Form Pw-1 - Wisconsin Nonresident Income Or Franchise Tax Withholding On Pass-Through Entity Income - 2012

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Form
Wisconsin Nonresident Income or
PW-1
Franchise Tax Withholding on
2012
Pass-Through Entity Income
For 2012 or taxable year beginning
and ending
.
M
M
D
D
C
C
Y
Y
M
M
D
D
C
C
Y
Y
If this is an amended return, check here
If this is a final return, check here
Part 1: Pass-Through Entity Information
Name of Pass-Through Entity Withholding the Tax
Federal Employer ID Number
Number and Street
For Estates Only: Decedent’s Social Security Number
Suite/Unit
ZIP Code (+ 4 digit suffix is known)
City
State
Person to Contact Regarding This Information
Telephone Number
A Income or franchise tax form number filed (or to be filed) by the pass-through entity for this period (check one):
5S
3
2
.00
B Total pass-through income under Wisconsin law (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .
 (1000)
 –1000
NO COMMAS; NO CENTS
ENTER NEGATIVE NUMBERS LIKE THIS
NOT LIKE THIS
.
1 Total withholding tax computed (from Part 2, line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
1
.
2 Estimated quarterly withholding tax payments (less Form 4466W refund, if any) . . . . . . . . .
00
2
.
3 Enter total tax withheld by lower-tier entities from Part 1A (Identify lower-tier entities in Part 1A below.) 3
00
.
4 Enter total tax withheld by WT-11 filers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
4
.
5 Amended Return Only – amount previously paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
5
.
6 Add lines 2 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
00
.
7 Amended Return Only – amount previously refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
.
00
8 Subtract line 7 from 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Underpayment interest due (from Form PW-U, line 17). If you annualized income
.
on Form PW-U, check the space after the arrow. . . . . . . . . . . . . . . . . . . . . . . . . . .
00
9
.
00
10 Other interest and penalty due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.
00
11 Amount due. If the total of lines 1, 9 and 10 is greater than line 8, enter amount owed . . . . 11
12 Overpayment. If line 8 is greater than the total of lines 1, 9 and 10, enter amount
.
overpaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
00
.
13 Enter amount from line 12 you want credited on 2013 estimated withholding tax . . . . . . . . . 13
00
.
14 Subtract line 13 from line 12. This is your refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
00
Part 1A: Additional Information Required for Tiered Entities
If the pass-through entity is claiming credit in line 3 for tax withheld by one or more other pass-through entities, enter the name, federal employer
identification number (FEIN) of the entity (or entities) and total amount withheld by each entity. Attach additional pages if necessary.
Total Amount Withheld
Name
FEIN
Total Amount Withheld
Name
FEIN
I declare, under penalties of law, that this return is true, correct, and complete to the best of my knowledge and belief.
Preparer’s Signature
Date
File this form electronically at or through the Federal/State E-Filing Program.
If you have obtained a waiver from electronic
filing, mail completed form with payment to:
Wisconsin Department of Revenue
PO Box 8991
Madison WI 53708-8991
IC-004i

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