Maryland Form 510c - Composite Pass-Through Entity Income Tax Return - 2016 Page 3
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COMPOSITE PASS-
MARYLAND
FORM
THROUGH ENTITY
page 3
510C
INCOME TAX RETURN
SCHEDULE A
Federal Employer Identification Number (9 digits)
Name
Street Address
City or town
State
ZIP code
+4
MARYLAND COMPOSITE PASS-THROUGH ENTITY INCOME TAX RETURN
PASS THROUGH ENTITY MEMBER INFORMATION FOR COMPOSITE FILERS
A
B
C
D
E
F
G
Member Name/
Number of
Exemption
Standard
PTE Decoupling
Income Allocable
Distributive or Pro
Social Security
Exemptions
Amount
Deduction
Modifications
to Maryland
Rata Share of Tax
Number
Amount
Paid
SUBTOTAL of members from
additional Form 510C Schedule A
TOTALS
COM/RAD-071
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