Form Tc-40w - Part 1 - Utah Withholding Tax Schedule - 2014
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1
2Part 1 - Utah Withholding Tax Schedule
TC-40W
Pg. 1
40409
2014
SSN
Last name
USTC ORIGINAL FORM
Line Explanations
IMPORTANT
1
Employer/payer ID number from W-2 box “b” or 1099
Do not send your W-2s or 1099s with your return. Instead enter
2
Utah withholding ID number from W-2 box “15” or 1099
W-2 or 1099 information below, but only if there is Utah withholding
(14 characters, ending in WTH, no hyphens)
on the form.
3
Employer/payer name and address from W-2 box “c” or 1099
4
Enter “X” if reporting Utah withholding from form 1099
Use additional forms TC-40W if you have more than four W-2s and/or
5
Employee’s Social Security number from W-2 box “a” or 1099
1099s with Utah withholding tax.
6
Utah wages or income from W-2 box “16” or 1099
7
Utah withholding tax from W-2 box “17” or 1099
Enter mineral production withholding from TC-675R in Part 2 of TC-40W;
enter pass-through entity withholding in Part 3 of TC-40W.
First W-2 or 1099
Second W-2 or 1099
1
1
2
(14 characters, no hyphens)
2
(14 characters, no hyphens)
3
3
4
4
5
5
.00
.00
6
6
.00
.00
7
7
Third W-2 or 1099
Fourth W-2 or 1099
1
1
2
(14 characters, no hyphens)
2
(14 characters, no hyphens)
3
3
4
4
5
5
.00
.00
6
6
.00
.00
7
7
.00
Enter total Utah withholding tax from all lines 7 here and on TC-40, page 2, line 33:
Submit page ONLY if data entered.
Attach completed schedule to your Utah Income Tax Return.
Do not attach W-2s or 1099s to your Utah return.
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