Form It-203-Tm-Att-A - Schedule A-Nonresident Members Qualifying And Participating In A New York State Group Return

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IT-203-TM-ATT-A (2011)
Special NY State identification number
Legal name of team
—
Schedule A
Nonresident members qualifying and participating in a New York State group return
(attach as many Schedule A forms as needed)
A
B
C
D
E
F
Name ( in either alphabetical or
Member’s
Total duty days
New York State
New York State
Total
social security number order )
social security
( see instructions )
duty days
allocation percentage
compensation
and address of
number
( see instructions ) ( divide column D by
( see instructions )
nonresident member
column C )
Totals
( If you are filing more than one attachment, enter the grand totals from all attachments on the last
attachment sheet; leave the other total boxes blank. Attach all Forms IT-203-TM-ATT-A to Form IT-203-TM.)
Enter on the appropriate line on Form IT-203-TM
3161110094
Please file this original scannable attachment with the Tax Department.

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