Form 4918 Draft - 2012 Michigan Annual Flow-Through Withholding Reconciliation Return Page 3
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34918, Page 3
Taxpayer FEIN
PART 4: FloW-THRouGH WITHHolDING FoR NoNReSIDeNT INDIvIDuAlS
22.
A.
b.
C.
D.
e.
Amount of Withholding
Check
Tentative Distributive
to be distributed
(X) if a
Name
Fiduciary Social Security Number
Share of Taxable Income
from line 13b
+
9999 2012 50 03 27 2
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