SCHEDULE 2 (FORM 941ME) 2011
99
*1106221*
Name:
Withholding
-
Account No.:
1 1
1 1
2 0
2 0
-
-
-
-
Period Covered:
to
MM
DD
YY YY
MM
DD
YYYY
Schedule 2 - Income Tax Withholding Listing
7.
Name of Payee (Last, First, MI)
8.
Social Security Number
9. Maine Income Tax
Withheld during the Quarter
-
-
,
.
a.
_______________________________
$
-
-
,
.
b.
_______________________________
$
-
-
,
.
c.
_______________________________
$
-
-
,
.
d.
_______________________________
$
-
-
,
.
e.
_______________________________
$
-
-
,
.
f.
_______________________________
$
-
-
,
.
g.
_______________________________
$
-
-
,
.
h.
_______________________________
$
-
-
,
.
i.
_______________________________
$
-
-
,
.
j.
_______________________________
$
-
-
,
.
k.
_______________________________
$
-
-
,
.
l.
_______________________________
$
-
-
,
.
m.
_______________________________
$
-
-
,
.
n.
_______________________________
$
-
-
,
.
o.
_______________________________
$
-
-
,
.
p.
_______________________________
$
-
-
,
.
q.
_______________________________
$
-
-
,
.
r.
_______________________________
$
-
-
,
.
s.
_______________________________
$
-
-
,
.
t.
_______________________________
$
-
-
,
.
u.
_______________________________
$
,
,
.
$
10. Total on this page. ............................................................................................................................10.
,
,
.
$
11. Total for ALL pages (Enter here and on Form 941ME, Line 1) ........................................................ 11.