Form 4580 - Michigan Business Tax Unitary Business Group Combined Filing Schedule For Standard Members - 2013
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18Michigan Department of Treasury
Attachment 15
4580 (Rev. 03-13), Page 1
2013 MICHIGAN Business Tax Unitary Business Group
Combined Filing Schedule for Standard Members
Issued under authority of Public Act 36 of 2007.
IMPORTANT: Read the instructions before completing this form.
Designated Member Name
Federal Employer Identification Number (FEIN) or TR Number
PART 1A: UNITARY BUSINESS GROUP (UBG) MEMBERS
List the UBG members whose activity is included on the combined return supported by this form, beginning with the Designated Member
(DM). Include all UBG members (with or without nexus), except those excluded in Part 3. If more than one page is needed, repeat the DM’s
name and FEIN or TR Number in the field at the top of the page, but not on line 1.
1.
A
B
Member Name
FEIN or TR Number
+
0000 2013 59 01 27 0
Continue on Page 2.
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