Limited Liability Company Return Of Income Tc65 Page 8

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Utah Partnership/Limited Liability Partnership/Limited Liability Company Return of Income
TC-65 Schedule G
Partnership/Limited Liability Partnership/Limited Liability Company Name
Taxable Year Ending
Employer Identification Number
General Partners/Managing Members
Please make any corrections in the space provided
Individual
Corporation
SSN/EIN:
Partnership
Limited Liability Partnership
Name:
Limited Liability Company
Address:
City:
State:
ZIP Code:
Telephone:
/
/
/
/
Date Affiliated:
Date Withdrawn:
Individual
Corporation
SSN/EIN:
Partnership
Limited Liability Partnership
Name:
Limited Liability Company
Address:
City:
State:
ZIP Code:
Telephone:
/
/
/
/
Date Affiliated:
Date Withdrawn:
Individual
Corporation
SSN/EIN:
Partnership
Limited Liability Partnership
Name:
Limited Liability Company
Address:
City:
State:
ZIP Code:
Telephone:
/
/
/
/
Date Affiliated:
Date Withdrawn:
Individual
Corporation
SSN/EIN:
Partnership
Limited Liability Partnership
Name:
Limited Liability Company
Address:
City:
State:
ZIP Code:
Telephone:
/
/
/
/
Date Affiliated:
Date Withdrawn:
65G.FRM Rev. 12/01

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