MONTANA
PT-WH
Rev. 8-02
Statement of Montana Income Tax Withheld
for Nonresident Individual
Nonresident Individual’s Name and Mailing Address
Organization’s Name and Mailing Address
Name
Name
Street or Other Mailing Address
Street or Other Mailing Address
City
State
Zip Code
City
State
Zip Code
Social Security Number
Spouse’s Social Security Number
Federal Employer Identification Number
Nonresident individual’s share of Montana
1.
Type of Organization (check only one)
source income reflected on the organization’s
S. corporation
Partnership
Limited Liability Company
income tax return.
$___________
Limited Liability Partnership
Disregarded Entity
Amount of Montana income tax withheld and
2.
Taxable year of organization
remitted (11% of the amount on line 1). See
$___________
Beginning________, 20____and ending________, 20____
instructions.
To be filed in the absence of Form PT-CON, a nonresident income tax agreement, or participation in a composite return.
MONTANA
PT-WH
.
Rev. 8-02
Statement of Montana Income Tax Withheld
for Nonresident Individual
Nonresident Individual’s Name and Mailing Address
Organization’s Name and Mailing Address
Name
Name
Street or Other Mailing Address
Street or Other Mailing Address
City
State
Zip Code
City
State
Zip Code
Social Security Number
Spouse’s Social Security Number
Federal Employer Identification Number
1.
Nonresident individual’s share of Montana
Type of Organization (check only one)
source income reflected on the organization’s
$___________
income tax return.
S. corporation
Partnership
Limited Liability Company
Limited Liability Partnership
Disregarded Entity
2.
Amount of Montana income tax withheld and
Taxable year of organization
remitted (11% of the amount on line 1). See
$___________
Beginning________, 20____and ending________, 20____
instructions.
To be filed in the absence of Form PT-CON, a nonresident income tax agreement, or participation in a composite return.
Instructions
Amount of withholding. The amount withheld is 11% of
Who must file. Every S. corporation, partnership, limited
liability company, limited liability partnership, or disregarded
the nonresident individual’s share of Montana source income
reflected on the organization’s income tax return. The total
entity must complete the Statement of Montana Income
Tax Withholding for Nonresident Individual, Form PT-WH,
on line 1 entries from each Form PT-WH should equal the
amount entered on the Montana Partnership Return of
for each nonresident individual partner, member, or
shareholder who did not complete a Montana Nonresident
Income, Form PR1; or the Montana S. corporation Income
Tax Return, Form CLT-4S.
Income Tax Agreement Form PT-CON or elected to
participate in the filing of a composite income tax return.
Do not file Form PT-WH for entities other than individuals.
Nonresident Individual. The nonresident taxpayer named
on this Form PT-WH is required to file a Montana Individual
Income Tax Return, Form 2, with the Montana Department
When and where to file. The Form PT-WH and remittance
must accompany the organization’s Montana information
of Revenue. The amount entered on line 2, Form PT-WH,
tax return when filed with the Montana Department of
will be allowed as a credit against the taxpayer’s Montana
income tax liability and should be claimed as Montana
Revenue. Complete Form PT-WHREM transmittal
document and attach Form PT-WH with your payment.
income tax withheld on Form 2. Attach a copy of Form PT-
WH to your Form 2 in the space otherwise provided for
attaching Federal Form W-2.
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