California Form 3537 (Llc) - Automatic Extension For Llcs - 2004 Page 2

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Limited liability company name
Secretary of State (SOS) file number
FEIN
-
Nonresident member(s) that did not sign form FTB 3832:
Taxable Year 2004
Member’s name
Social security number or FEIN
Distributive share of income
x tax rate
Member’s tax due
x
x
x
x
Total tax due. Enter this amount in Box 2 on Side 1 (This is the amount you expect to enter on Form 568, Side 1, line 4) . . . . . . . . . .
$
Attach additional sheets if necessary.
Side 2 FTB 3537 2004
353704203

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