Form Ct-51 - Combined Filer Statement For Newly Formed Groups Only Page 2

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CT-51 (8/05) (back)
Combined filer group listing
Parent (payer) ID #:
Identify
Other than New York State corporations
parent
Date of
State or country
Date began
Date
Period/Year
(payer)
Legal name
Federal EIN
incorporation
of incorporation
business in
authorized
entering
corp.
New York
in New York
group
here (X)
Copy this page if additional pages are needed.

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