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TC-40W
SSN
Rev. 12/08
40089
Part 1 - Utah Withholding Tax Schedule
Last name
Do not send W-2s or 1099s with return. Instead, enter W-2 or 1099 information below, only if there is Utah withholding on the form. LEGEND: A - Employer Information 1 Utah withholding ID number from W-2 or 1099 2 Employer or payer ID number from W-2 or 1099 3 Employer or payer name and address 1 2 3 B - Employee Info 4
"X" if 1099
C - UT Withholding
5 6 7 5 6 7
Employee SSN "X" if SSN is for spouse Utah wages
8
Utah withholding tax
4
8
1 2 3
4
5 6 7 8
1 2 3
4
5 6 7 8
1 2 3
4
5 6 7 8
1 2 3
4
5 6 7 8
1 2 3
4
5 6 7 8
Total income tax withholding from W-2s and 1099s. Enter on TC-40, page 2, line 32
Fill-in fields may not show when you open this form. If you are using Reader 7.0 or greater, checking the "Highlight field" option on your Reader will show where fields are located. Otherwise, start at "Last name" and use the tab key to move from field to field.
Clear form
TC-40W
SSN
Rev. 12/08
40080
Part 2 - Utah Mineral Production Withholding (TC-675R)
Last name
Do not send TC-675Rs with return. Instead, enter TC-675R information below. A - Spouse EIN Name EIN Name EIN Name EIN Name EIN Name
Total production withholding tax from TC-675Rs. Enter on TC-40, page 2, line 35
B - Payer EIN and Name
C - UT Withholding ID
D - UT Withholding
Part 3 - Utah Nonresident Shareholder Withholding
Do not send Schedules K-1 with return. Instead, enter Schedule K-1 information below. A - Spouse EIN Name EIN Name EIN Name EIN Name EIN Name
Total withholding tax from Schedules K-1. Enter on TC-40, page 2, line 34
B - Corporation EIN and Name
C - UT Withholding