Form 1040s-Me - Maine Individual Income Tax - 2010 Page 3

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Schedule CP
VOLUNTARY CONTRIBUTIONS
2010
and PURCHASE OF PARK PASSES
99
For more information on each contribution or park pass
Attachment
item, go to
*1002202*
6
Sequence No.
Name(s) as shown on your Maine income tax form
Your Social Security Number
-
-
WHO SHOULD FILE SCHEDULE CP?
You only need to fi le Schedule CP if you want to make voluntary contributions to any of the organizations listed
below or if you choose to purchase a park pass for entry into Maine State Parks. Otherwise do not fi le Schedule CP.
Enter line totals below:
,
. 00
1
Democratic Party
$1
$5
$10
Other $ ______
....1
,
. 00
2
Green Independent Party
$1
$5
$10
Other $ ______ .....2
,
. 00
3
Republican Party
$1
$5
$10
Other $ ______ .....3
4
Endangered & Nongame Wildlife Fund
,
. 00
“Chickadee Check-off”
$5
$10
$25
Other $ ______ .....4
,
. 00
5
Maine Children’s Trust
$5
$10
$25
Other $ ______ .....5
,
. 00
6
Bone Marrow Screening Fund
$5
$10
$25
Other $ ______ .....6
,
. 00
7
Companion Animal Sterilization Fund
$5
$10
$25
Other $ ______ .....7
,
. 00
8
Maine Military Family Relief Fund
$1
$5
$10
$25
Other $ ______ .....8
9
Maine Veterans’ Memorial Cemetery
,
. 00
Maintenance Fund
$1
$5
$10
$25
Other $ ______ .....9
10 Maine Asthma & Lung Disease
,
. 00
Research Fund
$1
$5
$10
$25
Other $ ______ ...10
,
. 00
11
TOTAL CONTRIBUTIONS. (Add lines 1 through 10) ...........................................................................11
. 00
12
Number of Individual Park Passes ..............
x $35 ............................................................................12
. 00
13
Number of Vehicle Park Passes
..............
x $70 ............................................................................13
14
TOTAL CONTRIBUTIONS AND PARK PASS PURCHASES (Add lines 11, 12, and 13.
,
. 00
Enter result here and on Form 1040ME, line 32 or Form 1040S-ME, line 28) .......................................14
INSTRUCTIONS
A. CONTRIBUTIONS.
Lines 1-10. Check
illnesses who are in need of a bone marrow
understanding of lung disease, especially its
the appropriate box or boxes to indicate the
or other similar transplant will have more
prevention, causes, treatment and cure. The
funds and amounts of your choice. Political
potential donors. The fund is administered
fund is administered by the American Lung
party designations may only be made by
by the Department of Health and Human
Association of Maine.
Maine residents. You and/or your spouse
Services.
B. PARK PASSES.
Maine Park passes can be
may make separate party designations
Contributions to the Companion Animal
purchased through Maine Revenue Services
for political party contributions. Write in
Sterilization Fund are placed in the
when you fi le your income tax return. Note that
the amount of your contributions on the
Companion Animal Sterilization Fund and used
visitors 65 years or over are admitted to Maine
corresponding line. Part A contributions may
to fund the Animal Welfare Program’s “Help Fix
State Park day-use areas free of charge upon
be deductible the following year on state and
ME” Spay/Neuter Fund for low-income dog and
proof of age. An individual pass allows only the
federal income tax returns.
cat owners. The fund is administered by the
pass holder admittance to day use of Maine
Contributions to the Endangered and
Department of Agriculture. For more information
state parks and historic sites. A vehicle pass
Nongame Wildlife Fund “Chickadee
call 800-367-1317.
(for vehicles weighing up to one-ton) allows all
Check-off” are used to fund the endangered
occupants of the vehicle admittance to day use.
Contributions to the Maine Military Family
and nongame wildlife programs. For more
These passes do not include entry into Baxter
Relief Fund are used to assist the families
information, visit
State Park, Allagash Wilderness Waterway,
of persons who are members of the Maine
species/endangered_species/nongame_
the Penobscot River Corridor or Scarborough
National Guard or residents of Maine who are
fund.htm.
Beach. Any pass purchased will reduce the
members of the Reserves and who have been
amount of your refund or increase the amount
Contributions to the Maine Children’s Trust
called to military duty and are experiencing
you owe. If you have any questions regarding the
are used to prevent child abuse and neglect
fi nancial hardship. The fund is administered
purchase of park passes, please call the Bureau
throughout Maine. The fund is administered
by the Maine Adjutant General.
of Parks and Lands at (207) 287-3821.
by the Maine Children’s Trust. For more
Contributions to the Maine Veterans’ Memorial
information, visit
To be sure you have your park pass when
Cemetery Maintenance Fund are used to
State Parks begin collecting fees, please fi le
Contributions to the Bone Marrow Screening
help fi nance the maintenance and perpetual
Schedule CP with your income tax return
Fund are used to support blood screening
care of Maine veterans’ cemeteries.
as early as possible. Expect some delays
to add people to the National Bone Marrow
Contributions to the Maine Asthma and
in processing when fi ling your return later
Registry. As a result, people with certain
Lung Disease Fund are used to provide
in the season.
cancers, genetic disorders, or autoimmune
research grants to develop and advance the
7

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