Form Mta-405 - Report Of Estimated Metropolitan Commuter Transportation Mobility Tax For New York Nonresident Individual Partners - 2013 Page 2

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MTA-405 (2013) (back)
Legal name
Employer identification number
Page
2
of
A
B
C
D
Partner’s
Partner’s percentage
Name and
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
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Apartment number City, village, or post office
State
ZIP code
Mailing address
(number and street or rural route; see instructions)
0 0
Page total
..............................
(add column D amounts)
0132130094

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