Form Tc-41n - Schedule N - Pass-Through Entity Withholding Tax - 2014
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1Schedule N - Pass-through Entity Withholding Tax
TC-41N
41410
2014
EIN or SSN
Estate/trust name
USTC ORIGINAL FORM
An estate or trust with nonresident individual beneficiaries, resident business beneficiaries, and/or nonresident business beneficiaries must complete
the information below to report the Utah income and to calculate the Utah withholding tax for these beneficiaries.
.
WITHHOLDING WAIVER REQUEST under §59-10-1403.2(5):
Enter "1" to request a waiver for ALL beneficiaries (enter "X" in column B and "0" in column G for all beneficiaries)
Enter "2" to request a waiver for SOME beneficiaries (enter "X" in column B and "0" in column F for those beneficiaries requested)
See Schedule N instructions for liability responsibilities when requesting a waiver.
A Name of beneficiary
F
Income (loss)
G
5% of income -
H
Mineral production J
Withholding tax
B
Withholding waiver for this beneficiary
attributable to Utah
F times 5% (.05)
withholding credit
to be paid by
(enter “X” in column B and “0” in column G)
(not less than zero)
this fiduciary
C “X” if Dependent Beneficiary
I
Upper-tier pass-
(G less H and I -
D SSN or EIN of Beneficiary
E Beneficiary’s % of income
through withholding
not less than 0)
.00
.00
.00
.00
#1
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#2
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#3
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#4
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#5
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#6
A
F
G
H
J
.00
D
E
.00
.00
.00
.00
#7
A
F
G
H
J
.00
D
E
.00
Report the beneficiary’s pass-through withholding
Total Utah withholding tax to be paid by this fiduciary:
tax from column J on Schedule K-1, line 15
Enter on TC-41, line 31 and on Sch. K, line 15.
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