Form 841me - Certified Visual Media Production Wage Reimbursement Application Page 3
ADVERTISEMENT
1
2
3
4
5
6SCHEDULE 2 (FORM 841ME) -- Certifi ed Production Company Employees and
Non-Employee Performing Artists
Certifi ed Production
Company Name:
-
-
-
-
-
Federal Entity ID Number:
Production Start Date:
Production End Date:
List below information relating to amounts claimed on Form 841ME, lines 1 and 3. (See instructions)
Column 1
Column 2
Columns 3/4
Column 5
Employee or Performing
Social Security Number
Nonresident/
Certifi ed Production Wages
Artist Name
3
4
,
-
-
.00
a.
___________________
,
-
-
.00
b.
___________________
,
-
-
.00
c.
___________________
,
-
-
.00
d.
___________________
,
-
-
.00
e.
___________________
,
-
-
.00
f.
___________________
,
-
-
.00
g.
___________________
,
-
-
.00
h.
___________________
,
-
-
.00
i.
___________________
,
-
-
.00
j.
___________________
,
-
-
.00
k.
___________________
,
-
-
.00
l.
___________________
,
-
-
.00
m. ___________________
,
-
-
.00
n.
___________________
,
-
-
.00
o.
___________________
,
-
-
.00
p.
___________________
,
-
-
.00
q.
___________________
,
,
.00
1. Total resident certifi ed production wages this page ........................................1.
,
,
2. Total nonresident certifi ed production wages this page ..................................2.
.00
3.
Total resident certifi ed production wages for all Schedule 2 pages
,
,
.00
3.
(also enter on Form 841ME, line 1) ................................................................................
4.
Total nonresident certifi ed production wages, all Schedule 2 pages
,
,
.00
4.
(also enter on Form 841ME, line 3) .................................................................................
Rev. 12/11
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial