Form 1065me/1120s-Me - Maine Information Return For Partnerships/s Corporations - 2003 Page 2
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1
2*0300801*
SCHEDULE PSI
Schedule of Partners/Shareholders Income
2003
Enclose with your Form 1065/1120S-ME
00
Check here if this is part of an amended return
For tax period 01/01/03 - 12/31/03 or
*0300801*
/
/
-
/
/
MM
DD
YY
MM
DD
YY
Federal Employer ID No.
Entity Name
(As it appears on the 1065ME/1120S-ME form):
-
1
If partner/shareholder is an individual, enter last name below
First name
MI
Social Security Number
-
-
If partner/shareholder is other than an individual, enter name below
Ownership %
Federal ID number
-
.
Address
Partner/shareholder Maine income
$
,
,
.
City
State
ZIP code
Partner/Shareholder
Office use only
R
Resident of Maine
Partner/Shareholder
N
Nonresident of Maine
2
If partner/shareholder is an individual, enter last name below
First name
MI
Social Security Number
-
-
If partner/shareholder is other than an individual, enter name below
Ownership %
Federal ID number
-
.
Address
Partner/shareholder Maine income
$
,
,
.
Partner/Shareholder
City
State
ZIP code
Office use only
R
Resident of Maine
Partner/Shareholder
N
Nonresident of Maine
3
If partner/shareholder is an individual, enter last name below
First name
MI
Social Security Number
-
-
If partner/shareholder is other than an individual, enter name below
Ownerhsip %
Federal ID number
.
-
Address
Partner/shareholder Maine income
$
,
,
.
Partner/Shareholder
City
State
ZIP code
R
Office use only
Resident of Maine
Partner/Shareholder
N
Nonresident of Maine
4
If partner/shareholder is an individual, enter last name below
First name
MI
Social Security Number
-
-
If partner/shareholder is other than an individual, enter name below
Ownership %
Federal ID number
-
.
Address
Partner/shareholder Maine income
$
,
,
.
City
State
ZIP code
Partner/Shareholder
Office use only
R
Resident of Maine
Partner/Shareholder
N
Nonresident of Maine
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