Form Ct-1120cr - Combined Corporation Business Tax Return - 1998 Page 3

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2.
3.
4.
5.
6.
7.
AFFILIATE
AFFILIATE
AFFILIATE
AFFILIATE
AFFILIATE
AFFILIATE
COMBINED
TOTAL
- 000
- 000
- 000
- 000
- 000
- 000
1
1
2
2
3
3
4
4
5a
5a
5b
5b
5c
5c
6
6
7
7
8
8
9
0.
0.
0.
0.
0.
0.
9
10
10
11
11
12
12
13
14
15
16
1
1
2
0.
0.
0.
0.
0.
0.
2
3
3
4
4
5
5
6
6
7
7
DECLARATION:
I declare under the penalties of false statement that I have examined this return and to the best of my knowledge and belief it is true, complete and
correct. Declaration of preparer (other than the taxpayer) is based on all information of which preparer has any knowledge.
Signature of Corporate Officer
Title
Date
Telehone Number
(
)
Sign Here
Paid Preparer’s Signature
Date
Federal Employer ID Number
Keep a copy
of this
Firm’s Name and Address
Telephone Number
return for
your records
(
)
FORM CT-1120CR (Rev. 12/98)
Page 3

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