Form 60 - S Corporation Income Tax Return - 2006 Page 4

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North Dakota Office of State Tax Commissioner
2006 Form 60, page 4
Schedule KS
Shareholder information
All corporations must
Complete Columns 1 through 5 for EVERY shareholder
complete this schedule
Complete Column 6 if shareholder is a nonresident individual, estate, or trust
If applicable, complete Column 7 or Column 8 for nonresident individual shareholder only
All Shareholders
Column 1
Column 2
Column 3
Column 4
Share-
Name and address of shareholder
Social Security
Type of entity
Ownership
If additional lines are needed,
holder
Number/FEIN
%
(See pg. 7 of instr.)
attach additional pages
Name
A
Address
Name
B
Address
Name
C
Address
Name
D
Address
Name
E
Address
Name
F
Address
Name
G
Address
Nonresident Shareholders Only
Individuals, estates,
All Shareholders
Individuals only
and trusts
Column 5
Column 6
Column 7
Column 8
Federal distributive
North Dakota
North Dakota
North Dakota
share of income (loss)
distributive share of
income tax withheld
composite income tax
Shareholder
income (loss)
(5.54%)
(5.54%)
A
B
C
D
E
F
G
1
1
Total for Column 5 . . . . . .
2
2
Total for Column 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
Total for Column 7. Enter this amount on Form 60, page 1, line 2 . . . . . . . . . . . . . . . .
4
4
Total for Column 8. Enter this amount on Form 60, page 1, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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