3 Payroll Factor
% of ownership in S Corp by shareholder
(: no) Unchecked
(: no) Unchecked
(: Yes) Unchecked
(: Yes) Unchecked
(add line 21 and line 22)
(add line 7 and line 8)
(checkbox) Unchecked
(checkbox) Unchecked
(checkbox) Unchecked
(checkbox) Unchecked
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(checkbox) Unchecked
(Clear form) Clear form
(enter in Column A the amount from line 16 col C)
(enter in Column A the amount from line 16 col D)
(enter in Column A the amount from line 2 col C)
(enter in Column A the amount from line 2 col D)
(enter X in column B and 0 in column F)
(not less than 0)
(not less than zero)
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(text) 15
(use with TC 20
(use with TC 20 TC 20S
(use with TC 20S TC 41 and TC 65)
* Utah nonresidents see instructions to calculate amounts
* Utah residents enter the amounts from federal Schedule K 1
1 Ordinary business income (loss)
1 Property Factor Inside Utah Inside and Outside Utah
1 Utah ordinary business income (loss)
10 Average asset value divide line 9 by 2
10 Recapture of Section 179 deduction
10 Utah recapture of Section 179 deduction
11 Double sales factor multiply line 6 by 2
11 Other income (loss) (describe)
11 Utah nonbusiness assets ratio line 10 Column A divided by line 10 Column B (to four decimal places)
11 Utah other income (loss) (describe)
12 Interest expense deducted in computing Utah taxable income (see instructions)
12 Section 179 deduction
12 Total factors add lines 2 4 and 11
12 Utah Section 179 deduction
13 Calculate the Apportionment Fraction to SIX DECIMALS
13 Contributions
13 Indirect related expenses for Utah nonbusiness income multiply line 11 by line 12
13 Utah contributions
14 Investment interest expense
14 Utah investment interest expense
15 Section 59(e)(2) expenditures
15 Utah Section 59(e)(2) expenditures
16 Foreign taxes paid or accrued
16 Total of column C and column D
17 Other deductions (describe)
17 Total non Utah nonbusiness income add column E for lines 15a through 15e
17 Utah other deductions (describe)
18 Utah nonrefundable credits enter name Code Credit Amount
18 Utah nonrefundable credits enter the name of the Utah credit
18a Line 15a above
18b Line 15b above
18c Line 15c above
18d Line 15d above
18e Line 15e above
19 Total direct related expenses add lines 18a through 18e
19 Utah refundable credits enter name Code Credit Amount
19 Utah refundable credits enter the name of the Utah credit
2 Net rental real estate income (loss)
2 Total of column C and column D
2 Utah net rental real estate income (loss)
20 Total Utah tax withheld on behalf of all shareholders from Schedule N column I
20 Utah tax withheld on behalf of shareholder
20321
20322
20323
20324
20325
20327
20328
20361
20362
20363
20364
21 31 32 33 48 49 51 (except Subsector 519) or 52 See Schedule J instructions for more information
21 Beginning of year assets
22 End of year assets
23 Sum of beginning and ending asset values
24 Average asset value divide line 23 by 2
25 Non Utah nonbusiness assets ratio line 24 Column A divided by line 24 Column B (to four decimal places)
25301
26 Interest expense deducted in computing non Utah taxable income (see instructions)
27 Indirect related expenses for non Utah nonbusiness income multiply line 25 by line 26
3 Other net rental income (loss)
3 Total Utah nonbusiness income add column E for lines 1a through 1e
3 Utah other net rental income (loss)
4a Line 1a above
4a U S government interest income
4a Utah U S government interest income
4b Line 1b above
4b Municipal bond interest income
4b Utah municipal bond interest income
4c Line 1c above
4c Other interest income
4c Utah other interest income
4d Line 1d above
4e Line 1e above
5 Ordinary dividends
5 Sales Factor
5 Total direct related expenses add lines 4a through 4e
5 Utah ordinary dividends
5% of income G
51 (except Subsector 519) or 52 (For unitary groups this must be for your sales everywhere
