Form Ct-1120cr - Combined Corporation Business Tax Return - Connecticut Department Of Revenue - 2014 Page 2

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Part I - Separate Taxes of Corporations Included in the Combined Return -
If additional lines are needed, attach a worksheet.
Notice is hereby given to the Commissioner of Revenue Services that the affiliated corporations listed below have elected to be included in this
Combined Corporation Business Tax Return according to the provisions of Conn. Gen. Stat. §12-223a. Attach Forms CT-1120CC, if applicable.
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Corporation Name
CT Tax Registration Number
Separate Tax (Form CT-1120, Sch. C, Line 1)
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1. Common parent or designated Connecticut parent
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51. Total separate taxes: Add Lines 1 through 50. Enter total here and on Part IV, Line 1.
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* Tax registration numbers must be included for parent and all subsidiaries.
ENTER the total number of corporations, including the parent corporation, in this combined return
__________
Check here for:
Addition of Affi liates: Attach schedule showing Affi liate Name, Connecticut Tax Registration Number, and FEIN.
 Deletion of Affi liates: Attach schedule showing Affi liate Name, Connecticut Tax Registration Number, and FEIN.
Form CT-1120CR (Rev. 12/14)
Page 2 of 7

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