Form 1041me - Income Tax Return For Resident And Nonresident Estates And Trusts - 2009

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2009
INCOME TAX RETURN
FOR RESIDENT AND NONRESIDENT ESTATES AND TRUSTS
99
For calendar year 2009 or tax year beginning in 2009
*0909100*
0 9
Tax period
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/
FORM 1041ME
/
/
to
Amended Return
NAME OF ESTATE OR TRUST (AS IT APPEARS ON FEDERAL FORM SS-4)
ESTATE/TRUST/QFT EIN
-
NAME and TITLE of FIDUCIARY or TRUSTEE
FIDUCIARY SSN OR EIN (do not enter / or -)
ADDRESS OF FIDUCIARY (NUMBER AND STREET)
CONTACT PERSON
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
-
-
Type of
Decedent’s estate
Qualifi ed Funeral Trust (QFT)
Simple Trust
Bankruptcy estate — (Chapter 7)
entity (check
_______________
E
Complex Trust
Bankruptcy estate — (Chapter 11)
nter QFT EIN in space above
one box):
(
ESBT (S Portion Only)
Pooled income fund
enter decedent’s SSN)
Check the boxes that apply:
Resident estate or trust
Nonresident estate or trust
Initial return
Final return
,
,
. 00
1. Federal taxable income (nonresident estates and trusts, skip to line 3) ...............................................1
,
,
. 00
2. Fiduciary Adjustment: Resident estates and trusts only (see instructions) ......................................2
3. Maine taxable income (resident estate or trust - line 1 plus or minus line 2.
,
,
. 00
Nonresident estate or trust - Schedule NR, line 9, column B) .................................................................3
,
,
. 00
4. Maine income tax (from tax table on page 2 of instructions) ......................................................................4
,
,
. 00
5. Adjustments to tax (from Schedule A, line 18) ...........................................................................................5
,
,
. 00
6. Adjusted Maine income tax (line 4 plus or minus line 5) ...........................................................................6
,
,
. 00
7. Tax payments: a. Maine income tax withheld (attach Form W-2, W-2G, 1099-R or 1099ME) ...............7a
b. 2009 Estimated tax payments (including real estate withholding tax payments)
,
,
. 00
and extension payments ...........................................................................................7b
,
,
. 00
c. Total Payments (add lines 7a and 7b) ........................................................................7c
,
,
. 00
8. a. If line 6 is greater than line 7c, enter TAX BALANCE DUE ..................................................................8a
b. Enter PENALTY for underpayment of estimated tax (attach Form 2210ME)
,
. 00
(Check here if you checked the box on Form 2210, line 17) ................................
...........................................8b
,
,
. 00
c. TOTAL AMOUNT DUE (add lines 8a and 8b) ......................................................................................8c
,
,
. 00
9. If line 7c is greater than line 6, enter OVERPAYMENT ...............................................................................9
10. Overpayment to be:
,
,
,
. 00
.00
a. CREDITED to next year’s estimated tax 10a
b. REFUNDED ......10b
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 Identifi cation number _______________
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.
X ___________________________________
________________
SIGNATURE OF FIDUCIARY OR OFFICER REPRESENTING ESTATE OR TRUST
DATE
X ___________________________________
________________
SIGNATURE OF PREPARER OTHER THAN FIDUCIARY
DATE
________________________________________________
____________________________
__________________________
PRINT PREPARER’S NAME
PREPARER’S PHONE NUMBER
PREPARER’S SSN OR PTIN
File return with: Maine Revenue Services, PO Box 9108, Augusta, Maine 04332-9108
Offi ce Use Only
Enclose check payable to: TREASURER, STATE OF MAINE. Write the employer identifi cation
number of the estate or trust on the check. DO NOT SEND CASH

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