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MAINE REVENUE SERVICES FORM 941P-ME Due on or Before PASS-THROUGH ENTITY RETURN OF MAINE INCOME TAX WITHHELD FROM MEMBERS 12941P0 04 30 2013 Period Covered 01 01 2012 - 12 31 2012 Federal Identi cation No Check here if your address changed. A. Check this box and complete Schedule 3P if you are claiming the Compliant Taxpayer or Composite Filing exemption from pass-through entity withholding for any non-resident member. See Schedule 3P instruction.

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