Form KW-7 - KW-7S Nonresident Owner Withholding Return and Schedule

(A) Enter the name and addresss of all Nonresident Owners of the Partnership S Corporation LLC or LLP shown above (B) Nonresident Owner's SSN or EIN (C) Percent of Ownership (D) Nonresident Owner's Share of Kansas Taxable Income (E) Kansas Nonresident Withholding (6 45% of column D) (Rev 9/12) (Rev 9/12) (Rev 9/12) Nonresident Owner * For purposes of this section the term publicly traded partnership means any partnership if: 1) interests in such partnership are traded on an established securities market or 2) interests in such partnership are readily tradable on a secondary market or the substantial equivalent thereof 037 F 4 Total withholding due Add lines 1 & 2 then subtract line 3; enter resulthere & on KW 7 (If negative figure place minus ( ) in front of amount ) (If additional schedules areneeded copies can be made ) 3 Amount paid with original KW 7S (amended filers ONLY) 2 Number of additional schedules included Total of column E amounts of all additional schedules 1 Total withholding this page (add amounts in column E) 1 531003 915 SW Harrison St 1st Floor Account Additional Additional copies of this return and other tax forms are available from our office or web site at: ksrevenue org Address Address Kansas Taxable Income of Partnership S Corporation LLC or LLP Amended Amount $ backside of KW 7 Change City Town or Post Office State Zip Code Closed On: Column A Enter the name and address of each nonresident partner shareholder or member of the partnership S corporation or LLC during this tax year Column B Enter the social security number/EIN of each nonresident owner Column C Enter the percentage that represents the nonresident owner s share of the Kansas taxable income this tax year Column D Multiply the percentage in column C by the Kansas taxable income this tax year Enter the dollar amount of each nonresident owner s share of the income in column D Column E Multiply the amount in column D by the nonresident owner withholding percentage of 6 45% (0 645) Complete additional copies of Form KW 7S when additional space is needed to list all of the nonresident owners Complete the entity information and enter the amount of Kansas taxable income for this tax year at the top of the KW 7S If this is an amended or additional return for the tax year check the appropriate box Detach and send with payment Elections Boxes: There are two elections available to certain nonresident owners (see the General Information section) Use the check boxes below the name and address in column A to report either of these elections by that nonresident owner Employer IDNumber (EIN) Exempt Organizations: If the nonresident owner has furnished you with proof that the organization is exempt from income taxes under Section 501a of the federal internal revenue code write Exempt 501a in column E Fax: (785) 296 2073 For the taxable year beginning 20 ; ending 20 FORM KW 7 PAYMENT DOCUMENT Form KW 7A Opt out Affidavit If a nonresident partner shareholder or member files an affidavit with the department by which such nonresident owner agrees to be subject to the personal jurisdiction of the department for the purpose of determining and collecting any Kansas taxes including interest and penalties the S corporation partnership or LLC is not required to withhold with regard to that nonresident owner In order to opt out of the withholding requirement the nonresident owner must complete an affidavit (Form KW 7A) and provide it to the pass through entity A copy of the affidavit must be submitted with the KW 7S in lieu of payment of the withholding tax for that nonresident owner for the first year only Form KW 7A is available from our office or web site shown on the back Forms KW 7 and KW 7S are used to file and pay the Kansas withholding tax required on the Kansas taxable income of a non resident owner of a pass through entity If you have nonresident owners receiving taxable income from the pass through entity you must complete Forms KW 7 and KW 7S These forms and payment of the tax is due on or before the due date of the Kansas income tax return of the pass through entity including extensions GENERAL INFORMATION I certify this return is correct If you have questions or need assistance in completing your return contact our office: If you have withholding tax due on Form KW 7S complete Form KW 7 to submit with your tax payment Complete all the information on Form KW 7 and enter the amount from line 4 of Form KW 7S Make your remittance