Form L941p-Me - Pass-Through Entity Return Of Income Tax Withheld From Owners Page 3

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SCHEDULE 2P
(
) 2005
Loose
FORM 941P- ME
Loose
00
Name:
*0506251*
Withholding
This page contains (check one):
Account No.:
Individuals with
Entities with Federal
Period
to
social security numbers
Employer ID numbers
Covered:
MM
DD
YY
MM
DD
YY
Schedule 2P – Pass-through Entity Withholding Listing
Name of Payee for Distributive Income
Social Security Number
Maine IncomeTax
6. (Last, First, MI or Busines name)
7.
(EIN if other than an Individual)
8.
Withheld in the Quarter
$
,
.
-
-
a. ______________________________
$
,
.
-
-
b. ______________________________
$
,
.
-
-
c. ______________________________
$
,
.
-
-
d. ______________________________
$
,
.
-
-
e. ______________________________
$
,
.
-
-
f . ______________________________
$
,
.
-
-
g. ______________________________
$
,
.
-
-
h. ______________________________
$
,
.
-
-
i. ______________________________
$
,
.
-
-
j. ______________________________
$
,
.
-
-
k. ______________________________
$
,
.
-
-
l. ______________________________
$
,
.
-
-
m. _____________________________
$
,
.
-
-
n. ______________________________
$
,
.
-
-
o. ______________________________
$
,
.
-
-
p. ______________________________
$
,
.
-
-
q. ______________________________
$
,
.
-
-
r. ______________________________
$
,
.
-
-
s. ______________________________
$
,
.
-
-
t. ______________________________
$
,
.
-
-
u. ______________________________
$
,
.
-
-
v. ______________________________
$
,
.
-
-
w. ______________________________
$
,
,
.
9. Total on this page ............................................................................................................................................................. 9.
$
,
,
.
10. Total for ALL pages (Enter here and on Form 941P-ME, line 1) ................................................................................. 10.

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