ETD
Nonresident Entertainer Tax
Promoter’s Deposit Form
File Form ETD and pay any tax due by the last day of the month following the month of the performance.
You must complete Schedule A (on back of this form) to report the gross compensation paid subject to
Minnesota tax during the month to nonresident entertainers.
Check if amended
Name of promoter
Deposit for month of
year
Address
Federal tax ID number (FEIN)
Check if new address
City
State
Zip code
Minnesota tax ID number
.
1 Total compensation subject to tax (attach Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.
2 Multiply line 1 by 2% (.02). This is the entertainer tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.
3 Penalty, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.
4 Interest, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
.
5 TOTAL AMOUNT DUE (add lines 2, 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
See instructions for depositing requirements.
I declare this form is correct and complete to the best of my knowledge and belief. I know I owe the tax listed on this form, and I give
up my right to contest any court order requiring me to pay this amount.
Your signature
Date
Daytime phone
Paid preparer’s signature
PTIN
Date
Daytime phone
Mail this form and your Schedule A to: Minnesota Revenue, Mail Station 6525, St. Paul, MN 55146-6525
Phone: 651-282-9999 or 1-800-657-3594 (TTY: Call 711 for Minnesota Relay). Email: withholding.tax@state.mn.us
(Rev. 09/12)