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Get TAX CREDIT FOR DEPENDENT HEALTH BENEFITS PAID - Maine

H entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible investment, see instructions. Also, please provide name and ID number of the pass-through entity on the lines below. NAME OF PASS-THROUGH ENTITY EIN/SSN 1. Number of employees in 2010 with dependent health benefits coverage ..............................1. 2. Line 1 x $125 .

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