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Form

2013

Wisconsin Nonresident Partner,

PW-2

Member, Shareholder, or Beneficiary

Withholding Exemption Affidavit

Note: This form is due within one month or two months after the close of the pass-through entity’s taxable year. See instructions for details.

Part 1: Information for Department of Revenue

Pass-Through Entity Information

Pass-Through Entity Name

Entity’s Identification Number (Enter one)

FEIN

SSN

Number and Street

City

State

ZIP (+ 4 digit suffix if known)

Person to Contact Regarding This Information

Telephone Number

This pass-through entity files as a (check one):

Last Day of Entity’s Taxable Year

Partnership

Tax-option (S) Corporation

Estate or Trust

(if nonresident is a disregarded entity, grantor trust, or combined return filer).

Reporting Entity

Taxpayer Name

Taxpayer’s Identification Number (Enter one)

SSN

FEIN

Nonresident Information

Taxpayer Name

Taxpayer’s Identification Number (Enter one)

SSN

FEIN

Number and Street

City

State

ZIP (+ 4 digit suffix if known)

Person to Contact Regarding This Information

Telephone Number

Form that you will use to report your income or franchise tax for this period (check one):

1NPR

1CNP

1CNS

Nonresident’s Last Day of 2013 Taxable Year

Amount of income from the pass-through entity:

Amount of credits from the pass-through entity:

Reason for Exemption (check one):

I have paid or carried forward Wisconsin estimated tax payments applicable to this period, in the total amount of

. If this amount is less than the amount of tax (after credits) attributable to income from the pass-

through entity, an explanation of the difference is attached. (Attach explanation.)

I have a Wisconsin source: (check boxes that apply)

a. net operating loss carryforward

b. suspended loss carryfor-

ward, or

c. both a and b, which exceeds my income from the pass-through entity, and I have filed Wisconsin income or

franchise tax returns for each year of losses that produced the carryforward.

I incurred Wisconsin source losses from other sources in the current taxable year which exceed my total Wisconsin source

income. Details of the losses are provided below. (Attach additional sheets if necessary.)

Explanation, including name, address, and FEIN of any other pass-through entities which are the

Loss amount

source of Wisconsin losses

I have Wisconsin credits or credit carryforwards from other sources, which exceed my total Wisconsin tax liability (before cred-

its). Details of these credits are provided below. (Attach additional sheets if necessary.)

Source of credit, including name, address, and FEIN of any other pass-through entities

Credit type and amount

which are the source of Wisconsin credits

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.

IC-005

Form Pw-2 - Wisconsin Nonresident Partner, Member, Shareholder, Or Beneficiary Withholding Exemption Affidavit - 2013

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