6 Royalties
6 Utah royalties
7 All entities enter your NAICS code here
7 Beginning of year assets
7 Net short term capital gain (loss)
7 Utah net short term capital gain (loss)
8 End of year assets
8 Net long term capital gain (loss)
8 Utah net long term capital gain (loss)
9 Calculate the Apportionment Fraction to SIX DECIMALS
9 Net Section 1231 gain (loss)
9 Sum of beginning and ending asset values
9 Utah net Section 1231 gain (loss)
A B C D E
A Sales Factor Weighted Taxpayer is a taxpayer having greater than 50 percent of total sales everywhere generated
address
All filers complete lines 18 through 20 if applicable
All others complete Part 1 or Part 2 if electing to double weight the sales factor
and Mineral Production Withholding Tax Credit on TC 675R 2013
Apportionable Income Factors
Apportionment Fraction
Apportionment fraction enter 1 000000 or TC 20 Schedule J line 9 13 or 14 if applicable
Asset(s) Nonbusiness Income Nonbusiness Income
attributable
ax Commission Use Only
beginning and ending
Briefly describe the nature and location(s) of your Utah business activities:
by all members of the unitary group )
by economic activities performed by the taxpayer and classified in any NAICS code except those in sections
Check no :
Check no :
Check no :
Column A Column B
Column A Column B
Combine amounts for the same codes
Continued on page 2
Credit Amount
Credits Received from Upper tier Pass through Entities TC 250
Date:
Date:
Description of direct expenses related to: Amount of Direct Expense
Divide line 12 by 4 (or the number of factors present counting the sales factor twice)
Divide line 8 by 3 (or the number of factors present)
Do not include any pass through withholding or refundable credits on this schedule
E times 5% ( 05)
economic activities defined in NAICS codes that DO NOT begin with 21 31 32 33 48 49
Enter "1" to request a waiver for ALL shareholders (enter "X" in column B and "0" in column F for all shareholders)
Enter "2" to request a waiver for SOME shareholders (enter "X" in column B and "0" in column F for those shareholders requested)
Enter here and on TC 20S line 5
Enter here and on TC 20S line 6
Enter here and on TC 20S Schedule A line 17
Enter on:
Enter on: TC 20 Schedule A line 7;
Enter the date and amount of any extension prepayment If paid by check enter the check number
Enter the date and amount of any prepayment for the filing period If paid by check enter the check number
Enter the fraction from line 9 line 13 or line 14 above as follows:
Enter these credits on Utah TC 20S Sch K line 18 or TC 41 Sch A Part 3 or 4 or TC 65 Sch K line 17 using the credit code above
Enter these credits on Utah TC 20S Sch K line 19 or TC 41 Sch A Part 5 or TC 65 Sch K line 18 using the credit code above
entity EIN from Utah Name of upper tier pass through entity Credit credit from
entity EIN from Utah Name of upper tier pass through entity Credit UT refundable credit
Extension prepayment Date:
F less G and H
Federal Amount
For calendar year 2013 or fiscal year (mm/dd/yyyy):
from Utah Sch K 1
from Utah Schedule K 1 box B
has no nexus (corporation not taxable in buyer s state)
Income (loss)
Indirect Related Expenses for Total Assets Used to Produce Total Assets
information below to calculate the Utah withholding tax for these shareholders
Instructions
List ONLY qualified subchapter S corporations incorporated qualified or doing business in Utah Attach additional Schedules M if needed
Mineral production
Mineral production I
mm/dd/yyyy
mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy
Name of shareholder
Non Utah Nonbusiness Income Non Utah Nonbusiness Income
Nonbusiness Asset(s) Nonbusiness Income Nonbusiness Income
Nonbusiness Income Non Utah Used to Produce Non Utah Used to Produce Non Utah Income
Nonbusiness Income Utah Nonbusiness Used to Produce Utah Used to Produce Utah
