Form Ct-2658-Att - Attachment To Report Of Estimated Tax For Corporate Partners - 2012 Page 2

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CT-2658-ATT (2012) (back)
Page
of
Legal name of Partnership
Employer identification number (EIN)
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
(
)
00
00
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
(
)
00
00
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
00
00
(
)
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
(
)
00
00
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
(
)
00
00
Partner’s EIN
Percentage of ownership
%
New York source income
Amount of estimated tax paid
page total
page total
00
00
Page totals ..............
51302120094

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