Form Tc-41 - Fiduciary Income Tax - 2012 Page 27

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2012 Utah Fiduciary Income Tax
Page 25
TC-41W - Utah Withholding Tax Schedule Instructions
Utah withholding tax credits must be claimed by
completing form TC-41W and attaching it to your
Utah return.
Do not send copies of your W-2s, 1099s, TC-675Rs,
W-2 Example
and Utah Schedules K-1 with your Utah return.
Keep all these forms with your tax records.
Processing may be delayed or your withholding tax
credits may be disallowed if you do not complete
TC-41W as explained below and submit it with your
Utah return.
TC-41W, Part 1 Instructions
You must report Utah withholding tax from the follow-
ing forms on TC-41W, page 1:
Federal form W-2, Wage and Tax Statement.
Federal form 1099 (with Utah withholding), includ-
ing 1099-R, 1099-MISC, 1099-G, etc.
Do not send W-2s or 1099s with your Utah return.
Keep them in your fi les.
Processing may be delayed or the withholding tax
credit disallowed if you do not complete the TC-41W
with all required information.
To claim credit for Utah withholding tax, complete
TC-41W, page 1. Enter the following information from
form W-2 or 1099.
Line 1 – Enter the employer/payer federal EIN (W-2
box “b,” or 1099).
TC-41W Example
Line 2 – Enter the employer/payer Utah withholding
account number (W-2 box “15,” or 1099).
The Utah withholding account number is a 14-char-
acter number, the fi rst eleven characters are nu-
meric and the last three are “WTH.” Do not enter
hyphens. Example: 12345678901WTH.
If the form W-2 or 1099 does not refl ect this number,
contact the employer or payer to obtain the cor-
rect number to enter on TC-41W, Part 1. Failure
to include this number on the TC-41W may cause
your withholding to be disallowed and delay any
refund.
Line 3 – Enter the employer/payer name and ad-
dress (W-2 box “c,” or 1099).
Line 4 – Enter an “X” if the income and withholding
tax are from a form 1099.
Line 5 – Enter the taxpayer’s social security number
or EIN (W-2 box “a,” or 1099).
Line 6 – Enter the Utah wages or income being
reported (W-2 box 16, or 1099).
Line 7 – Enter the Utah withholding tax (W-2 box
17, or 1099).
Note: If there is no Utah employer identifi cation
number on a form W-2 box 15, 1099-R box 11, 1099-
MISC box 17, or any other 1099 form, your refund
may be reduced or your tax due increased. Contact
the employer or payer of the income to get the Utah
withholding account number.
Add the amounts of Utah withholding tax from all
lines 7 and enter the total at the bottom of TC-41W,
page 1, and on form TC-41, page 1, line 32.

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