Form Tc-41 - Utah Fiduciary Income Tax Return - 2016 Page 10
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15Schedule N - Pass-through Entity Withholding Tax
TC-41N
41610
2016
EIN or SSN
Estate/trust name
USTC ORIGINAL FORM
An estate or trust with nonresident individual beneficiaries, resident/nonresident business beneficiaries, or resident/nonresident trust or estate
beneficiaries must complete the information below to report the Utah income and to calculate the Utah withholding tax for these beneficiaries.
.
WITHHOLDING WAIVER CLAIMED under §59-10-1403.2(5): If beneficiaries will pay the Utah tax on their own returns:
•
Enter "1" to claim a waiver for ALL beneficiaries (enter "X" in column B and "0" in column F for all beneficiaries)
Enter "2" to claim a waiver for SOME beneficiaries (enter "X" in column B and "0" in column F for those beneficiaries claimed)
See Schedule N instructions for liability responsibilities when claiming a waiver.
A Name of beneficiary
F
Income (loss)
G
5% of income -
H
Mineral production J
Withholding tax
B Withholding waiver for this beneficiary
attributable to Utah
F times 5% (.05)
withholding credit
to be paid by
(enter “X” in column B and “0” in column F)
(not less than zero)
this fiduciary
C “X” if Dependent Beneficiary
I
Upper-tier pass-
(G less H and I -
D SSN or EIN of Beneficiary
E Beneficiary’s % of income
through withholding
not less than 0)
.00
.00
.00
.00
#1
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#2
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#3
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#4
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#5
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#6
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
.00
.00
.00
#7
A
F
G
H
J
.00
• B
• C
I
• D
E
.00
Report the beneficiary’s pass-through withholding
Total Utah withholding tax to be paid by this fiduciary:
tax from column J on Schedule K-1, line 15
Enter on TC-41, line 31 and on Sch. K, line 15.
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