Form 510 - Maryland Pass-Through Entity Income Tax Return - 2012 Page 4
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132012
MARYLAND PASS-THROUGH ENTITY
FORM
510
INCOME TAX RETURN MEMbERS’
INFORMATION
SCHEDULE b
Name shown on Form 510
Federal employer identification number (9 digits)
PART II – FIDUCIARY MEMbERS’ INFORMATION
Enter the information in Federal Employer Identification Number Order
Federal employer identification
Distributive or
Distributive or pro
Distributive or pro
Check here
pro rata share of
rata share of tax
rata share of tax
if Maryland:
number and name of estate or
Address
income
paid
credit
trust
(See Instructions)
(See Instructions)
(See Instructions)
Non-
Resident
Resident
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SUBTOTAL from additional Form 510 Schedule B for fiduciary members
TOTAL:
COM/RAD 069
12-49
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