Limited Liability Company Return Of Income Tc65 Page 10

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Utah Partnership/Limited Liability Partnership/Limited Liability Company Return of Income
TC-65 Schedule N
Partnership/Limited Liability Partnership/Limited Liability Company Name
Taxable Year Ending
Employer Identification Number
Nonresident Tax Remittance Information
Instructions: Partnerships/limited liability partnerships/limited liability companies that are making income tax payments on
behalf of nonresident partners/members should complete this form. These are partnerships/limited liability partnerships/
limited liability companies that file a composite return.
Composite partnership/limited liability partnership/limited liability company filers should list below all nonresident partners/
members for whom Utah individual income tax is being paid. The social security number (SSN) or employer identification
number (EIN), the percentage of partnership/limited liability partnership/limited liability company income, and the Utah
income attributable to each nonresident partner/member must be indicated.
Percent Of
Attributable
Nonresident Partner/Member Name
SSN or EIN
Income
Utah Income
TOTAL (also enter on TC-65, line 8)
Duplicate this form if additional sheets are necessary
65N.FRM Rev. 12/01

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