payable to Kansas Nonresident Withholding Tax Be sure to check the appropriate box on Form KW 7 if it is an amended or additional filing for this tax year Kansas Department of Revenue KW 7 KANSAS KW 7S KANSAS 531304 KW 7S NONRESIDENT OWNER WITHHOLDING SCHEDULE Limited liability companies (LLCs) S corporations and partnerships (except publicly traded partnerships*) are required to withhold Kansas income tax from a nonresident owner s share whether distributed or undistributed of Kansas taxable income from the LLC S corporation or partnership The nonresident owner withholding rate is 6 45% of the Kansas taxable income Line 1 Total the withholding tax amounts in Column E of this page and enter the result on line 1 Line 2 Enter the number of additional schedule pages in the blank provided and enter the total withholding tax amounts in Column E from all additional KW 7S schedules Line 3 AMENDED FILERS ONLY Enter the amount of tax paid with the original KW 7S for this tax year (If this is the original filing or an additional filing leave line 3 blank ) Line 4 Add lines 1 and 2 subtract line 3 (if applicable) and enter the result on line 4 This is the nonresident owner withholding tax due for this tax year Enter this amount on Form KW 7 Do not complete Form KW 7 if line 4 is zero or a negative number Be sure to put a negative number in brackets LLCs S corporations and partnerships (except publicly traded partnerships*) must also complete and furnish each nonresident owner on whose behalf Kansas tax was withheld with Form K 19 Statement of Nonresident Owner Withholding This form provides each nonresident owner with the information needed to claim the withholding paid on a Kansas income tax return M M D D Y Y Mail the KW 7 KW 7S with any affidavits (Forms KW 7A) and your tax payment to: Kansas Nonresident Owner Withholding Tax Kansas Department of Revenue 915 SW Harrison St Topeka KS 66625 0002 Name of Contact Person Phone Number Name of Partnership S corporation LLC or LLP Name of Partnership S corporation LLC or LLP EIN (Employer Identification Number) Check box if this is an: Amended Return Additional Return Name or Nonresident Owner Option: Withholding in lieu of filing Form K 40/K 40C Opt out of Withholding Enclose Form KW 7A or enter effective date of KW 7A NONRESIDENT OWNER OPTIONS Nonresident Owner Withholding KW 7 and KW 7S NONRESIDENT OWNER WITHHOLDING SCHEDULE Number of KW 7S Opt out of Withholding Place an X in this box if the nonresident owner has furnished you with a completed affidavit Form KW 7A agreeing to file and pay all Kansas income tax due in order to be exempt from this withholding requirement You must enclose a copy of the completed affidavit Form KW 7A with Schedule KW 7S the first year only Payment Phone: (785) 368 8222 Please Sign The Back of This Return Return schedules included with this return Scroll down for Scroll down for KW 7 SIGN HERE SPECIFIC INSTRUCTIONS Tax Account Number Tax Year Beginning Date Tax Year Ending Date TAXPAYER ASSISTANCE Topeka KS 66625 0002 Total withholding due fromline 4 of Form KW 7S Withholding Withholding in lieu of filing Form K 40/K 40C Opt out of Withholding Enclose Form KW 7A or enter effective date of KW 7A Nonresident Owner Option: Withholding in lieu of filing Form K 40/K 40C Opt out of Withholding Enclose Form KW 7A or enter effective date of KW 7A Nonresident Owner Option: Withholding in lieu of filing Form K 40/K 40C Opt out of Withholding Enclose Form KW 7A or enter effective date of KW 7A Nonresident Owner Option: Withholding in lieu of filing Form K 40/K 40C Opt out of Withholding Enclose Form KW 7A or enter effective date of KW 7A Nonresident Owner Option: Withholding in lieu of Form K 40 or K 40C If a nonresident owner s only source of Kansas income is such owner s share of the Kansas taxable income from a S corporation partnership or LLC the withholding paid on behalf of such nonresident owner may be retained in satisfaction of that nonresident owner s Kansas income tax liability and a K 40 or K 40C will not be required for that tax year If the nonresident owner qualifies for this election check the box on Form KW 7S; no additional documentation is required Withholding in lieu of K 40/K 40C Place an X in this box if the income shown in Column E is that owner s only source of Kansas income and the nonresident owner is electing to use the withholding tax paid in lieu of filing a Kansas Form K 40 or K 40C for this tax year Withholding Return Withholding Tax 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