Maine Individual Income Tax 1040s-Me Resident Short Form - 2001
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1
2*010220000*
S
MAINE INDIVIDUAL INCOME TAX
1040S-ME RESIDENT SHORT FORM
*010220000*
Your First Name
Initial
Your Social Security Number
-
-
STEP 1
Your Last Name
Spouse's Social Security Number
Print Neatly in
Blue or Black
-
-
Ink, Using
Upper Case
Spouse's First Name
Initial
Home Phone Number
Letters
DO NOT USE
-
-
RED INK
Spouse's Last Name
Work Phone Number
NOTE:
If either
-
-
spouse is deceased,
enter the date of
Home Mailing Address (number, street and apartment number)
death on the back of
this page in the
spaces
provided
above the signature
City/Town
State
ZIP Code
area.
2 Check here if you were engaged in Commercial
1 Maine Clean Election Fund - see instructions on page 6. NOTE: Checking
Farming or Fishing during 2001 (see instructions).
the box will not increase your tax or reduce your refund.
YES
NO
Do you want $3 to go to this fund? .........................................
If a joint return, does your spouse want $3 to go to this fund?
8 CHECK IF:
FILING STATUS (check one)
3
Single
You
Spouse
STEP 2
4
Married filing joint return (Even if only one had income)
were
was
Indicate
5
Married filing separate return (Enter spouse’s social security number and full name above)
65 or over
8a
8c
Your Filing
Status
6
Head of household (With qualifying person)
Blind
8b
8d
7
Qualifying widow(er) with dependent children (Year spouse died:
)
STEP 3
9
Total number of EXEMPTIONS claimed on your federal return .................................................................................................................... 9
Enter Your
Exemptions
10 FEDERAL ADJUSTED GROSS INCOME (From your federal Form 1040EZ, line 4; or 1040A, line 19;
,
or 1040, line 33; or telefile worksheet, line I. If negative, enter a minus sign in the box to the left of
.
the number.) ................................................................................................................................................. 10
,
.
11 MAINE STATE RETIREMENT CONTRIBUTIONS ........................................................................................ 11
,
.
12 U.S. GOVERNMENT BOND INTEREST included in your federal adjusted gross income .......................... 12
13 SOCIAL SECURITY AND RAILROAD RETIREMENT BENEFITS included in your federal adjusted
,
.
gross income ................................................................................................................................................ 13
STEP 4
,
.
Calculate
14 PENSION INCOME DEDUCTION (See instructions and worksheet on page 14) ...................................... 14
Your
Taxable
15 MAINE ADJUSTED GROSS INCOME (Add lines 10 and 11, subtract lines 12, 13, and 14.
,
Income
.
If negative, enter a minus sign in the box to the left of the number) .......................................................... 15
,
.
16 STANDARD DEDUCTION (See instructions on page 7) ................................................................................... 16
,
.
17 EXEMPTION (Multiply number of exemptions on line 9 by $2,850) .................................................................. 17
18 TAXABLE INCOME (Line 15 minus lines 16 and 17.
,
.
If negative, enter a minus sign in the box to the left of the number.) ............................................................... 18
,
.
19 INCOME TAX (Find the tax for the amount on line 18 in the tax table on pages 15-19) ................................. 19
(If line 18 is negative, enter zero.)
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