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Attachment 3Michigan Department of Treasury
4894 (Rev. 0317), Page 1 of 32017 MICHIGAN Corporate Income Tax Schedule of Shareholders and Officers
For all Corporations claiming the Small Business Alternative
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03-17 page 1 is a form for reporting financial information.
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Fill out the form by providing accurate financial information as requested.
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The purpose of 03-17 page 1 is to report financial data for regulatory compliance.
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Information such as income, expenses, assets, and liabilities must be reported on 03-17 page 1.
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