California Form 588 - Nonresident Withholding Waiver Request - 2012 Page 2
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4Requester Name: ________________________________________________ Requester ID No.:__________________
Payee Information
PRINT CLEARLY
FEIN
CA corp no.
SOS file no.
Business name
SSN or ITIN
First name
Initial Last name
Account Period Ending (APE)
___ ___ / ___ ___ / ___ ___ ___ ___
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Reason for Waiver Request (Letter Code)
Newly Admitted Date (MM/DD/YYYY) (Must be included when selecting Letter Code “D.”)
___ ___ / ___ ___ / ___ ___ ___ ___
FEIN
CA corp no.
SOS file no.
Business name
SSN or ITIN
First name
Initial Last name
Account Period Ending (APE)
___ ___ / ___ ___ / ___ ___ ___ ___
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Reason for Waiver Request (Letter Code)
Newly Admitted Date (MM/DD/YYYY) (Must be included when selecting Letter Code “D.”)
___ ___ / ___ ___ / ___ ___ ___ ___
FEIN
CA corp no.
SOS file no.
Business name
SSN or ITIN
First name
Initial Last name
Account Period Ending (APE)
___ ___ / ___ ___ / ___ ___ ___ ___
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Reason for Waiver Request (Letter Code)
Newly Admitted Date (MM/DD/YYYY) (Must be included when selecting Letter Code “D.”)
___ ___ / ___ ___ / ___ ___ ___ ___
FEIN
CA corp no.
SOS file no.
Business name
SSN or ITIN
First name
Initial Last name
Account Period Ending (APE)
___ ___ / ___ ___ / ___ ___ ___ ___
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Reason for Waiver Request (Letter Code)
Newly Admitted Date (MM/DD/YYYY) (Must be included when selecting Letter Code “D.”)
___ ___ / ___ ___ / ___ ___ ___ ___
FEIN
CA corp no.
SOS file no.
Business name
SSN or ITIN
First name
Initial Last name
Account Period Ending (APE)
___ ___ / ___ ___ / ___ ___ ___ ___
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Reason for Waiver Request (Letter Code)
Newly Admitted Date (MM/DD/YYYY) (Must be included when selecting Letter Code “D.”)
___ ___ / ___ ___ / ___ ___ ___ ___
Side
Form 588
2011
C2
7052123
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