Form Tc-40w - Utah Withholding Tax Schedule
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TC-40W
Part 1 - Utah Withholding Tax Schedule
40209
Rev. 12/12
Your last name
Your social security number
Line explanations:
IMPORTANT
Do not send your W-2s and 1099s with your return.
Instead,
1 Employer payer ID number (from W-2 box “b” or 1099)
/
enter W-2 and 1099 information below, but
only
if there is Utah
2 Utah withholding ID number (from W-2 box “15” or 1099)
withholding on the form.
(14 characters, ending in WTH, no hyphens)
Use additional TC-40W forms if you have more than four W-2s
3 Employer payer name and address (from W-2 box “c” or 1099)
/
and/or 1099s with Utah withholding tax.
4 Enter “X” if reporting Utah withholding from form 1099
Enter mineral production withholding from TC-675R in Part 2 of
5 Employee’s SSN (from W-2 box “a” or 1099)
TC-40; enter pass-through entity withholding in Part 3 of TC-40W.
6 Utah wages/income (from W-2 box “16” or 1099)
7 Utah withholding tax (from W-2 box “17” or 1099)
* See illustration on page 26 *
First W-2 or 1099
Second W-2 or 1099
1
1
◄14 characters, no hyphens
◄14 characters, no hyphens
2
2
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
◄14 characters, no hyphens
◄14 characters, no hyphens
2
2
3
3
4
4
5
5
.00
.00
6
6
.00
.00
7
7
Enter total income tax withholding from all lines 7.
Enter this total on form TC-40, page 2, line 33.
.00
Do not send W-2s or 1099s.
Submit this page ONLY if data entered.
Attach completed schedule to your 2012 Utah income tax return.
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