Form 592 Draft - Quarterly Resident And Nonresident Withholding Statement - 2009 Page 3
ADVERTISEMENT
1
2
3
4
5Quarterly Resident and Nonresident Withholding Statement
Name of Withholding Agent (Payer)
SSN/ITIN, FEIN, or CA Corp no.
Schedule of Payees
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
ID Number
ID Type
Total Income
Amount of Tax Withheld
m
m
m
SSN or ITIN
FEIN
CA Corp no.
Name
Address (including suite, room, PO Box, or PMB no.)
.
00
,
,
Total Tax Withheld this page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side 2 Form 592
2008
7082093
C3
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial