R-210NR (1/17)
                               Underpayment of Individual Income Tax Penalty                                        2016
                                          Computation 2016    Taxable Year
                                  Nonresident and Part-Year Resident Filers

                                                                                                  PLEASE PRINT OR TYPE.
                     Name as shown in the order on tax return                                 Social Security Number
Yours                                                                              Yours

Spouse’s                                                                           Spouse’s

Section 1 –  Required Annual Payment Computation
1  2016 tax liability - See instructions.                                                                           00

2  2015 tax liability - See instructions.                                                                           00

3  Enter the smaller of Line 1 or Line 2                                                                            00

4  Number of payments required for year
Section 2 – Underpayment Computation               04/15/16           06/15/16     09/15/16          01/15/17
   Required payment - From Section 1, divide 
5  amount on Line 3 by the amount on Line 4.                  00                00                00                00
   See instructions. 
6  Amount paid for each period – See instructions.            00                00                00                00
   Carryforward - Overpayment or 
   underpayment from previous period on Line 
   9 of each column. Carryforward amounts 
7  from the previous period can be a positive                                   00                00                00
   number or a negative number.
   Note: No carryforward amount can be 
   shown for the first period. See instructions.
8  Amount available for period. Add Lines 6 and 7.            00                00                00                00
   Underpayment or overpayment - Subtract Line 
   5 from Line 8. A positive number indicates an 
9  overpayment. A negative number indicates an                00                00                00                00
   underpayment. Move the  number on this line 
   to Line 7 in next column.
Section 3 – Exceptions                             04/15/08           06/16/08     09/15/08          01/15/09
   Exception 1 – See worksheet on page 3.   If you meet this exception, you do not owe an underpayment penalty.  
10
   STOP – You do not need to file this form.
11 Exception 2 – Prior Year’s Tax Liability                   00                00                00                00

12 Exception 3 – Prior Year’s Income.                         00                00                00                00
13 Exception 4 – Annualized Income                            00                00                00 no exception 
                                                                                                     available
14 Exception 5 – Installment Period Income                    00                00                00                00
Section 4 – Penalty Computation
15 Amount of underpayment (from Line 9 above)                 00                00                00                00

16 Date of Payment – See instructions.

17 Number of days from due date of installment

18 Penalty – See instructions.                                00                00                00                00
   Penalty – Add amounts on Line 18. Enter total here and on Form IT-540B, Line 35 if you have an 
19                                                                                                                  00
   overpayment. Enter the total here and on Form IT-540B, Line 48 if you have a balance due.