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           Schedule 
5          UB                                                                                                                                         5
6          Form CIT-120 W    LIST OF MEMBERS IN UNITARY COMBINED GROUP                                                                                6
                                                                                2023
7  CORPORATION NAME                                        FEIN                                                                                       7
8                                                                                                                                                     8
9                                                                                                                                                     9
10                                                                                                                                                    10
11 Common year ending for the unitary business group:                                                                                                 11
12                                                         MM / DD / YYYY                                                                             12
13                           List all members (See specific Instructions)                                                                             13
14 Group#               Name FEIN                          Total Tax from       Total Payments & Prior Year                                           14
                                  Year ending
15 (1 – 3)                        MM                  YYYY UB-CR, Column C4     Credits                                                               15
16                                                                                                                                                    16
17                                                                          .00         .00                                                           17
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19                                                                          .00         .00                                                           19
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21                                                                          .00         .00                                                           21
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23                                                                          .00         .00                                                           23
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31                                                                          .00         .00                                                           31
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35                                                                          .00         .00                                                           35
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39                                                                          .00         .00                                                           39
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41                                                                          .00         .00                                                           41
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45                                                                          .00         .00                                                           45
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49                                                                          .00         .00                                                           49
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51                                                                          .00         .00                                                           51
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53                                                                          .00         .00                                                           53
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55                                                                          .00         .00                                                           55
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57                                                                          .00         .00                                                           57
58 NOTE: After completing this schedule, see Schedule UB Instructions for Completing Form CIT-120                                                     58
59                                                                                                                                                    59
60                                                                                                                                                    60
61                                                                                                                                                    61
62                                                                                                                                                    62
                                                                          *B30202313W*
63                                                                        B30202313W                                                                  63
   67891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071 727374757677787980






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