Form Pte-12 - Idaho Schedule For Pass-Through Owners
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1PTE-12
F
Idaho Schedule For Pass-Through Owners
O
R
EFO00241
M
08-02-12
Pass-through entity (PTE) name
PTE EIN
PTE tax year ending
Date of payment
Contact name
Contact e-mail
Contact telephone
Idaho
Income Tax
Owner’s Address
Owner’s Name
Social Security
Distributable
Withheld/Paid
City, State, ZIP Code
Filing Option
Income
By Entity
(one owner per line)
Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
If you have more than one schedule, enter the total amount withheld on last page only.
Total Income Tax Withheld
Page _______ of ________
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Parent category: Financial