Form Bi-473 - Partnership/limited Liability Company Schedule - Vermont - 1998 Page 3

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(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Partner’s/ Member’s Name and Address
Soc. Sec. Number or
Individual
Partner’s Share of Line 10
Federal “Guaranteed Pay-
Vermont Net Income
Total Fiscal Year Estimated
Filing With Entity’s
Fed. I.D. Number
Percentage of
ments to Partners”
(D) + (E)
Payments
Composite Return?
Loss or
(Apportioned)
(Form WH-435)
Yes / No
Income
1._____________________________
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2. _ ____________________________
_____________________________
_____________________________
_____________________________
3._____________________________
_____________________________
_____________________________
_____________________________
4._____________________________
_____________________________
_____________________________
_____________________________
5._____________________________
_____________________________
_____________________________
_____________________________
6._____________________________
_____________________________
_____________________________
_____________________________
7._____________________________
_____________________________
_____________________________
_____________________________
TOTALS
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