Form 2333c-Me - Income Tax Withholding And Unemployment Contributions Forms - Order Form

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MAINE REVENUE SERVICES
P.O. Box 9100
2007
AUGUSTA, ME 04332-9100
FORM 2333C-ME
INCOME TAX WITHHOLDING and
UNEMPLOYMENT CONTRIBUTIONS FORMS
ORDER FORM
Business Name ________________________________ Email ____________________@ _____________
Address ______________________________________ City, State __________________ ZIP ___________
Contact Person ________________________________ Telephone Number (
) ______________________
Use this form to request your income tax withholding and unemployment contributions forms. Downloadable forms are
available free of charge at: All forms come in packages of 10 at $1.70 each package.
Indicate the number of packages you wish to purchase and multiply that number by $1.70 for the total.
Abbreviations: WH = Withholding UC = Unemployment Contributions
Loose Forms (To be completed by hand)
TOTAL
ITEM
FORM NUMBER
DESCRIPTION
# PKGS
(Pkgs. x $1.70)
1
941ME
Withholding Only Quarterly Return
$
2
941ME, Schedule 2
Withholding Listing Page
3
941/C1-ME
Combined WH and UC Quarterly Return
941/C1-ME, Schedule
4
Wage & Withholding Listing Pg - Pt 4 of Quarterly Return
2/C1
5
941P-ME
Pass-through Entity Withholding Quarterly Return
6
941P-ME, Schedule 2P
Pass-through Entity Withholding Listing Page
7
941A-ME
Withholding Amended Return
8
C1A-ME
UC Amended Return (photocopies accepted)
9
900ME
Withholding Payment Voucher (3 vouchers per page)
10
941E-ME
Pass-through Entity Withholding Exemption Form
11
941LM-ME
List of Participating Members in the Compliant Taxpayer Exemption
12
941AF-ME
Compliant Taxpayer Affidavit (photocopies accepted)
13
941CF-ME
Composite Filing Participation Statement (photocopies accepted)
14
W3-ME
Reconciliation of Maine Income Tax Withheld
15
1099ME
Income Tax Withheld by Pass-through Entity (photocopies accepted)
Total
$
Sales
Tax:
Add 5%
Please submit your order (and make checks payable) to:
Total
$
Due
Goodwill Industries of Northern New England, Inc.
243 Leighton Road
Augusta, Maine 04330
Rev. 12/06

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