Form M4x - Amended Franchise Tax Return/claim For Refund - 2015 Page 3
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M4X page 3
2015 Amended Franchise Tax Return/Claim for Refund
(continued)
Name of Corporation/Designated Filer
FEIN
Minnesota Tax ID
EXPLANATION OF CHANGE—Explain below each change in detail. If the changes involve items requiring supporting informa-
tion, be sure to attach the appropriate schedule, statement or form to Form M4X to verify the correct amount . If you need
more space, enclose another sheet .
9995
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