Form R-210nra - Underpayment Of Individual Income Tax Penalty Computation 2012 Taxable Year

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R-210NRA (1/13)
2012
Underpayment of Individual Income Tax
Penalty Computation 2012 Taxable Year
Nonresident Professional Athlete
PLEASE PRINT OR TYPE.
Social Security Number
Name shown on tax return
Yours
Yours
Spouse’s
Spouse’s
Section 1 – Required Annual Payment
1
2012 tax liability - See instructions.
00
2
2011 tax liability - See instructions.
00
3
Enter the smaller of Line 1 or Line 2
00
4
Number of payments required for year
Section 2 – Underpayment Computation
04/15/12
06/15/12
09/15/12
01/15/13
Required payment - From Section 1, divide
5
amount on Line 3 by the amount on Line 4. See
00
00
00
00
instructions.
6 Amount paid for each period – See instructions.
00
00
00
00
Carryforward - Overpayment or underpayment
from previous period on Line 9 of each column.
Carryforward amounts from the previous period
7
00
00
00
can be a positive number or a negative number.
Note: No carryforward amount can be shown for
the first period. See instructions.
8 Amount available for period. Add Lines 6 and 7.
00
00
00
00
Underpayment or overpayment - Subtract Line
5 from Line 8. A positive number indicates an
9
overpayment. A negative number indicates an
00
00
00
00
underpayment. Move the number on this line to
Line 7 in next column.
Section 3 – Exceptions
Exception 1 – See worksheet on page 3. If you meet this exception, you do not owe an underpayment penalty. STOP –
10
You do not need to file this form.
11 Exception 2 – Prior Year’s Tax Liability
00
00
00
00
12 Exception 3 – Prior Year’s Income.
00
00
00
00
no exception
13 Exception 4 – Annualized Income
00
00
00
available
14 Exception 5 – Installment Period Income
00
00
00
00
Section 4 – Penalty Computation
15 Amount of underpayment (from Line 9 above)
00
00
00
00
16 Date of Payment – See instructions.
17 Number of days from due date of installment
18 Penalty – See instructions.
00
00
00
00
Penalty – Add amounts on Line 18. Print the total here and on Form IT-540B-NRA, Line 17 if you have an
19
00
overpayment. Print the total here and on Form IT-540B-NRA, Line 31 if you have a balance due.

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