Free 2008 IC-005 Form PW-2 Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit - Wisconsin

Form

PW-2
ZIPCode

Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit

2008

Note:Thisformisduewithinonemonthortwomonthsafterthecloseofthepass-throughentity'staxableyear.Seeinstructionsfordetails.

Part 1: Information for Department of Revenue
Pass-ThroughEntityName NumberandStreet State PersontoContactRegardingThisInformation

Pass-Through Entity Information
Entity's Identification Number (Enter one) FEIN City TelephoneNumber LastDayofEntity'sTaxableYear(Enter as MM DD YYYY) SSN

This pass-through entity files as a (check one): Tax-option(S)Corporation Partnership

EstateorTrust

Nonresident Information
TaxpayerName NumberandStreet State ZIPCode PersontoContactRegardingThisInformation

Taxpayer's Identification Number (Enter one) SSN City TelephoneNumber FEIN

Formthatyouwillusetoreportyourincomeorfranchisetaxforthisperiod(check one): 4 1NPR 1CNP 1CNS 2 3 Amountofincomefromthepass-throughentity: Amountofcreditsfromthepass-throughentity:

4I

4T

5

5S

Nonresident's2008TaxableYear(MM DD YYYY) - (MM DD YYYY)

Reason for Exemption (check one): 1. 2. IhavepaidorcarriedforwardWisconsinestimatedtaxpaymentsapplicabletothisperiod,inthetotalamountof .Ifthisamountislessthantheamountoftax(lesscredits)attributabletoincomefromthe pass-throughentity,anexplanationofthedifferenceisattached.(Attach explanation.) IhaveWisconsinsourcenetoperatinglosscarryforward(NOLC)orsuspendedlosscarryforwardwhichexceeds myincomefromthepass-throughentity,and I have filed Wisconsin income or franchise tax returns for each year of lossesthatproducedthecarryforward. IincurredWisconsinsourcelossesfromothersourcesinthecurrenttaxableyearwhichexceedmytotalWisconsin sourceincome.Detailsofthelossesareprovidedbelow.(Attach additional sheets if necessary.)
Loss amount Explanation, including name, address, and FEIN of any other pass-through entities which are the source of Wisconsin losses

3.

4.

IhaveWisconsincreditsorcreditcarryforwardsfromothersources,whichexceedmytotalWisconsintaxliability (beforecredits).Detailsofthesecreditsareprovidedbelow.(Attach additional sheets if necessary.)
Credit type and amount Source of credit, including name, address, and FEIN of any other pass-through entities which are the source of Wisconsin credits

5.
IC-005

The nonresident filing this affidavit is itself a pass-through entity, and will withhold taxes on all income allocable to its nonresident partners, members, shareholders, or beneficiaries, unless an exemption applies.

Form

PW-2

Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit

Part 2

2008

Part 2: Information for Department of Revenue and Pass-Through Entity
Agreement to File, Routing, Declaration, and Signature I, ,asanonresidentpartner,member,shareholder,orbeneficiaryofthe pass-through entity , request to be exempt from the Wisconsin income or franchise tax withholding requirement found in sec. 71.775, Wis. Stats., for my tax year ending . BysigningthisaffidavitIagreetotimelyfileaWisconsinincomeorfranchisetaxreturnformytaxyearshownabove. IagreetobesubjecttothepersonaljurisdictionoftheWisconsinDepartmentofRevenue,theWisconsinTaxAppeals Commission, and the courts of this state for the purpose of determining and collecting any Wisconsin taxes, including estimated tax payments, together with any interest and penalties. You must complete item A. or item B. below.
A. CheckhereifyouwanttheDepartmenttoreturnthisformbyfax. Enterfaxnumber B. . Faxtotheattentionof .

CheckhereifyouwanttheDepartmenttoreturnthisformbymail.Enteraddressinformationbelow.
ToAttentionof NumberandStreet State ZIPCode CompanyName(ifapplicable) City

Ideclarethattheinformationprovidedinthisaffidavitiscompleteandaccurate,andthatImeetallrequirementsoftheexemption checkedinPart1.IunderstandthattheDepartmentwillreturnPart2ofthisformtomebythemeansIspecifyabove.IfurtherunderstandthatapprovalofthisaffidavitdoesnotconstituteanauditbytheDepartment,andthattheDepartment'sdeterminationregarding approvalofthisaffidavitmaynotbeappealed.
Taxpayer'sSignature Title(ifapplicable) Date

Approval by Department of Revenue Approvedfor2008TaxableYear NotApproved
Reviewer'sInitials Date

Send Parts 1 and 2 of this form to the Wisconsin Department of Revenue at: Fax: Mail: (Usecoverpageprovidedwithinstructions) WisconsinDepartmentofRevenue CentralAuditUnitF,MailStop5-144 POBox8958 Madison,WI53708-8958

TheDepartmentwillreturnPart2ofFormPW-2toyouwithinapproximately30daysofreceivingit.IftheDepartmenthas approvedFormPW-2,providethispagetothepass-throughentity.Thepass-throughentitymustkeepacopyofthispage foritsrecordsasdocumentationshowingwhyitdidnotpaywithholdingtaxonyourbehalf.