Form It-604 - Claim For Qeze Tax Reduction Credit - 2012 Page 8
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8Page 8 of 8 IT-604 (2012)
Beneficiary’s and fiduciary’s share of QEZE income
Schedule P
–
A
B
C
Beneficiary’s name
Identifying number
Share of QEZE
(same as on Form IT‑205, Schedule C)
income
.
Total
00
.
00
.
00
.
Fiduciary
00
Schedule Q
Related entities
–
List the names and employer identification numbers of any related business entities. Use additional sheets if necessary. Use the
definition of related persons in the instructions to determine if an entity is related.
Name
Employer identification number
164008120094
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