Form Ct-1120si - Supplemental Attachment

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STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
Form CT-1120SI
Supplemental Attachment
(Rev. 12/02)
(Part I, Schedule A )
PART I
Schedule A – S Corporation Shareholder Information and Composite Return
A
B
C
D
E
Connecticut
Estimated
IDENTIFICATION
TAX
Interest
Source Income
Tax Paid,
NONRESIDENT SHAREHOLDER’S NAME
NUMBER
If Any
(Enter amount
(Column B X .045)
(Form CT-2210)
from Part VI)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
TOTAL

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