Form 20sc - Nonresident Composite Payment Return And Extension - 2003 Page 2

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FORM 20SC – 2003
PAGE 2
S Corporation’s Name As Shown On Page 1
Federal Employer Identification Number
(A) Nonresident Shareholder’s Name,
(B) Social Security
(C) Shareholder’s
(D) Shareholder’s Share of
Street Address, City, State, and ZIP
Number
Share of Income
Tax Due (Col. C x 5%)

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