ETA
Nonresident Entertainer Tax
Promoter’s Annual Reconciliation
File Form ETA by January 31 to reconcile deposits made to the actual tax withheld for the previous year .
Attach copies of the 1099-MISC forms issued to entertainers and entertainment entities for the year.
Check if amended
Name of promoter
For calendar year
Address
Federal tax ID number
Check if new address
City
State
Zip code
Minnesota tax ID number
.
1 Total nonresident entertainer tax withheld (attach all 1099s for the year) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.
2 Tax deposited with Form ETD for:
January . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
February . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
March . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
April . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
May . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
June . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
July . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
August . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
September . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
October . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
November . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
December . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Total tax deposited for the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
If line 1 equals line 2, sign and date this form and mail it to the address below .
If line 1 does not equal line 2, complete line 3 or 4 .
.
3 If line 2 is more than line 1, enter the amount of REFUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.
4 If line 2 is less than line 1, enter the additional TAX OWED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
See instructions for depositing requirements.
I declare this form is correct and complete to the best of my knowledge and belief. I know I owe the tax listed on this form, and I give up my
right to contest any court order requiring me to pay this amount.
Your signature
Date
Daytime phone
Paid preparer’s signature
PTIN
Date
Daytime phone
By January 31, mail Form ETA and copies of 1099-MISC forms to: Minnesota Revenue, Mail Station 6525, St. Paul, MN 55146-6525
Phone: 651-282-9999 or 1-800-657-3594. Email: withholding.tax@state.mn.us
(Rev . 6/17)