Wisconsin Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit

Wisconsin Nonresident Partner, Member, Shareholder, or Beneficiary Withholding Exemption Affidavit
2023 IC-005 Wisconsin Nonresident Partner Member Shareholder or Beneficiary Withholding Exemption Affidavit
Form

PW-2

Wisconsin Nonresident Partner,
Member, Shareholder, or Beneficiary
Pass-Through Withholding Exemption Affidavit

20

Form PW-2 is filed by nonresident owners (partners, members, shareholders, or beneficiaries) to request an exemption from withholding on income from a pass-through entity. If approved, the nonresident owner is responsible for notifying the pass-through entity about
the exemption.
Caution: A pass-through entity may not file Form PW-2 on behalf of its owners, and it is required to withhold until it receives an approved Form PW-2 from the owner.
Due Date: One month after the close of a tax-option (S) corporation’s or partnership’s taxable year. Two months after the close of an
estate’s or trust’s taxable year. Any Form PW-2 that is filed after the due date will not be accepted.
Part 1: Information about Nonresident Owner Requesting Exemption
Nonresident Owner’s SSN

Fi Sa
le m
El pl
ec e
F
tr o
on rm
ic
al
ly

INDIVIDUALS AND ESTATES ONLY - Nonresident Owner’s Name (Last, First, M.I.)
ALL OTHER OWNERS - Nonresident Owner’s Name

Nonresident Owner’s FEIN

Address

Last day of the Owner’s Taxable Year

City

State

Zip Code

Check the appropriate box to indicate what type of taxpayer you are: (see instructions)
Individual	

Partnership	

Tax-Option (S) Corporation	

Estate or Trust	

Disregarded Entity: Owner’s Name:	

Corporation

Owner’s SSN or FEIN:

Other. Describe:

Check the appropriate box to indicate what form will be used to report your Wisconsin source income: (see instructions)
Form 1NPR	

Form 2	

Form 3	

Form 4	

Form 4T	

Form 5S

Form 6

If you are a grantor trust, a member of a combined return, or a disregarded entity, you must provide the name and SSN/FEIN of the
reporting taxpayer: Name:	

SSN or FEIN:

Part 2: Agreement to File

I, 	
, as a nonresident partner, member, shareholder, or beneficiary of the pass-through entity or entities
provided in Part 3, request that each pass-through entity provided in Part 3 be exempt from the Wisconsin income or franchise tax
withholding requirement in sec. 71.775, Wis. Stats., for the tax year provided in Part 3.
By signing this affidavit I agree to timely file a Wisconsin income or franchise tax return for the tax year provided in Part 1. I agree to be
subject to the personal jurisdiction of the Wisconsin Department of Revenue, the Wisconsin Tax Appeals Commission, and the courts of
this state for the purpose of determining and collecting any Wisconsin taxes, including estimated tax payments, together with any interest
and penalties. I agree to provide a copy of the approved Form PW-2 and any response letters received from the Wisconsin Department of
Revenue to the pass-through entity or entities provided in Part 3 for which I am claiming the withholding exemption.

Third
Party
Designee

Do you want to allow another person to discuss this return with the department?	

Yes	 Complete the following.	

Phone Number

Print
Designee’s
Name

No

Personal Identification Number (PIN)

I declare that the information provided in this affidavit is complete and accurate, and that I meet all requirements of the exemption(s)
checked in Part 5. I understand that the department will notify me of the approval or denial of this affidavit. I further understand that the
approval or denial of this affidavit does not constitute an audit by the department and may not be appealed.
Nonresident Owner’s Signature

IC-005 (R. 8-22)

Title (If Applicable)

Date

Form PW-2 Nonresident Owner’s Name

SSN or FEIN

Page 2 of 2

Part 3: Information about Pass-Through Entity from which Nonresident Owner Received Pass-Through Income
Note: If you (nonresident owner) are requesting a pass-through withholding exemption for more than one pass-through entity, complete a separate Part 3, Part 4, and Part 5 for each pass-through entity and include it with the Form PW-2. (see instructions)
Indicate the number of pass-through entities for which you are requesting the exemption:
Pass-Through Entity’s Name

Pass-Through Entity’s FEIN or SSN

Address

Pass-Through Entity’s Last Day of Taxable Year

City

State

Zip Code

Check the appropriate box to indicate the type of pass-through entity:
Tax Option (S) Corporation	

Partnership	

Estate or Trust

Fi Sa
le m
El pl
ec e
F
tr o
on rm
ic
al
ly

	

Part 4: Nonresident Owner’s Distributive Share of Wisconsin Income and Credits from Pass-Through Entity
Amount of Wisconsin income from the pass-through entity  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

.00

Amount of Wisconsin credits from the pass-through entity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

.00

Caution: Nonresident owners with less than $1,000 of Wisconsin source income from a pass-through entity should not file Form
PW-2 because the pass-through entity is already exempt from withholding on behalf of such nonresident owner.
Part 5: Reason for Exemption (check all that apply)

1.	 You made estimated payments (or applied an overpayment from the prior tax year).
	

Amount of your estimated payments including overpayments applied from the prior tax year  . . . . . . . . 

.00

	Caution: if your estimated payments were not sufficient to cover the income that will be allocated to you from the pass-through
entity (after accounting for credits from the pass-through entity), include an explanation of the reason why you believe these
estimated payments are sufficient. For example, you may have a loss from another activity that partially offsets your income
from the pass-through entity.
2.	 You have a Wisconsin source net operating or business loss carryforward which exceeds the amount of Wisconsin income that
will be allocated to you from the pass-through entity. Caution: Do not check this box unless you have filed Wisconsin income
or franchise tax returns for each year of losses that produced the loss carryforward.
	

Amount of your Wisconsin source net operating or business loss carryforward  . . . . . . . . . . . . . . . . . . . 

.00

3.	 You have Wisconsin credits or credit carryforwards from other activities in the current taxable year which exceed the tax (before credits) attributable to your total Wisconsin income from the pass-through entity.
	

Credit Name:	

Amount:	

	

If you have more than one credit, include a schedule detailing the name and amount of each credit, and provide the identification number of the source (if applicable).

.00

SSN or FEIN of Source:

4.	 You are a pass-through entity and have withheld taxes on your Wisconsin income (including income passed through to you from a
lower-tier entity) allocable to your nonresident partners, members, shareholders, or beneficiaries, unless an exemption applies.
5.	 Other (include an explanation)

Explanation of the Reason for Exemption

See instructions for filing methods.
IC-005 (R. 8-22)