Form 807 - Michigan Composite Individual Income Tax Return - 2014 Page 5
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92014 807, Page 5
Federal Employer Identification No.
Name of Partnership, S Corporation or Other Flow Through Entity
SCHEDULE C: SCHEDULE OF MICHIGAN RESIDENTS
Column 1:
Column 2:
Distributive Share of Michigan Income and
Withholding Paid on Behalf of the
Michigan Guaranteed Payments
Resident*
Recipient FEIN/SSN
2a:
2b:
Payer FEIN
Withholding
Recipient Name and Address
Recipient FEIN/SSN
2a:
2b:
Payer FEIN
Withholding
Recipient Name and Address
Recipient FEIN/SSN
2a:
2b:
Payer FEIN
Withholding
Recipient Name and Address
Recipient FEIN/SSN
2a:
2b:
Payer FEIN
Withholding
Recipient Name and Address
Recipient FEIN/SSN
2a:
2b:
Payer FEIN
Withholding
Recipient Name and Address
Check here if additional page(s)
used. Enter totals from additional
page(s), if applicable.
Total Columns 1 and 2b. Carry total
from Column 1 to page 1, line 14.
* Do not include withholding refunded on a Michigan Annual Flow-Through Withholding Reconciliation Return (Form 4918).
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