Form Pa-20s/pa-65 Nw - Pa Schedule Nw - Nonresident Withholding Payments Pa S Corporations And Partnerships - 2012

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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.

PA Tax Due on PA-Taxable Income to Nonresident Individuals, Estates, or Trusts. . . . . . . . . . . . . . . . . . . . . . . . . . . A

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

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