Form W-4na - Nebraska Withholding Certificate For Nonresident Individuals Page 3
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3PAYEE INSTRUCTIONS
LINE 3. Ordinary and necessary business expenses reasonably related to Nebraska income. Expenses
listed on this schedule are amounts paid for travel, lodging, meals, and other ordinary and necessary expenses spent
in earning income in Nebraska.
LINE 4. Payments made to others for performances, or appearances and other fees reasonably
related to Nebraska income. Payments listed are amounts such as a percentage paid to agents or payments made
to others assisting in the performance. This does not include payments to partners, shareholders, or members.
NOTE: If persons providing personal services also hire others to assist them, they may have an income tax withholding
responsibility on the payments made to such persons. If the persons are hired as employees, then Nebraska’s regular
income tax withholding rules apply. If the persons are not employees and are nonresidents of Nebraska, then the person
paying them must follow the guidelines in Form W-4NA. Contact the Department to receive a Withholding Certificate
to withhold Nebraska income tax.
LINE 11. If the payment was payable to a nonresident, partnership, corporation, or LLC, the Nebraska income tax
withheld, computed on line 9 or line 10, must be distributed to the appropriate nonresident partners, shareholders, or
members.
The payee must use line 11 to distribute the amount withheld to the appropriate nonresident partners, shareholders, or
members. Federal Forms 1099-MISC or 1042-S will be issued by the payor to each partner, shareholder, or member
and must be attached to payee's individual income tax return to receive proper credit.
SIGNATURES. The nonresident individual, partner, corporate officer, or member must sign this certificate, and include his
or her telephone number. If the payee authorizes another person to sign, there must be a power of attorney on file with the
Department or attached to this certificate. Any person paid to prepare Form W-4NA must also sign the certificate.
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