Form 941p-Me - Pass-Through Entity Return Of Maine Income Tax Withheld From Members - 2012 Page 2

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SCHEDULE 2P (FORM 941P- ME) 2012
99
Name:
Federal
*12941P2*
Identifi cation
No.:
01 01 2012 - 12 31 2012
Period Covered:
Pass-through Entity Withholding Listing - File with Form 941P- ME
6.
Name of Member
7. Social Security Number /EIN
8. Check Here
9. Distributive
10. Maine Income Tax
(Last, First, MI if individual)
if EIN
Share %
Withheld during the Year
-
-
.
.
a.
%
-
-
b.
.
.
%
-
-
c.
.
.
%
-
-
.
d.
%
.
-
-
e.
.
.
%
-
-
.
.
f.
%
-
-
.
g.
.
%
-
-
h.
.
.
%
-
-
.
i.
.
%
-
-
.
j.
.
%
-
-
k.
.
.
%
-
-
.
l.
.
%
-
-
.
m.
.
%
-
-
n.
.
.
%
-
-
.
o.
.
%
-
-
.
.
p.
%
.
11. Total of column 10 on this page. ...................................................................................................... 11.
.
12. Total of line 11 for ALL pages (Enter here and on Form 941P-ME, Line 1) .....................................12.

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