Form 4918 - Michigan Annual Flow-Through Withholding Reconciliation Return - 2016 Page 2
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44918, Page 2
Taxpayer FEIN
PART 3: FloW-THRouGH WITHHolDING FoR oWNeRS THAT ARe C CoRPoRATIoNS AND INTeRMeDIATe FTeS
28.
A.
b.
Amount of Withholding
C Corporation and FTe Information
to be Distributed
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Tent. Distributive Share Bus. Income
Address
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
+
9999 2016 50 02 27 6
Continue on Page 3
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