Form                             Wisconsin Nonresident Partner,
                                 Member, Shareholder, or Beneficiary
                                 Pass-Through Withholding Exemption Affidavit                                                        20
        PW-2

Form PW-2 is filed by nonresident owners (partners, members, shareholders, or beneficiaries) to request an exemption from with-
holding 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
INDIVIDUALS AND ESTATES ONLY - Nonresident Owner’s Name (Last, First, M.I.)                                 Nonresident Owner’s SSN

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                  Corporation
        Disregarded Entity: Owner’s Name:                                                         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 determiningSampleand collecting any Wisconsin taxes, including estimated tax payments,Formtogether 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             Do you want to allow another person to discuss this return with the department?       Yes Complete the following.      No
Party             Print                                                              Phone Number               Personal Identification Number (PIN)
                  Designee’s
Designee          Name

I declare that the information provided in this affidavit is complete and accurate, and that I meet all requirements of the exemption(s) File Electronically
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                                  Title (If Applicable)                        Date

IC-005 (R. 7-24)

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Form PW-2 Nonresident Owner’s Name                                                              SSN or FEIN
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, com-
plete 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

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 $2,000 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 (be-
     fore credits) attributable to your total Wisconsin income from the pass-through entity.

     Credit Name:                               Amount:                         .00       SSN or FEIN of Source:
     If you have more than oneSamplecredit, include a schedule detailing the name and amount of each credit, andFormprovide the identifica-
     tion number of the source (if applicable).
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

                              File Electronically

See instructions for filing methods.

IC-005 (R. 7-24)