Form 4918 Draft - 2012 Michigan Annual Flow-Through Withholding Reconciliation Return Page 2
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34918, Page 2
Taxpayer FEIN
PART 3: FloW-THRouGH WITHHolDING FoR C CoRPoRATIoNS
21.
A.
b.
Amount of Withholding to be
C Corporation Information
distributed from line 13A
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End
Business Name
FEIN
Tent. Distributive Share Bus. Income
Address
City
State
ZIP/Postal Code
Tax Year End
+
9999 2012 50 02 27 4
Continue on Page 3
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