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                               Form PTE-12
                               Schedule of Pass-through Owners                                                                               2022
                               (Required with Forms 41S, 65, or 66)
Pass-through entity (PTE) name                                     PTE EIN                                PTE tax year beginning PTE tax year ending

Contact name                                                       Contact phone number                   Contact email address

                                                                                        (a) (b)           (c)                    (d)                (e)
                                                                                            Idaho         Composite              Income Tax         ABE
                               EIN or                                        Filing         Distributable Income                 Withheld by        Tax Paid
Owner’s Name                   Social Security Owner’s Address               Code           Income        Tax Paid by            Entity             by Entity
(one owner per line)           Number          City, State, and ZIP Code                                  Entity

                                               Total Columns (b), (c), (d), and (e) 
If you have more than one schedule, enter the total amounts on the last page only.
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                                                                                Form PTE-12 — Instructions
                                                                                Schedule of Pass-through Owners

                                                           General Instructions                                Nonresident individual owners with Idaho 
                                                           Form PTE-12 is the reconciliation schedule you      distributable income of less than $1,000
                                                           include with the entity’s Idaho income tax return   Only complete columns (a) and (b).
                                                           (Form 41S, Form 65, or Form 66) as required         •  These owners must report the income from the 
                                                           by Idaho Code section 63-3036B. Include each        entity on their Idaho income tax returns if they 
                                                           owner’s complete information whether the owner      have other Idaho reporting requirements. They 
                                                           has Idaho distributable income or a loss. If you’re aren’t included in a composite return and aren’t 
                                                           filing Form 66, refer to the Form 66 Specific       subject to withholding.
                                                           Instructions for information on completing          •  The entity includes the owner(s) information 
                                                           Form PTE-12.                                        on the PTE-12. Enter “N                               ” in the Filing Code 
                                                           A pass-through entity includes a partnership, a     column.
                                                           limited liability company taxed as a partnership, 
                                                           an S corporation, or a trust or estate. Income,     Nonresident individual owners with Idaho 
                                                           loss, deductions, and credits typically flow        distributable income of at least $1,000
                                                           through and the owner pays the tax. The entity      An entity has three options:
                                                           can choose to pay the tax for Idaho nonresident     Composite return
                                                           individual owners on the entity’s composite         Only complete columns (a), (b), and (c).
                                                           return.                                             •  The entity pays the tax for the nonresident 
                                                           The definition of “individual” includes:            individual owner(s) on the entity’s return at the 
                                                           •  Natural persons                                  corporate tax rate (6%).
                                                           •  Grantor trusts                                   •  The entity includes the nonresident 
                                                                                                               individual owner’s information on the PTE-
                                                           • Qualified subchapter S trusts, and                12. Enter “C                                          ” in the Filing Code column.
                                                           •  Single-member LLCs that haven’t elected 
                                                             to be classified as a corporation and are         Pass-through entity withholding on Form PTE-01
                                                             treated as disregarded entities for federal       Only complete columns (a), (b), and (d).
                                                             purposes                                          •  The entity pays Idaho income tax withholding 
                                                           A pass-through entity transacting business in       computed at the highest individual rate 
                                                           Idaho with income taxable in Idaho has reporting    (6%) on the nonresident individual owner’s 
                                                           requirements for each pass-through owner type.      Idaho-source distributable income from the 
                                                                                                               entity.
                                                           Resident and part-year resident individuals         •  The entity submits withholding to the Tax 
                                                           Only complete columns (a) and (b).                  Commission using Form PTE-01 for each 
                                                           •  These owners must report the income              nonresident individual owner.
                                                             from the entity on their Idaho individual         •  The entity includes the nonresident individual 
be included information on the PTE-12. Enter “income tax returns. They can’t                                   owner’s                                        W    ” 
                                                             in a composite return and aren’t subject to       in the Filing Code column.
                                                             withholding.
                                                           •  The entity includes resident and part-year       Form PTE-NROA (Nonresident Owner 
                                                             resident individual owner information on the      Agreement)
                                                             PTE-12. Enter “R                                  Only complete columns (a) and (b).                    ” in the Filing Code column.
                                                                                                               •  The nonresident individual owner can submit a 
                                                           Corporations, partnerships, trusts, and             signed agreement (PTE-NROA) to the entity.
                                                           estates
                                                                                                               •  This allows the nonresident individual owner to 
                                                           Only complete columns (a) and (b).
                                                                                                               file an Idaho return to report the Idaho-source 
                                                           •  These owners must report the income on           distributable income from the entity and pay 
                                                             their Idaho return.                               the required tax due.
                                                           •  Include the owner information on the 
                                                             PTE-12. Enter “N                                                                                        ” in the Filing Code column.
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                                                                                           Form PTE-12 — Instructions       (continued)

