Form Pte-Wh - Kentucky Nonresident Income Tax Withholding On Distributive Share Income

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Taxable Year Ending
KENTUCKY NONRESIDENT INCOME TAX WITHHOLDING
PTE-WH
Amended
__ __ / __ __
ON DISTRIBUTIVE SHARE INCOME
40A200 (10-12)
Composite
Mo.
Yr.
(1) Pass-through entity’s FEIN
(6) Kentucky distributive share income
00
subject to withholding/income tax ..
6
Exempt (see instructions)
(2) Pass-through entity’s Kentucky Corporation/LLET Acct. No.
(7) Tax before credit
00
(line 6 multiplied by .06 (6%)) .........
7
(3) Pass-through entity’s name, address and ZIP Code
(8) Enter partner’s, member’s or
shareholder’s credits
00
(see instructions) .............................
8
(4) Partner’s, member’s or shareholder’s Social Security
(9) Kentucky income tax
Number or FEIN
00
Check Box if a Corporation
withheld/paid ...................................
9
Copy A—For Kentucky Department of Revenue
Attach to Form 740NP-WH
(5) Partner’s, member’s or shareholder’s name, address and
ZIP Code
Taxable Year Ending
KENTUCKY NONRESIDENT INCOME TAX WITHHOLDING
Amended
PTE-WH
__ __ / __ __
ON DISTRIBUTIVE SHARE INCOME
40A200 (10-12)
Composite
Mo.
Yr.
(1) Pass-through entity’s FEIN
(6) Kentucky distributive share income
00
subject to withholding/income tax ..
6
Exempt (see instructions)
(2) Pass-through entity’s Kentucky Corporation/LLET Acct. No.
(7) Tax before credit
00
(line 6 multiplied by .06 (6%)) .........
7
(3) Pass-through entity’s name, address and ZIP Code
(8) Enter partner’s, member’s or
shareholder’s credits
00
(see instructions) .............................
8
(4) Partner’s, member’s or shareholder’s Social Security
(9) Kentucky income tax
Number or FEIN
Check Box if a Corporation
00
withheld/paid ...................................
9
Copy B—File With Individual’s or Corporation’s Income Tax Return
(5) Partner’s, member’s or shareholder’s name, address and
ZIP Code
Taxable Year Ending
KENTUCKY NONRESIDENT INCOME TAX WITHHOLDING
Amended
PTE-WH
__ __ / __ __
ON DISTRIBUTIVE SHARE INCOME
40A200 (10-12)
Composite
Mo.
Yr.
(1) Pass-through entity’s FEIN
(6) Kentucky distributive share income
00
subject to withholding/income tax ..
6
Exempt (see instructions)
(2) Pass-through entity’s Kentucky Corporation/LLET Acct. No.
(7) Tax before credit
00
(line 6 multiplied by .06 (6%)) .........
7
(3) Pass-through entity’s name, address and ZIP Code
(8) Enter partner’s, member’s or
shareholder’s credits
00
(see instructions) .............................
8
(4) Partner’s, member’s or shareholder’s Social Security
(9) Kentucky income tax
Number or FEIN
00
Check Box if a Corporation
withheld/paid ...................................
9
Copy C—Keep With Individual’s or Corporation’s Re cords
(5) Partner’s, member’s or shareholder’s name, address and
ZIP Code
Taxable Year Ending
KENTUCKY NONRESIDENT INCOME TAX WITHHOLDING
Amended
PTE-WH
__ __ / __ __
ON DISTRIBUTIVE SHARE INCOME
40A200 (10-12)
Composite
Mo.
Yr.
(1) Pass-through entity’s FEIN
(6) Kentucky distributive share income
00
subject to withholding/income tax ..
6
(2) Pass-through entity’s Kentucky Corporation/LLET Acct. No.
Exempt (see instructions)
(7) Tax before credit
00
(line 6 multiplied by .06 (6%)) .........
7
(3) Pass-through entity’s name, address and ZIP Code
(8) Enter partner’s, member’s or
shareholder’s credits
00
(see instructions) .............................
8
(4) Partner’s, member’s or shareholder’s Social Security
(9) Kentucky income tax
Number or FEIN
Check Box if a Corporation
00
withheld/paid ...................................
9
Copy D—For Pass-through Entity’s Records
(5) Partner’s, member’s or shareholder’s name, address and
ZIP Code

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