Form 1040s-Me - Maine Individual Income Tax - 2005

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05
S
00
MAINE INDIVIDUAL INCOME TAX
*0502200*
1040S-ME RESIDENT SHORT FORM
IMPORTANT!
You must enter your SSN(s) below.
Your First Name
MI
Your Last Name
Your Social Security Number
-
-
Spouse’s First Name
MI
Spouse’s Last Name
Spouse’s Social Security Number
-
-
Mailing Address (PO Box, number, street and apt. no)
Home Phone Number
-
-
Work Phone Number
-
-
City
State
Zip Code
NOTE: If either spouse is deceased, enter the date of death on the back of this page in the spaces provided above the signature area.
1 Maine Clean Election Fund – (See instructions on page 6.) NOTE: Checking
2 Check here if you were engaged in
the box will not increase your tax or reduce your refund.
YES
NO
COMMERCIAL FARMING OR FISHING
Do you want $3 to go to this fund .......................................................
during 2005. (See Instructions)
If a joint return, does your spouse want $3 to go to this fund ............
FILING STATUS (Check one)
3
Single
8 CHECK IF:
You
Spouse
were
was
4
Married filing joint return (Even if only one had income)
65 or over ............. 8a
8c
5
Married filing separate return. Enter spouse’s social security number and full name above.
6
Head of household (With qualifying person)
Blind ..................... 8b
8d
7
Qualifying widow(er) with dependent child
(Year spouse died
)
9
Enter the TOTAL number of EXEMPTIONS claimed on your federal return .............................................................................. 9
10 FEDERAL ADJUSTED GROSS INCOME. (See instructions on page 6 for line references
,
.
to federal forms. 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
,
.
14 PENSION INCOME DEDUCTION. (See instructions and worksheet on page 14) .................. 14
15 MAINE ADJUSTED GROSS INCOME. (Add lines 10 and 11, subtract lines 12, 13, and 14.
,
.
If negative, enter a minus sign in the box to the left of the number) ........................................ 15
,
.
16 STANDARD DEDUCTION. (See instructions on page 6) .............................................................. 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 or
,
.
compute your tax using the tax rate schedule on page 19. If line 18 is negative, enter zero.) ... 19

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