                           •  If the entity receives the signed agreement          acknowledges that the entity is liable for any 
                                    from the nonresident individual owner and      tax due if the individual doesn’t file a return 
                                    approves it, the entity doesn’t include the    and pay the tax as agreed.
                                    individual in a composite return or pay 
                                    withholding to the Tax Commission on the    Composite (C)
                                    owner’s behalf.                                The nonresident individual owner is included 
                                                                                   in a composite return. If the owner isn’t an 
                           •  The entity includes the nonresident                  individual,* the income can’t be included on a 
information on the                  individual owner’s                             composite return, and code “C                                       be used.      ” can’t 
                                    PTE-12. Enter “A                                                                                                                 ” in the Filing Code column.
                                                                                Affected Business Entity (E)
                           Affected business entities                              The entity has elected to pay tax at the entity 
                           Only complete columns (a), (b), and (e).                level.
                           The entity has elected to be taxed at the entity        If the entity uses filing code “E,” it must apply to 
                           level. Enter “E                                         all owners.                                                                       ” in the Filing Code column.

                           Specific Instructions                                Not Required (N)
                                                                                   The owner isn’t subject to backup withholding. 
                           Heading
                                                                                   Backup withholding isn’t required on income of 
                           Enter the entity’s name and Employer 
                                                                                   less than $1,000. Don’t withhold on the income 
                           Identification Number (EIN) in the space 
                                                                                   of owners and beneficiaries if they aren’t natural 
                           provided.
                                                                                   persons* (including corporations, partnerships, 
                           Entity’s tax year beginning and ending                  trusts, and estates).
                           Enter the beginning and ending date of the 
                                                                                Resident (R)
                           entity’s tax year.
                                                                                   The owner is an Idaho resident or part-year 
                           Contact name and phone number                           resident filing an Idaho individual income tax 
                           Enter the name, phone number, and email                 return.
                           address of a person we can contact about the 
                                                                                Withholding (W)
                           information reported on Form PTE-12.
                                                                                   The entity is paying backup withholding on 
                           Owner’s name and Social Security number or              behalf of a nonresident individual owner on 
                           EIN                                                     Form PTE-01.
                           Enter the name and corresponding Social                 Withholding can’t be paid on behalf of another 
                           Security number or EIN of each owner as shown           entity, and code “W                                   be used.                    ” can’t 
                           on the Idaho income tax return, one owner per 
                                                                                *See General Instructions for definition of “individual.”
                           line.
                                                                                Column (b) Idaho Distributable Income
                           Address
                                                                                Enter the Idaho distributable income for all filing 
                           Enter the owner’s address, city, state, and ZIP 
                                                                                codes.
                           code.
                                                                                This is the amount computed on Form ID K-1, 
                           Column (a) Filing Code                               line 34. (See Guaranteed Payments Guidance 
                           Enter one of the following letters corresponding     at tax.idaho.gov). If the beneficiary is an Idaho 
                           to the filing code for the owner.                    nonresident, only enter the nonresident beneficiary’s 
                                                                                share of the distributed Idaho-source income. Some 
                           Agreement (A)
                                                                                sources of income may not be Idaho-source income 
                           The nonresident individual owner has provided 
                                                                                to a nonresident beneficiary.
                           an Idaho nonresident owner agreement 
                           (Form PTE-NROA).                                     Column (c) Composite Income Tax Paid by Entity
                                                                                If you enter filing code “C” in column (a), enter 
                           By entering the “A” filing code, the entity 
                                                                                in this column the tax paid on behalf of the 
                           agrees that it received and approved 
                                                                                nonresident individual owner by the entity on the 
                           the agreement from the individual* and 

                           EIN00054 01-31-2023                                                                               Page 2 of 3 



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                                                                               Form PTE-12 — Instructions       (continued)

composite return. The total for this column should            Column (e) ABE Tax Paid by Entity
equal either:                                                 If you enter filing code “E” in column (a), enter in 
•  Form 41S, line 56 minus lines 51, 53 and 54                this column the tax paid on behalf of the individual 
                                                              owner by the entity on the ABE return. If the 
 or                                                           member is an exempt entity, enter zero in this 
•  Form 65, line 53 minus lines 48, 50 and 51                 column. The total for this column should equal 
                                                              either: 
Column (d) Income Tax Withheld by Entity
If you enter filing code “W” in column (a), enter                  •  Form 41S, line 56 minus lines 51, 53 and 54
in this column the tax withheld on behalf of the                   or 
nonresident individual owner. The total amount                     •  Form 65, line 53 minus lines 48, 50 and 51
reported should match the total amount paid on 
the PTE-01s.
Don’t send payments or PTE-01s with the entity 
return.

                                                   Contact us:
                          In the Boise area: (208) 334-7660   Toll|free: (800) 972-7660
                                 Hearing impaired (TDD) (800) 377-3529
                                             tax.idaho.gov/contact
EIN00054 01-31-2023                                                                                              Page 3 of 3 






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