Form Ct-60-Qsss - Affiliated Entity Information Schedule - 2013

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CT-60-QSSS
New York State Department of Taxation and Finance
Affiliated Entity Information Schedule
For period ended
Legal name of parent corporation
Employer identification number (EIN) of parent corporation
Attach to your franchise tax return, Form CT-3, CT-3-A, CT-3-S, CT-4, CT-32, CT-32-A, or CT-32-S. For each part, attach additional sheets if necessary.
Part 1 – QSSS required inclusion
(see instructions)
Federal EIN or temporary filing (TF)
Name of QSSS
Effective date of
number of QSSS
federal QSSS election
(mm-dd-yy)
Part 2 – QSSS elective inclusion
(see instructions)
Federal EIN or TF number of QSSS
Name of QSSS
Effective date of
federal QSSS election
(mm-dd-yy)
478001130094

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