Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return

Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return - 2014 Page 6

IT 1140

Rev. 11/14

2014

Pass-Through Entity

14170602

and Trust Withholding

FEIN

Tax Return

SCHEDULE E – INVESTOR INFORMATION...cont.

Provide investor information for all (resident and nonresident) investors in the pass-through entity or trust. List investors by highest to lowest ownership

percentage. Use an additional sheet, if necessary. See Note 5 on page 7 for the amount of pass-through entity tax credits.

Social Security no.

FEIN

Percent of ownership

Amount of PTE tax credit

First name/entity

M.I.

Last name

Address

City

State

ZIP code

Social Security no.

FEIN

Percent of ownership

Amount of PTE tax credit

First name/entity

M.I.

Last name

Address

City

State

ZIP code

Social Security no.

FEIN

Percent of ownership

Amount of PTE tax credit

First name/entity

M.I.

Last name

Address

City

State

ZIP code

Social Security no.

FEIN

Percent of ownership

Amount of PTE tax credit

First name/entity

M.I.

Last name

Address

City

State

ZIP code

2014 IT 1140

pg. 6 of 6

Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return - 2014 Page 6

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