Form Hos-1 - Hospital Tax Return

ADVERTISEMENT

Hos
Maine Revenue Services
00
Hospital Tax Return
*1115010*
Registration No.
Period Begin
Due Date
Period End
1. Entity Information
2.
OUT OF BUSINESS?
Date closed:
3.              OWNERSHIP OR NAME CHANGE?
Date
Explanation
4.              SOLD? Date
ADDRESS CHANGE?: Check here and make the appropriate changes to the preprinted address.
Do Not Use Red Ink!
 ,                ,                 .
Net Operating Revenue
1.
 ,                ,                 .
Tax @ .0223
2.
 ,                ,                 .
Remittance (multiply line 2 by 50%)
3.
Payment Note: (½ of tax is due November 15, the balance is due on May 15)
Mail To:
Maine Revenue Service
P.O. Box 1065
Augusta, ME
04332-1065
Print Name
Date
Signature and Title
Phone #
HOS-1, Revised 11/2011
For assistance in completing this form, call (207) 624-9609

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Rg-1 - Gas Tax Return Form Rg-1 - Gas Tax Return Financial
Form Blu-1 - Blueberry Tax Return Form Blu-1 - Blueberry Tax Return Financial
Form S-1 - Succession Tax Return Form S-1 - Succession Tax Return Financial
Form R-1 - Conveyance Tax Return Form R-1 - Conveyance Tax Return Financial
Form Rg-1 - Gas Tax Return Form Rg-1 - Gas Tax Return Financial
Form 53-1 - Sales Tax Return Form 53-1 - Sales Tax Return Financial
Form 53u-1 - Use Tax Return Form 53u-1 - Use Tax Return Financial
Form Pa-1 - Use Tax Return Form Pa-1 - Use Tax Return Financial
Form Pa-1 - Use Tax Return Form Pa-1 - Use Tax Return Financial
Form 70-1 -wyoming Tax Return - Cigarette Wholesaler's Monthly Return Form 70-1 -wyoming Tax Return - Cigarette Wholesaler's Monthly Return Financial

Related Categories

Parent category: Financial
Download
Go