Form 1041me - Income Tax Return For Resident And Nonresident Trusts And Estates - 2003

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*0309100*
INCOME TAX RETURN
FOR RESIDENT AND NONRESIDENT TRUSTS AND ESTATES
For calendar year 2003 or tax year beginning in 2003
00
-
-
03
-
-
-
*0309100*
Tax period
2003
Amended Return
FORM 1041ME
NAME OF ESTATE OR TRUST (AS IT APPEARS ON FEDERAL FORM SS-4)
ESTATE/TRUST EIN
-
NAME AND TITLE OF FIDUCIARY OR TRUSTEE
FIDUCIARY SSN OR EIN
ADDRESS OF FIDUCIARY (NUMBER AND STREET)
CONTACT PERSON
TELEPHONE NUMBER
CITY
ZIP CODE
STATE
-
-
Type of entity
Decedent’s estate
Complex Trust
Bankruptcy estate — (Chapter 7)
Pooled income fund
(check one box)
Simple Trust
Qualified Funeral Trust
Grantor Trust
Bankruptcy estate — (Chapter 11)
ESBT (S Portion Only)
Check the boxes that apply:
Resident estate or trust
Nonresident estate or trust
Initial return
Final return
0 0
,
,
.
1. Federal taxable income (if nonresident trust or estate, skip to line 3) ................................................ 1
0 0
,
,
.
2. Trust/estate’s share of fiduciary adjustment (from Schedule 1, line 3) ............................................... 2
3. Maine taxable income (If zero or less, no return is required to be filed)
,
,
0 0
.
(resident trust or estate- line 1 plus or minus line 2) (nonresident trust or estate- Schedule NR, line 9) .. 3
,
,
0 0
.
4. Maine income tax (from tax table on page 12 of instructions) .................................................................. 4
,
,
0 0
.
5. Adjustments to tax (from Schedule A, line 23) ......................................................................................... 5
,
,
0 0
.
6. Adjusted Maine income tax (line 4 plus or minus line 5) .......................................................................... 6
,
,
0 0
.
7. Tax payments:
a. Maine income tax withheld (attach Form W-2, W-2G, 1099-R or 1099ME) .......... 7a
,
,
0 0
.
b. 2003 Estimated tax payments (include real estate withholding tax payments) ..... 7b
,
,
0 0
.
c. Total Payments (add lines 7a and 7b) .................................................................... 7c
,
,
0 0
.
8. a. If line 6 is greater than line 7c, enter TAX BALANCE DUE ............................................................... 8a
b. Enter PENALTY for underpayment of estimated tax (attach Form 2210ME)
,
0 0
.
(Check here if you checked the box on Form 2210, line 17)
................................................... 8b
,
,
0 0
.
c. TOTAL AMOUNT DUE (add lines 8a and 8b) ................................................................................... 8c
,
,
0 0
.
9. If line 7c is greater than line 6, enter OVERPAYMENT ............................................................................ 9
10. Overpayment to be:
0 0
,
,
,
0 0
.
.
a. CREDITED to next year’s estimated tax 10a
b. REFUNDED
10b
Third Party
Do you want to allow another person to discuss this return with Maine Revenue Services?
Yes (complete the following).
No.
Designee
Designee’s name _____________________ Phone no. (
) __________________ Personal Identification number _______________
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 true, correct, and complete.
Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Make check payable to:
DATE
X
TREASURER, STATE OF MAINE
-
-
SIGNATURE OF FIDUCIARY OR OFFICER REPRESENTING TRUST OR ESTATE
WRITE THE EMPLOYER IDENTIFICATION
DATE
X
NUMBER OF THE ESTATE OR TRUST ON THE
-
-
CHECK —
DO NOT SEND CASH
SIGNATURE OF PREPARER OTHER THAN FIDUCIARY
_______________________________________________
___________________________
________________________
PRINT PREPARER’S NAME
PREPARER’S PHONE NUMBER
PREPARER’S SSN OR PTIN
Office Use Only
File return with: Maine Revenue Services, PO Box 9108, Augusta, Maine 04332-9108

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