Note:
Note: Complete Part 3 below if more than 50 percent of your total sales everywhere are from
Note: Failure to complete this form may result in disallowance of the nonbusiness income
Note: This amount must be paid by the due date of the return without extensions
Note: To complete lines 1 through 17:
Note: Use this schedule only if the entity does business in Utah and one or more other states and income must be apportioned to Utah
of Utah Income Deductions and Credits 2013
otal nonbusiness income add lines 6 through 8
otal of all prepayments add lines 3a through 3d
otal payments
otal prepayments add lines 1 through 3
otal tax
otal Utah income (loss) allocated to pass through entity taxpayers
Other Information
Other prepayments (attach additional pages if necessary)
Overpayment
Overpayment applied from prior year
Part 1 Utah Nonbusiness Income (nonbusiness income allocated to Utah)
Part 1 Utah Nonrefundable Credits Received from Upper tier Pass through Entities
Part 1: Equally weighted Three Factor Formula Election
Part 2 Non Utah Nonbusiness Income (nonbusiness income allocated outside Utah)
Part 2 Utah Refundable Credits Received from Upper tier Pass through Entities
Part 2: Double weighted Sales Factor Formula Election
Part 3 Utah Mineral Production Withholding Tax Credit Received on TC 675R
Part 3: Sales Factor Weighted Taxpayers Only (see instructions below for those who qualify)*
Percent of ownership:
Producer EIN from withholding from
Refund
S Corporation Information
S corporation s EIN:
S corporation s name address city state and ZIP code:
S corporation with nonresident individual shareholders resident business shareholders and/or nonresident business shareholders must complete
Sales Factor Weighted Taxpayers complete only Part 3 below (see instructions)
Sch K 1 box A
Sch K 1 box A from Utah Schedule K 1 box B Code Utah Sch K 1
Schedule A Utah Taxable Income for Pass through Entity Taxpayers
Schedule E Prepayments of Any Type
Schedule H Non Utah Nonbusiness Income Net of Expenses TC 20 Sch H Pg 2
Schedule H Utah Nonbusiness Income Net of Expenses TC 20 Sch H Pg 1
Schedule J Apportionment Schedule
Schedule J Apportionment Schedule TC 20 Sch J Pg 1
Schedule K 1 Shareholder s Share TC 20S Sch K 120326
Schedule K Shareholders Pro Rata Share Items TC 20S Sch K
Schedule N Pass through Entity Withholding Tax TC 20S Sch N
See Schedule N instructions for liability responsibilities when requesting a waiver
Shareholder Information
Shareholder s name address city state and ZIP code:
Shareholder s Share of Utah Income Deductions and Credits
Shareholder s SSN or EIN:
SSN or EIN of shareholder
Subsidiary Corporations
Supplemental information to be Supplied by All S Corporations TC 20S
Tax Due
TC 20 filers: Enter on TC 20 Schedule A line 12
TC 20 Sch J
TC 20 Schedule A line 6;
TC 20MC and TC 65)
TC 20MC filers: Enter on TC 20MC Schedule A where indicated
TC 20S
TC 20S and TC 65)
TC 20S filers: Enter on TC 20S Schedule A line 11
TC 20S Sch A
TC 20S Sch E
TC 20S Schedule A line 7; or
TC 20S Schedule A line 8; or
TC 65 filers: Enter on TC 65 Schedule A line 14
TC 65 Schedule A line 10
TC 65 Schedule A line 11
TC 675R box 2 Producer s name from TC 675R box 1 TC 675R box 6
through withholding
to be paid bythis corporation
to Utah
Total Due Pay this amount
Total factors add lines 2 4 and 6 8
Type of Non Utah Acquisition Date of Beginning Value of Investment Ending Value of Investment Non Utah Nonbusiness
Type of Utah Acquisition Date of Beginning Value of Investment Ending Value of Investment Utah Nonbusiness Income
Upper tier pass
Upper tier pass through
Upper tier pass through UT nonrefundable
Utah Amount
Utah Incorporation/ Acquisition Date
Utah Nonbusiness Income Utah Nonbusiness Income
Utah S Corporation Return
withholding credit
Withholding tax
Withholding waiver for this shareholder
WITHHOLDING WAIVER REQUEST under 59 10 1403 2(5):