Schedule Nrc - Income Of Nonresident Partners Or Shareholders Included In Composite Return - 2004

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SCHEDULE NRC
INCOME OF NONRESIDENT PARTNERS OR
00
*0400802*
SHAREHOLDERS INCLUDED IN COMPOSITE RETURN
Enclose with Schedule 1040C-ME and Form 1040ME. Page ____ of ____.
Check here if part
/
/
/
/
0 4
of amended return
01/01/04
12/31/04
to
For tax period
to
or
MM
DD
YY
MM
DD
YY
Entity Name
Federal Employer ID No.
(As it appears on Schedule 1040C-ME)
1
-
-
If partner/shareholder is an individual, enter last name above
First name
MI
Social Security Number
.
%
If partner/shareholder is other than an individual, enter name above
Ownership %
Federal ID number
,
,
.
$
Address
Partner/shareholder Maine income
Office use only
Nonresident partner/
c
shareholder in
Composite Return
City
State
ZIP code
2
-
-
If partner/shareholder is an individual, enter last name above
First name
MI
Social Security Number
.
%
If partner/shareholder is other than an individual, enter name above
Ownership %
Federal ID number
,
,
$
.
Address
Partner/shareholder Maine income
Office use only
Nonresident partner/
c
shareholder in
Composite Return
City
State
ZIP code
3
-
-
If partner/shareholder is an individual, enter last name above
First name
MI
Social Security Number
.
%
If partner/shareholder is other than an individual, enter name above
Ownership %
Federal ID number
,
,
.
$
Address
Partner/shareholder Maine income
Nonresident partner/
Office use only
c
shareholder in
Composite Return
City
State
ZIP code
4
-
-
If partner/shareholder is an individual, enter last name above
First name
MI
Social Security Number
.
%
If partner/shareholder is other than an individual, enter name above
Ownership %
Federal ID number
,
,
.
$
Address
Partner/shareholder Maine income
Office use only
Nonresident partner/
c
shareholder in
Composite Return
City
State
ZIP code

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