Form 1040s-Me - Maine Individual Income Tax - 2005 Page 2

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1040S-ME RESIDENT SHORT FORM
Page 2
00
*0502201*
,
.
20 INCOME TAX. (From line 19, page 1) ......................................................................................... 20
21 LOW-INCOME CREDIT. If the amount on line 18 is $2,000 or less and neither you nor your spouse
,
.
(if married) are claimed on another person’s return, enter the amount on line 20 here ..................... 21
NOTE: You are not required to file a return if you qualify for this credit. (See instructions)
,
.
22 EARNED INCOME TAX CREDIT (EIC). Your federal EIC $ _________ x .0492. Enter result here .. 22
,
.
23 NET INCOME TAX. Line 20 minus lines 21 and 22 (If less than zero, enter zero) .................... 23
,
.
24 MAINE INCOME TAX WITHHELD. (Enclose W-2 and 1099 forms) ........................................
24
(DO NOT include estimated tax payments)
,
.
25 OVERPAYMENT. If line 24 is larger than line 23, subtract line 23 from line 24. Enter result here .... 25
,
.
26 UNDERPAYMENT. If line 23 is larger than line 24, subtract line 24 from line 23. Enter result here .. 26
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.
27 USE TAX (SALES TAX). (See instructions) ................................................................................. 27
28 TOTAL VOLUNTARY CONTRIBUTIONS AND PARK PASS PURCHASES. (From
,
.
Schedule CP, line 12) .................................................................................................................... 28
29 REFUND. (Line 25 minus lines 27 and 28) - NOTE: If total of lines 27 and 28 is greater than
,
.
line 25, subtract line 25 from the total of lines 27 and 28 and enter the amount on line 31 below. ... 29
IF YOU WOULD LIKE YOUR REFUND DEPOSITED DIRECTLY TO YOUR BANK ACCOUNT ($5,000 or less) OR TO YOUR NEXTGEN COLLEGE
®
INVESTING PLAN
ACCOUNT, read the instructions on page 7 and fill out the information below. NOTE: Completing the information below
authorizes Maine Revenue Services to disclose your social security number listed on the front of this form to your financial institution for the
®
sole purpose of depositing your income tax refund directly into your bank account or NextGen College Investing Plan
Account.
Direct
30a Routing Number*
30c Type of Account:
Checking
*For NextGen Accounts, enter 043000261
Savings
Deposit
NextGen ®
30b Account Number*
*For NextGen Accounts, enter the Account Participant’s 9-digit social security number.
31 AMOUNT DUE. Line 26 plus lines 27 and 28. (OR If total of lines 27 and 28 is greater than line 25,
,
.
subtract line 25 from the total of lines 27 and 28). (If $1,000 or more see instructions.) Enter result here. ... 31
EZ PAY at or ENCLOSE CHECK payable to: Treasurer, State of Maine. Include your social security
number on your check to receive proper credit on your account. DO NOT SEND CASH.
32
FOR MAINE RESIDENTS ONLY: Check this box if you would like to receive a 2006 Maine Residents Property Tax and Rent Refund Application:
See instructions on pages 7 and 8 for information about the Tax and Rent Program. THE APPLICATION WILL BE MAILED TO
YOU IN AUGUST 2006 unless your income on line 15 exceeds the income limits for this program.
To reduce printing and postage costs, if you file your return electronically or have your return done by a tax preparer and do not need Maine
income tax forms and instructions mailed to you next year, check box at right. ...........................................................................................................
(Month)
(Day)
(Year)
(Month)
(Day)
(Year)
If taxpayer is deceased,
If spouse is deceased,
IMPORTANT NOTE
/
/
/
/
enter date of death.
enter date of death.
Third Party
Do you want to allow another person to discuss this return with Maine Revenue Services?
Yes (complete the following).
No.
Designee
Designee’s name _________________________
Phone no. (
) __________________
Personal identification #:
(See page 7)
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
SIGN
____________________________
______________
__________________
HERE
YOUR SIGNATURE
DATE SIGNED
YOUR OCCUPATION
Keep a
____________________________
______________
__________________
copy of
SPOUSE’S SIGNATURE (IF JOINT RETURN, BOTH MUST SIGN)
DATE SIGNED
SPOUSE’S OCCUPATION
this return
for your
____________________________
_____________
__________________
records
PREPARER’S SIGNATURE
DATE
PREPARER’S PHONE NUMBER
Paid
_____________________________________________
Preparer’s
PRINT PREPARER’S NAME and NAME OF BUSINESS
PREPARER’S SSN or PTIN
Use
Only
If requesting a REFUND, mail to: Maine Revenue Services, P .O. Box 9110, Augusta, ME 04332-9110
OFFICE USE
If NOT requesting a refund, mail to: Maine Revenue Services, P.O. Box 1066, Augusta, ME 04332-1066
CK $ __________
PP
IS
ONLY:
DO NOT SEND PHOTOCOPIES OF RETURNS

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