Form Crb - Maine Franchise Tax Combined Report For Unitary Members - 2005

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FORM CRB - Page 1 of 2
2005
MAINE FRANCHISE TAX
COMBINED REPORT FOR UNITARY MEMBERS
Federal EIN: ___________________
Important:
The Combined Report must be accompanied by a legible copy of the parent financial
institution’s Federal Consolidated Tax Return, pages 1, 2, 3 and 4 (or equivalent).
This report must be attached to Form 1120B-ME.
Col 1
Column 2
Column 3
Column 4
Column 5
Column 6(A)
Column 6(B)
Nexus
Financial Institution Name and
Net Income per
Net Income per
Allowable
Adjusted
Total end-of-year
with
Federal Identification Number
Books of Unitary
Books of Unitary
Adjustments
Separate Net Income
Assets
Maine
of Unitary Business Member
Members Participating
Members Filing
per Books of Unitary
in a Federal
Separate Federal
Members (Combine
Consolidated Filing
Returns
Cols 3, 4, & 5)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Adjustments and eliminations for columns 6(B) through 9
(Attach schedule showing origin of any amount on this line)
17.
TOTALS
18.
REV. 12/05

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