Form Pa-40 Nrc-I - Pa Schedule Nrc-I - Directory Of Nonresident Owners (Individuals) - 2013

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1308010055
PA SCHEDULE NRC-I
Directory of Nonresident
Owners (Individuals)
2013
PA-40 NRC-I
(05-13) (FI)
OFFICIAL USE ONLY
FEIN
9 DIGITS - NO DASH
Name as shown on PA-20S/PA-65 Information Return
G
Directory of Nonresident Owners (Individuals)
List every nonresident individual owner who received a PA-20S/PA-65 Schedule NRK-1 from the PA S corporation, partnership or limited
liability company. Check the block for nonresident individuals participating in the PA-40 NRC. Do not use more than one line per entry.
If additional space is required, make copies of this schedule.
IMPORTANT: The entity must complete this directory and submit only the PA-20S/PA-65 Schedules NRK-1 for each nonresident individual
electing to file on the PA-40 NRC. DO NOT USE THIS SCHEDULE TO LIST ENTITIES.
Nonresident Individual Owners
ENTER WHOLE DOLLARS ONLY
Amended Schedule
First
Owner’s percentage of
Tax withheld for
Check if filing
Social Security Number
Last Name
on PA-40NRC: ✓
Ownership
Liabilities
each Owner
Initial
$
1
$
2
$
3
$
4
$
5
$
6
$
7
$
8
$
9
$
10
$
11
$
12
$
13
$
14
$
15
$
16
$
17
$
18
$
19
$
20
$
21
$
22
$
23
$
24
$
25
Total =
$
1308010055
1308010055

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