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PW-2
Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit
2008
Note:Thisformisduewithinonemonthortwomonthsafterthecloseofthepass-throughentity'staxableyear.Seeinstructionsfordetails.
Part 1: Information for Department of Revenue
Pass-Through Entity Information
Pass-ThroughEntityName Entity's Identification Number (Enter one) FEIN NumberandStreet City SSN
State
ZIPCode
PersontoContactRegardingThisInformation
TelephoneNumber
This pass-through entity files as a (check one): Tax-option(S)Corporation Partnership
LastDayofEntity'sTaxableYear(Enter as MM DD YYYY)
EstateorTrust
Nonresident Information
TaxpayerName Taxpayer's Identification Number (Enter one) SSN NumberandStreet City FEIN
State
ZIPCode
PersontoContactRegardingThisInformation
TelephoneNumber
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.
To Page 2
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 CompanyName(ifapplicable)
NumberandStreet
City
State
ZIPCode
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.