pass-through entity:
.00
M
M
D
D
Y
Y
Y
Y
Reason for Exemption (check all that apply or attach an explanation):
I have paid or carried forward Wisconsin estimated tax payments applicable to this period, in the total amount of
1.
. If this amount is less than the amount of tax (after credits) attributable to income from the pass-
through entity, an explanation of the difference is attached. (Attach explanation.)
I have one or more of the following losses which can be used to offset my income from this pass through entity. (Attach additional
sheets if necessary). The losses change my total Wisconsin income/tax liability in the current year from the pass through entity and I
have filed Wisconsin income or franchise tax returns in each year that produced the carry forward.
3.
Wisconsin credit and credit carryforwards from other
2.
Net Wisconsin source operating loss carryforward:
sources in the current taxable year that exceed my total
Name:
liability before credits.
Source:
FEIN:
Amount:
.00
The nonresident filing this affidavit is itself a pass-through entity, and will withhold taxes on all income allocable to its nonresi-
4.
dent partners, members, shareholders, or beneficiaries, unless an exemption applies. Please provide the name and FEIN
number of the entity(s) who will make the payment. (Attach additional sheets if necessary).
Name:
FEIN:
IC-005
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