Free 2008 IC-004 Form PW-1 Wisconsin Nonresident Income or Franchise Tax Withholding on Pass-Through Entity Income - Wisconsin

Form

PW-1
M M

Wisconsin Nonresident Income or Franchise Tax Withholding on Pass-Through Entity Income
D D Y Y Y Y

2008
Y Y Y

For 2008 or taxable year beginning

and ending

M

M

D

D

Y

.

DO NOT STAPLE OR BIND

If this is an amended return, check here

Part 1: Pass-Through Entity Information
Name of Pass-Through Entity Withholding the Tax Number and Street City Person to Contact Regarding This Information Federal Employer ID Number For Estates Only: Decedent's Social Security Number ZIP Code

State

Telephone Number

Income or franchise tax form number filed (or to be filed) by the pass-through entity for this period (check one) 5S 3 2
NOT LIkE ThIS (1000) NO COMMAS; NO CENTS ENTER NEgATIvE NuMBERS LIkE ThIS ­1000

1 Total pass-through income under Wisconsin law (see instructions) . . . . . . . . . . . . . 1 2 Total tax withheld (from Part 2, line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Interest due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Total amount due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Additional Information Required for Tiered Entities:

.00 .00 .00 .00

If the pass-through entity is claiming credit in Part 2, item G2 for tax withheld by one or more other pass-through entities, enter the name and federal employer identification number (FEIN) of the entity (or entities) which withheld the tax. Attach additional pages if necessary.
Name Name FEIN FEIN

Name

FEIN

I declare, under penalties of law, that this return is true, correct, and complete to the best of my knowledge and belief.
Preparer's Signature Date

File this form electronically at www.revenue.wi.gov/eserv/pw/index.html or through the Federal/State E-Filing Program. If you have obtained a waiver from electronic filing, mail completed form with payment to: Wisconsin Department of Revenue PO Box 8932 Madison, WI 53708-8932

IC-004i

*W1PW08991*

Part 2: Nonresident Shareholder, Partner, Member, or Beneficiary Information
(Note: See instructions corresponding to each column letter)
A. L i n e
Name

If affidavit (Form PW-2) was filed by nonresident, columns E through H are not required.
E. Share of Wisconsin Taxable Income F. G1. Share of Tax Credits G2. Tax Withheld by Lower-Tier Entities
G1

B.

C.

D.

H.

Nonresident's Name and Address

FEIN or SSN
FEIN SSN FEIN SSN FEIN SSN FEIN SSN FEIN SSN FEIN SSN FEIN SSN FEIN SSN FEIN SSN

Tax Form

Affidavit Filed Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

Gross Withholding

Net Withholding Due

a

Address Name

$

$

G2 G1

$

b

Address Name

$

$

G2 G1

$

c

Address Name

$

$

G2 G1

$

d

Address Name

$

$

G2 G1

$

e

Address Name

$

$

G2 G1

$

f

Address Name

$

$

G2 G1

$

g

Address Name

$

$

G2 G1

$

h

Address Name

$

$

G2 G1

$

i

Address

$

$

G2

$ $ $ $ $

5 Total withholding this page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Number of additional pages included . Total of line 5 amount from all additional pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 If this is an amended return, enter amount paid with the original return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Total income or franchise tax withheld. Add lines 5 and 6, less line 7. Enter total on Part 1, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
IC-004