Form 1040me - Schedule Nrh 2001 Page 2

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WORKSHEET A
Residency Information Worksheet for Nonresidents/Part-year Residents
Enclose with your Form 1040ME
WORKSHEET B
Income Allocation Worksheet
for Nonresidents/Part-Year Residents
Enclose with your Form 1040ME
(Nonresidents and Part-year residents must complete this worksheet before completing Schedule NR or Schedule NRH)
Maine Resident Period
Nonresident Period
Federal Income
(Part-year Residents only)
(Nonresidents & Part-year Residents)
(NOTE: Married persons filing separate Maine income
Column A
Column B
Column C
Column D
Column E
tax returns must complete separate worksheets)
Income from
Income from Column
Income from Column B
Income from Column A
Income from Column D
federal return
A for this period
earned outside of Maine
for this period
from Maine sources
1
1. Wages, salaries, tips, other compensation* ...
2
2. Taxable Interest .............................................
3
3. Ordinary dividends ........................................
4
4. Alimony received ...........................................
5
5. Business income/loss ...................................
6
6. Capital gain/loss ............................................
7
7. Other gains/losses ........................................
8
8. Taxable amount of IRA distributions ..............
9
9. Taxable amount of pensions and annuities ...
10. Rental real estate, royalties, partnerships,
10
S corporations, and trusts, etc ......................
11
11. Farm income/loss ..........................................
12
12. Unemployment Compensation ......................
13
13. Taxable Amount of social security benefits ...
14. Other income (Including lump-sum
distributions, but excluding state income
14
tax refunds) ...................................................
15
15. Add lines 1 through 14 ..................................
*

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