Form 1040cm - Territorial Individual Income Tax Return - 2008 Page 4
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6ANNUAL WAGE AND SALARY AND EARNINGS TAX RETURN
2008
Page 2
PART E
COMBINE DUE OR (OVERPAYMENT)
1
Amount due or (overpaid), Chapter 2 and Chapter 7. (add lines 1 of Part C, and line 4 of Part D)
If this amount is an overpayment, skip lines 2 through 4 ……………………………………………………………………....................................... 1
2
CHAPTER 2
:
(b) Failure to File………………………............ 2b
(a) (
Enter amount underpaid
(c) Failure to Pay………………………............ 2c
(c) Interest Charge……………………............. 2d
3
CHAPTER 7
:
(b) Failure to File………………………............ 3b
(a) (
Enter amount underpaid
(c) Failure to Pay………………………............ 3c
(c) Interest Charge……………………............. 3d
4
Total penalty and interest charges. (add lines 2b, 2c, 2d, 3b, 3c, and 3d)…………………………………………………………............................. 4
5
Total amount due or (overpaid), Chapter 2 and Chapter 7. (add lines 1 and 4 of this Part, and lines 5 and 6 of Part D)…….............................. 5
6
If line 5 is an overpayment, enter amount you want credited to your 2009 ESTIMATED TAX………………………………...........................…
6
7
Amount from line 5 you want credited to your 2009 Business Gross Revenue Tax. Indicate the quarter……………..................................… 7
8
Net overpayment............................................................................................................................................................................................... 8
PART F
BUSINESS GROSS REVENUE TAX CREDIT ALLOCATION
Enter the TIN and amount you want credited from line 7, Part E above. The total credit allocation shall be equal to the amount on line 7, Part E above.
TIN
TAX TYPE
AMOUNT
TIN
TAX TYPE
AMOUNT
3105G
3105G
3105AF
3105AF
3105MW
3105MW
PART G
ADDITIONAL CHILD TAX CREDIT COMPUTATION
Special Notice
This Part is provided to enable the Division of Revenue and Taxation to process your claim of the Additional Child Tax Credit (ACTC). Please note that the ACTC is being paid by the
U.S. Treasury, and the Division of Revenue and Taxation is only facilitating your ACTC claim as agreed upon between the CNMI Department of Finance and the U.S. Treasury. By
applying for the ACTC Refund and allowing the refund to be processed by the Division of Revenue and Taxation, you are giving the Division of Revenue and Taxation authorization
to release tax information to the Internal Revenue Service (IRS). See supplemental Instructions for Part F, line 2 regarding rebate offset amount.
1
Additional Child Tax Credit. Enter the amount from line 13 of Form 8812. (Attach Form 8812)…………………….......................................................…… 1
2
Enter the amount underpaid from line 5, Part E above…………………………………………………………………………….................................................… 2
3
Additional Child Tax Credit refund. (subtract line 2 from line 1. but not less than zero)………………………………………............................................…. 3
4
Amount you still owe on this return after offset of the ACTC. (subtract line 2 from line 1. but not less than zero)…….............................................………..
4
Do you want to allow another person to discuss this return with the Division of Revenue and Taxation (see page 57)?
Yes. Complete the following.
No.
Third Party
Designee
Designee’s name
Phone no.
(
)
Personal
number (PIN)
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
Sign Here
true, correct, and complete. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge.
Joint return?
Your signature
Date
Your occupation
Daytime phone number
See Page 15
(
)
Keep a copy
for Your
Spouse’s signature. If a joint return, both must sign
Date
Spouse’s occupation
Records
Preparer’s
Date
Check if
Preparer’s SSN or PTIN
signature
self-employed
Paid
Preparer’s
EIN
Use Only
Firm’s name (or yours if self-
employed) address and Zip code.
(
)
Phone no.
FOR OFFICIAL USE ONLY
DATE FILED*
DATE PAID
AMOUNT PAID
RECEIPT NO.
VERIFIED BY
POSTED BY
DEADLINE: APRIL 15, 2009
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