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Get NJ CBT-100S 2016

See Instruction 30) PART V SUMMARY OF RESIDENT SHAREHOLDERS PRO RATA SHARES (A) Name (B) Social Security Number (C) Pro Rata Share Income/Loss (D) Gain/Loss on Disposition of Assets (E) Distributions 1. 2. 3. 4. 5. 6. Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART VI SUMMARY OF CONSENTING NON-RESIDENT SHAREHOLDERS PRO RATA SHARES (A) Name (B) Social Security Number Pro Rata Share Income/Loss (C) (D) Allocated to NJ Not Allocated.

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