Form 4918 - Michigan Annual Flow-Through Withholding Reconciliation Return - 2014 Page 2

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4918, Page 2
Taxpayer FEIN
PART 3: FlOW-THROuGH WITHHOlDING FOR C CORPORATIONS
28.
A.
B.
Amount of Withholding
C Corporation Information
to be Distributed
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
Business Name
FEIN
Address
Tent. Distributive Share Bus. Income
City
State
ZIP/Postal Code
Tax Year End (MM-DD-YYYY)
+
9999 2014 50 02 27 0
Continue on Page 3

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