Arizona Form 334-O - Transferor Notice Of Transfer Of Motion Picture Credits - 2015 Page 2
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1
2Name of Transferor (as shown on page 1)
TIN
D
Transferee Information
List each transferee to whom you are transferring this credit. If you need more space, complete additional schedules.
Name
TIN
Credit amount
$
00
1
Number and street
City or town, state and ZIP code
Authorized contact person
Telephone number
(with area code)
Name
$
00
2
Number and street
City or town, state and ZIP code
Authorized contact person
Telephone number
(with area code)
Name
$
00
3
Number and street
City or town, state and ZIP code
Authorized contact person
Telephone number
(with area code)
Name
$
00
4
Number and street
City or town, state and ZIP code
Authorized contact person
Telephone number
(with area code)
5 TOTAL: Add lines 1 through 4. Enter the total here and on page 1, Part C, line 2 ................................
$
00
ADOR 10718 (15)
AZ Form 334-O (2015)
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