Form Tc-20s - Utah S Corporation Return Page 12
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13TC-20S, Schedule N
TC-20S N 2011
20128
Pass-through Entity Withholding Tax
Employer Identification Number: ___________________
An S corporation with nonresident individual shareholders, resident business shareholders and/or nonresident business shareholders must
complete the information below to calculate the Utah withholding tax for these shareholders.
Withholding Waiver Request
under §59-10-1403.2(5): If shareholders will pay the Utah tax on the own returns:
Enter “1” to request a waiver for ALL shareholders, and enter ”0” in column F for all shareholders......................................
_ _ _
Enter “2” to request a waiver for SOME (but not all) shareholders, and enter ”0” in column F for those shareholders requested .....
See Schedule N instructions for liability responsibilities when requesting a waiver.
A. Name of shareholder
E. Income (loss)
F. 5% of income
G. Mineral production
I. Pass-through
B. Withholding waiver for this shareholder
attributable
(E times .05 –
withholding credit
withholding
(enter “X” in column B and “0” in Column F)
to Utah
not less than 0)
(F less G and H –
C. SSN/EIN of shareholder
H. Previous pass-through
not less than 0)
D. % of ownership in S corp by shareholder
withholding tax
1) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
2) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
3) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
4) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
5) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
6) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
7) A. ___________ _ _ _ __ _ __ __ E. __ __ __ __ . 00 F. _ __ __ _ _ _ . 00
G. _ _ __ _ __ _ . 00
I. ________ . 00
B. ___
H. _ _ _ __ _ __ . 00
C. __________ _ D. _ __ _ _ __ _
Total pass-through withholding tax:
I. _ _______ . 00
Enter here and on TC-20S, Sch. A, line 14 and on Sch. K, line 21
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
Clear form
Report the shareholder’s pass-through withholding tax from column I on Schedule K-1, line 21.
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