Fillable Printable 2017 Form 589 - Nonresident Reduced Withholding Request
Fillable Printable 2017 Form 589 - Nonresident Reduced Withholding Request
2017 Form 589 - Nonresident Reduced Withholding Request
Form 589 2017
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Nonresident Reduced
Withholding Request
TAXABLE YEAR
2018
CALIFORNIA FORM
589
8101183
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Part I Withholding Agent Information
Business name
m
SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Initial
Last name
Address (apt./ste., room, PO box, or PMB no.) Telephone
( )
City (If you have a foreign address, see instructions.) State ZIP code Fax
( )
Venue
Part II Payee Information
Business name
m
SSN or ITIN m FEIN m CA Corp no. m CA SOS file no.
First name
Initial
Last name
DBA (see instructions)
Address (apt./ste., room, PO box, or PMB no.) Telephone
( )
City (If you have a foreign address, see instructions.) State ZIP code Fax
( )
Part III Type of Income Subject to Withholding
Check one type only.
I
A m Payment to Independent Contractor C m Rents or Royalties E m Estate Distributions
B
m Trust Distributions D m Distributions to Domestic Nonresident I m Other _____________________
Partners/Members/Beneficiaries/
I Date(s) of Service __________________________ S Corporation Shareholders
mm/dd/yyyy - mm/dd/yyyy
Part IV Withholding Computation
1 Gross California Source Payment. See instructions ...............................K 1
2 Advertising ...............................................................K 2
3 Commissions and fees ......................................................K 3
4 Cost of labor (contract labor, excludes Form W-2 wages)............................K 4
5 Insurance ................................................................K 5
6 Legal, professional, and/or management fees.....................................K 6
7 Rent or lease ..............................................................K 7
8 Supplies .................................................................K 8
9 Travel, meals, and entertainment .............................................. K 9
Other Expenses (specify). See instructions.
10
________________________________________________ ........................K 10
11
________________________________________________ ........................K 11
12
Total Amount of Expenses. Add lines 2 through 11.................................K 12
13
Net California Source Payment. Subtract line 12 from line 1. If zero or less, enter 0.......K 13
14 Withholding Amount. Multiply the amount on line 13 by 7%. This is the proposed
reduced withholding amount. This amount must be verified and approved by the
Franchise Tax Board (FTB) prior to the payee receiving payment for services.
..............
K 14
Expenses
Sign
Here
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov/forms and search for 1131. To
request this notice by mail, call 800.852-5711. Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of
my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than the withholding agent) is based on all information of which preparer has any knowledge.
Print or type payee’s name
Payee’s signature
Date
Preparer’s
Use Only
Print or type preparer’s name Telephone
(
)
Preparer’s signature
Date PTIN
