Form Tc-20s - Utah S Corporation Return - 2013 Page 12

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Schedule N - Pass-through Entity Withholding Tax
TC-20S, Sch. N
20328
EIN
2013
An S corporation with nonresident individual shareholders, resident business shareholders, and/or nonresident business shareholders must complete
the information below to calculate the Utah withholding tax for these shareholders.
WITHHOLDING WAIVER REQUEST under §59-10-1403.2(5):
Enter "1" to request a waiver for ALL shareholders (enter "X" in column B and "0" in column F for all shareholders)
Enter "2" to request a waiver for SOME shareholders (enter "X" in column B and "0" in column F for those shareholders requested)
See Schedule N instructions for liability responsibilities when requesting a waiver.
A Name of shareholder
Income (loss)
5% of income -
Mineral production I
Withholding tax
E
F
G
B Withholding waiver for this shareholder
attributable
E times 5% (.05)
withholding credit
to be paid by
(enter “X” in column B and “0” in column F)
to Utah
(not less than zero)
this corporation -
C SSN or EIN of shareholder
Upper-tier pass-
F less G and H
H
D % of ownership in S Corp. by shareholder
through withholding
(not less than 0)
#1
A
E
F
G
I
B
H
C
D
#2
A
E
F
G
I
B
H
C
D
#3
A
E
F
G
I
B
H
C
D
#4
A
E
F
G
I
B
H
C
D
#5
A
E
F
G
I
B
H
C
D
#6
A
E
F
G
I
B
H
C
D
#7
A
E
F
G
I
B
H
C
D
Report the shareholder’s pass-through withholding
Total Utah withholding tax to be paid by this corporation:
tax from column I on Schedule K-1, line 20
Enter on TC-20S, Sch. A, line 14 and on Sch. K, line 20.

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