Form 1040me - Worksheet A Residency Information Worksheet For Nonresidents/part-Year Residents, Worksheet B - Income Allocation Worksheet For Nonresidents/part-Year Residents, Worksheet C - Employee Apportionment Worksheet Page 2
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1
2
3Your Social Security Number
Name(s) as shown on Form 1040ME
-
-
Attachment
WORKSHEET B
9
Sequence No.
Income Allocation Worksheet for Nonresidents/Part-Year Residents
(See instructions on pages 12 and 13) - Enclose with your Form 1040ME
Nonresidents and Part-year residents must complete this worksheet before completing Schedule NR or Schedule NRH
Maine Resident Period
Nonresident Period
Federal Income
(Part-year Residents only)
(Nonresidents & Part-year Residents)
(NOTE: Married persons fi ling separate
Maine income tax returns must complete
Column A
Column B
Column C*
Column D
Column E
separate worksheets for each spouse)
Income from
Income from Column Income from Column B Income from Column Income from Column D
federal return
A for this period
earned outside of Maine
A for this period
from Maine sources
1. Wages, salaries, tips,
other compensation** ..........................
1
2. Taxable interest ....................................
2
3. Ordinary dividends ...............................
3
4. Alimony received .................................
4
5. Business income/loss ..........................
5
6. Capital gain/loss ..................................
6
7. Other gains/losses ...............................
7
8. Taxable amount of IRA distributions ....
8
9. Taxable amount of pensions
and annuities .......................................
9
10. Rental real estate, royalties,
partnerships, S corporations, and
trusts, etc ............................................. 10
11. Farm income/loss ................................ 11
12. Unemployment Compensation ............ 12
13. Taxable amount of social
security benefi ts ................................... 13
14. Other income (Including lump-sum
distributions, but excluding state
income tax refunds) ............................. 14
15. Add lines 1 through 14 ......................... 15
*
Part-year residents must make an entry in Column C if income was earned in another jurisdiction during the
period of Maine residency. Enter below the name of each other jurisdiction and the dates the income was earned in
those jurisdictions. Use a separate sheet if additional space is needed.
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
You must attach a copy of the income tax return(s) fi led with the other jurisdiction
**
If necessary, use Worksheet C (Employee Apportionment Worksheet) for Nonresidents/Part-Year Residents to
calculate the amount for line 1, Column E. For a copy of Worksheet C, go to Maine Revenue Services web site at: www.
maine.gov/revenue/forms or call
(207) 624-7894 (to order).
NOTE: See instructions on pages 12 and 13 on how to use Worksheet B, line 15 entries to complete line 1 of Schedule
NR or Schedule NRH.
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