Form 1040s-Me - Maine Individual Income Tax - 2010
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42010
S
99
MAINE INDIVIDUAL INCOME TAX
*1002200*
1040S-ME RESIDENT SHORT FORM
STEP 1
Print Neatly in Blue or Black Ink, Using Upper Case Letters. DO NOT USE RED INK
IMPORTANT!
Your First Name
MI
You must enter your SSN(s) below.
Your Last Name
Your Social Security Number
-
-
Spouse’s First Name
MI
Spouse’s Social Security Number
Spouse’s Last Name
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-
Home Phone Number
-
-
Mailing Address (PO Box, number, street and apt. no)
Work Phone Number
-
-
City
State
Zip Code
NOTE: If either spouse is deceased, enter the date of death on the back of this page in the spaces provided above the signature area.
1 Maine Clean Election Fund. Maine Residents Only. Check here if you, or
2 Check here if you were engaged in COMMERCIAL
your spouse, if fi ling jointly, want $3 to go to this fund.
You
Spouse
FARMING OR FISHING during 2010. .................
FILING STATUS (Check one)
3
Single
8 CHECK IF:
You
Spouse
4
Married fi ling joint return (Even if only one had income)
were
was
5
Married fi ling separate return. Enter spouse’s social security number and full name above.
65 or over ......8a
8c
6
Head of household (With qualifying person)
Blind...............8b
8d
7
Qualifying widow(er) with dependent child
(Year spouse died
)
9
Enter the TOTAL number of EXEMPTIONS claimed on your federal return ............................................................................ 9
10 FEDERAL ADJUSTED GROSS INCOME. (See instructions on page 3 for line references
,
.00
to federal forms. If negative, enter a minus sign in the space to the left of the number.) ......... 10
11 MAINE PUBLIC EMPLOYEES RETIREMENT SYSTEM CONTRIBUTIONS. (See instructions.) ...11
,
.00
,
.00
12 U.S. GOVERNMENT BOND INTEREST included in your federal adjusted gross income ...... 12
13 SOCIAL SECURITY AND RAILROAD RETIREMENT BENEFITS included in your federal
adjusted gross income ............................................................................................................. 13
,
.00
,
.00
14 PENSION INCOME DEDUCTION. (See instructions and worksheet on page 8) ................... 14
15 MAINE ADJUSTED GROSS INCOME. (Add lines 10 and 11, subtract lines 12, 13, and 14.
,
.00
If negative, enter a minus sign in the space to the left of the number) ..................................... 15
,
.00
16 STANDARD DEDUCTION. (See instructions on page 3) ...............................................................16
,
.00
17 EXEMPTION. (Multiply number of exemptions on line 9 by $2,850) ...............................................17
18 TAXABLE INCOME. (Line 15 minus lines 16 and 17.
,
.00
If negative, enter a minus sign in the space to the left of the number.) ...........................................18
19 INCOME TAX. (Find the tax for the amount on line 18 in the tax table on pages 9-11 or
,
.00
compute your tax using the tax rate schedule on page 11. If line 18 is negative, enter zero.) ........19
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