MTA-405 (2012) (back)
Legal name
Employer identification number
Page
2
of
A
B
C
D
Name and
Partner’s
Partner’s percentage
Amount of estimated MCTMT
address of partner
social security number
of ownership
paid on behalf of partner
( see instructions )
( see instructions )
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
0 0
Page total
............................
( add column D amounts )
0132120094