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2011
8
Form
Transfers of Capital Stock
Name of Reporting Corporation
Mail completed Form 8 to:
Number and Street
Wisconsin Department of Revenue
PO Box 8905
City
State
Zip Code
Madison, WI 53708-8905
Due Date is March 15, 2012
STOCK TRANSFERRED FROM:
Name of Transferor
Transferor’s Social Security Number
Number and Street
Number of Shares Transferred
City
State
Zip Code
Par Value Per Share
$
IC-091
Wisconsin Department of Revenue
FOLD AND TEAR ON PERFORATION
2011
8
Form
Transfers of Capital Stock
Name of Reporting Corporation
Mail completed Form 8 to:
Number and Street
Wisconsin Department of Revenue
PO Box 8905
City
State
Zip Code
Madison, WI 53708-8905
Due Date is March 15, 2012
STOCK TRANSFERRED FROM:
Name of Transferor
Transferor’s Social Security Number
Number and Street
Number of Shares Transferred
City
State
Zip Code
Par Value Per Share
$
IC-091
Wisconsin Department of Revenue
FOLD AND TEAR ON PERFORATION
2011
8
Form
Transfers of Capital Stock
Name of Reporting Corporation
Mail completed Form 8 to:
Number and Street
Wisconsin Department of Revenue
PO Box 8905
City
State
Zip Code
Madison, WI 53708-8905
Due Date is March 15, 2012
STOCK TRANSFERRED FROM:
Transferor’s Social Security Number
Name of Transferor
Number of Shares Transferred
Number and Street
City
State
Zip Code
Par Value Per Share
$
IC-091
Wisconsin Department of Revenue