Form 800 - Business Equipment Tax Reimbursement Application 2009
ADVERTISEMENT
1
2800
BUSINESS EQUIPMENT TAX
Form
99
REIMBURSEMENT
2009
Page 1
APPLICATION
*0910700*
(for eligible personal property taxes paid in 2008)
Check if applicant is a:
Application must be fi led no
Corporation
LLC
later than December 31, 2009.
Partnership
Sole Proprietor
-
If applicant is a corporation, partnership or LLC, enter federal EIN .........................................
Business Name:
-
-
If applicant is a sole proprietor, enter social security number ..............................................
First Name:
M.I.:
Last Name:
Mailing Address:
City/Town:
State:
ZIP Code:
1.
Consolidated application:
YES
NO
If YES, complete lines 2, 4a, 4b, 5, 6, 8 and 9. Lines 5, 6 and 8 must refl ect
(for property in two or more
the total from all municipalities.
Do not complete lines 3 and 7.
municipalities)
If NO, complete lines 2 through 9.
2.
Business Code:
3. Municipal Code:
(see pages 5 and 6)
4a. Check this box if business was started
4b. Check this box if the business also receives reimbursement for
on or after April 1, 1995 .............................................
personal property taxes under a TIF agreement (see instructions) ......
Enter the following information for property tax payments made in calendar year 2008 based on the April 1, 2007 and/or April 1,
2008 assessments. See Instructions.
Assessed April 1, 2007
Assessed April 1, 2008
5. Original cost of eligible property ................ 5a.
5b.
,
,
,
,
$
$
6. Assessed Value ........................................ 6a.
6b.
,
,
,
,
$
$
.
.
7. Property Tax Rate ....................................... 7a.
mils
7b.
mils
8. Requested Reimbursement
(If Consolidation
,
,
,
,
$
$
......... 8a.
8b.
Schedule is used, see instructions on page 4)
,
,
,
,
$
$
8c.
8d.
(Enter 90% of lines 8a and 8b)
.....................
9. Total Reimbursement. Line 8c plus line 8d .......................................................................... 9.
,
,
$
Eligible property only, taking into account any early payment discounts, but exclusive of any interest, penalties or any other charges. Dated
proof of tax payment and a copy of the tax bill must be included with your claim. Requested reimbursement must exclude any portion of
the property tax payments related to property not eligible for the program. Other limitations apply. See instructions on page 4.
To reduce printing and postage costs, if you have your return done by a tax preparer and do not need the Business Equipment Tax
Reimbursement booklet mailed to you next year, check the box at the right ..............................................................................................
Applicant (or business owner) signature: Under penalties of perjury, I declare that I have examined this application and accompanying
schedules and statements and, to the best of my knowledge and belief, they are true, correct and complete. Declaration of preparer
(other than applicant) is based on all the information of which the preparer has any knowledge.
Telephone
Applicant ________________________________Date
Number
/
/
-
-
(or business offi cer)
Preparer
Preparer _________________________________Date
ID Number
/
/
-
-
Preparer Telephone Number
MAIL TO: MAINE REVENUE SERVICES
P.O. BOX 9107
offi ce use only
AUGUSTA, ME 04332-9107
REV. 08/09
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial