2018
PW-1
Wisconsin Nonresident Income
or Franchise Tax Withholding
on Pass-Through Entity Income
Form
Date
Part 1A: Additional Information Required for Tiered Entities
If the pass-through entity is claiming credit on line 3 for tax withheld by one or more other pass-through entities, enter the name, federal employer
identication number (FEIN) of the entity (or entities) and total amount withheld by each entity.
Attach additional pages if necessary.
Name
Name
FEIN
FEIN
Total Amount Withheld
Total Amount Withheld
NO COMMAS; NO CENTS
NOT LIKE THIS (1000)
ENTER NEGATIVE NUMBERS LIKE THIS –1000
1 Total withholding tax computed (from Part 2, line 17) ................................... 1
2 Estimated quarterly withholding tax payments (less Form 4466W refund, if any) .............. 2
3 Enter total tax withheld by lower-tier entities from Part 1A (Identify lower-tier entities in Part 1A below.) .... 3
4 Enter total tax withheld by WT-11 lers .............................................. 4
5 Amended Return Only – amount previously paid ...................................... 5
6 Add lines 2 through 5 ........................................................... 6
7 Amended Return Only – amount previously refunded .................................. 7
8 Subtract line 7 from 6 ........................................................... 8
9 Underpayment interest due (from Form PW-U, line 17). If you annualized income
on Form PW-U, check the space after the arrow .............................. 9
10 Other interest and penalty due .................................................... 10
11 Amount due. If the total of lines 1, 9 and 10 is greater than line 8, enter amount owed ........ 11
12 Overpayment. If line 8 is greater than the total of lines 1, 9 and 10, enter amount
overpaid ..................................................................... 12
13 Enter amount from line 12 you want credited on 2019 estimated withholding tax .............. 13
14 Subtract line 13 from line 12. This is your refund ..................................... 14
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
For 2018 or taxable year beginning and ending .
M Y Y Y Y D D M
M Y
Y
Y Y D D M
DO NOT STAPLE OR BIND
If this is an amended return, include Schedule AR and check here
If this is a nal return, check here
Part 1: Pass-Through Entity Information
5S
3 2
A Income or franchise tax form number led (or to be led) by the pass-through entity for this period (check one): A
B Total pass-through income under Wisconsin law (see instructions)
........................... B
.00
Name of Pass-Through Entity Withholding the Tax
Federal Employer ID Number
For Estates Only: Decedent’s Social Security Number
Number and Street
City
State
ZIP Code (+ 4 digit sux if known)
Person to Contact Regarding This Information
Telephone Number
Suite/Unit
Personal Identication Number (PIN)Phone Number
IC-004
If you have obtained a waiver from
electronic ling, mail completed
form with payment to:
I declare, under penalties of law, that this return is true, correct, and complete to the best of my knowledge and belief.
Preparer’s Signature
File this form electronically at www.revenue.wi.gov/eserv/pw/index.html or through the Federal/State E-Filing Program.
Third
Party
Designee
Print
Designee’s
Name
Do you want to allow another person to discuss this return with the department? Yes Complete the following. No
Wisconsin Department of Revenue
PO Box 8991
Madison WI 53708-8991
Tab to navigate within form. Use mouse to check
applicable boxes, press spacebar or press Enter.
Save
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Clear
IC-004
(Note: See instructions corresponding to each column letter)
Part 2: Nonresident Shareholder, Partner, Member, or Beneciary Information
A.
Nonresident’s Name and Address
L
i
n
e
H.
Withholding
Tax
Computed
F.
Gross
Withholding
E.
Share of
Wisconsin
Taxable
Income
D.
Adavit
Filed
C.
Tax
Form
B.
FEIN or SSN
If adavit (Form PW-2) was led by nonresident, columns E through H are not required.
a
b
c
d
e
h
f
Total Wisconsin income (add lines a through i) ...........................
15 Total withholding this page .............................................................................................
16 Number of additional pages included . Total of line 15 amount from all additional pages ....................................
17 Total withholding tax computed. Add lines 15 and 16. Enter total on Part 1, line 1 ..................................................
g
i
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
FEIN
FEIN
SSN
SSN
FEIN
SSN
FEIN
SSN
FEIN
SSN
FEIN
SSN
FEIN
SSN
FEIN
SSN
FEIN
SSN
$
$
$
$
$
$
$
$
$
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
G.
Share of
Tax Credits
$
$
$
$
$
$
$
$
$
Page 2 of 2
2018 Form PW-1
$