Form 706me - Maine Estate Tax Return Page 2
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22005 Form 706ME, Page 2
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*0510001*
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5.
Maine Gross Estate Tax (From Page 1, Line 5) ....................................... 5
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6.
Death taxes paid to another state (Residents only - attach copy) ........ 6
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7.
Maine Adjusted Gross Estate Tax (Line 5 minus Line 6) ........................ 7
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8.
Maine Estate Tax (See Instructions) ........................................................ 8
.00
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9.
Payments: a. Estimated / Extension Payments .................................... 9a
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b. Paid with original return (amended returns only) .......... 9b
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c. TOTAL PAYMENTS .......................................................... 9c
.00
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10.
Interest ................................................................................................... 10
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11.
Failure-to-file penalty ............................................................................. 11
.00
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12.
Failure-to-pay penalty ............................................................................ 12
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.00
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13.
Total Due (Line 8 minus Line 9c plus Lines 10, 11 and 12) ................... 13
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14.
Refund Due (Line 9c minus Line 8) ....................................................... 14
STEP 5
Filing status of IRS Form 706 for this estate (check one)
Not Required (Attach copy of pro forma Form 706)
Required (Attach copy of federal Form 706)
Whether or not a federal return is required, you may still owe Maine estate tax. See instructions for filing.
Marital Status of Decedent:
Married with surviving spouse
Spouse’s SSN: _________________________
Widow / Widower
Spouse’s SSN: _________________________
Single / Divorced
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, including the
pro forma federal return if required, and to the best of my knowledge and belief they are true, correct and complete. Declaration of
preparer is based on all information of which preparer has any knowledge.
Signature of executor or personal representative
Date
Signature of preparer other than personal representative
Preparer’s SSN or PTIN
Date
Firm’s name (or yours if self-employed)
Preparer’s address
Preparer’s phone number
Make check payable to: Treasurer, State of Maine
MAIL TO: MAINE REVENUE SERVICES
P.O. BOX 1068
AUGUSTA, ME 04333-1068
Office use only
Rev. 08/05
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