Form 592-PTE (2025) — Pass-Through Entity Annual Withholding Return

Pass-Through Entity Annual

# TAXABLE YEAR

Withholding Return

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Amended:

# CALIFORNIA FORM

Total Withholding at End of Year Prior Year Distribution

# Part I Withholding Agent Information

Total Number of Payees
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Text version of this table

Business name			□SSN or ITIN □FEIN □CA Corp no. □CA SOS file no
First name	Initial	Last name			Telephone
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)				State	ZIP code

Text version of this table

Business name	□FEIN □CA Corp no. □CA SOS file no
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)		State	ZIP code
Contact's full name			Contact's telephone
Contact's email address	Amount of tax withheld .

# Part III Tax Withheld

1 Total tax withheld from Schedule of Payees, excluding backup withholding . . . . . . . . . . . . . . . . . . . . . . .
2 Total backup withholding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Add line 1 and line 2. This is the total amount of tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Amount of prior payments not previously distributed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Amount withheld by another entity and being distributed (Complete Part II above) . . . . . . . . . . . . . . . . . .
6 Add line 4 and line 5. This is the total amount of payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Total Withholding Amount Due. Subtract line 6 from line 3. Remit the withholding payment with . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form 592-Q, along with Form 592-PTE. . .
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Text version of this table

Sign Here Preparer's Use Only	Our privacy notice can be found in annual tax booklets or online. Go to ftb.ca.gov/privacy to learn about our privacy policy statement, or go to ftb.ca.gov/forms and search for 1131 to locate FTB 1131 EN-SP, Franchise Tax Board Privacy Notice on Collection. To request this notice by mail, call 800.338.0505 and enter form code 948 when instructed. 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 withholding agent) is based on all information of which preparer has any knowledge.
	Print or type withholding agent's name	Telephone
	Withholding agent's signature	Date
	Print or type preparer's name	Preparer's PTIN
	Preparer's address	Date
	Preparer's address	Telephone

Form 592-PTE 2024 Side 1

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Withholding Agent Name: Withholding Agent TIN:

Schedule of Payees (Enter business or individual name, not both.) First name Initial Last name Total income □

# PRINT CLEARLY

FEIN CA Corp no. CA SOS file no.
SSN or ITIN
Amount of tax witheld
If backup withholding, check the box. .
First name Initial Last name
Total income
□ .
FEIN CA Corp no. CA SOS file no.
SSN or ITIN
Amount of tax witheld
If backup withholding, check the box. .
First name Initial Last name
Total income
□ .
FEIN CA Corp no. CA SOS file no.
SSN or ITIN
Amount of tax witheld
If backup withholding, check the box. .
First name Initial Last name
Total income
□ .
FEIN CA Corp no. CA SOS file no.
SSN or ITIN
Amount of tax witheld
If backup withholding, check the box. . .
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Side 2 Form 592-PTE 2024
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Withholding Agent TIN:

Withholding Agent Name: __
Schedule of Pass-Through Entities (Pass-Through Entity Information, continued from Part II.) Contact's full name Contact's email address Contact's full name Contact's email address Contact's full name Contact's email address Contact's full name Contact's email address J

# PRINT CLEARLY

Text version of this table

Business name	FEIN CA Corp no. CA SOS file no
Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.)		State	ZIP code
Contact's full name			Contact's telephone
Contact's email address	Amount of tax withheld .

Amount of tax withheld .
Form 592-PTE 2024 Side 3