Form 941p-Me - Pass-Through Entity Return Of Maine Income Tax Withheld From Members - 2011 Page 2

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SCHEDULE 1P (FORM 941P- ME) 2011
99
Name:
Pass-through
Withholding
-
*11062L2*
2 0
Account No.:
-
2 0 1 1
2 0 1 1
Period Covered:
/
/
/
/
MM
DD
YY YY
MM
DD
YYYY
Schedule 1P
ing
Reconciliation of 900ME Voucher Payments or Electronic Payments of Pass-through Entity Withhold
Date
Payment Amount
Date
Payment Amount
Date
Payment Amount
Subtotal A
Subtotal B
Subtotal C
5.
Payment Amount
,
,
.
Subtotal A................................................$
Subtotal B ...............................................$
,
,
.
,
,
.
Subtotal C ...............................................$
,
,
.
Total (Enter on Form 941P-ME, line 2) ...$

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