1208410058
PA SCHEDULE NW
Nonresident Withholding Payments
PA S Corporations and Partnerships
2012
PA-20S/PA-65 NW
(05-12) (FI)
OFFICIAL USE ONLY
Name as shown on the PA-20S/PA-65 Information Return
9 DIGIT - NO DASH
FEIN
START
Nonresident Withholding Payments PA S Corporations and Partnerships
Use this schedule to list all the withholding and extension payments that the PA S corporation, partnership or limited liability company filing as a partnership or
PA S corporation for federal income tax purposes made on behalf of individual shareholders or partners, estates or trusts that were not residents of Pennsylvania
during the taxable year.
$
A
PA Tax Due on PA-Taxable Income to Nonresident Individuals, Estates, or Trusts. . . . . . . . . . . . . . . . . . . . . . . . . . . A
B
Nonresident Withholding Payments and Extension Payment during the Entity’s Taxable Year:
MM/DD/YY
Date
Amount
MM/DD/YY
Date
Amount
Total Nonresident Withholding Payments and Extension Payment. Enter here and on the PA-20S/PA-65 Information
$
Return, Part V, Line 14a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B
C
Reconciliation Payment. Subtract B from A, and enter here and on the PA-20S/PA-65 Information Return
$
Part V, Line 14b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C
Pay any balance due with:
• The PA-20S/PA-65 Information Return, or
• The PA-40 NRC, Nonresident Consolidated Tax Return, if all the nonresident individual owners elect to participate in a group return.
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1208410058
1208410058