Maine Tax Amnesty Application Form - September 1 - November 30, 2003 Page 2

ADVERTISEMENT

Tax Amnesty Application Form
Page 2
Account Type Codes
Account
Account Type
Account
Account Type
Account
Account Type
Account
Account Type
Type
Code
Type
Code
Type
Code
Type
Code
Sales and Use Tax .......... 010
Individual Income Tax .......... 060
Premium Insurance Tax .... 110
Potato Tax ................ 250
International Fuel Tax ...... 021
Corporate Income Tax ......... 090
Fire Invest. & Prev. Tax ..... 115
Cigarette Tax ............ 180
Gasoline Tax ................... 022
Estate Tax ............................ 100
Railroad Tax ...................... 120
Tobacco Tax ............. 190
Special Fuel Tax-Supplier .. 023
Franchise Tax ...................... 095
Hospital Tax ....................... 150
Sardine Tax .............. 280
Special Fuel Tax-user ...... 024
Fiduciary Income Tax .......... 080
Forestry Tax ....................... 140
Blueberry Tax ........... 170
Surplus Lines Tax ............ 320
Withholding Tax ................... 030
Telecommunications Tax ... 130
Quahog Tax ............. 270
Tax and Rent Refund ...... 075
Bus. Equip. Tax Reim. ......... 070
PART 3
INDICATE PERIODS FOR WHICH TAX IS OWED AND AMOUNTS OWED.
C
.
T
A
X
D
.
N I
T
E
R
E
S
T
. E
T
O
T
A
L
S
A
T .
Y
P
E
O
F
R
E
T
U
R
N
S
B
.
A
C
C
O
U
N
T
N I
F
O
R
M
A
I T
O
N
C (
H
E
C
K
O
N
) E
(
S
E
E
N I
S
T
R
U
C
I T
O
N
S
)
O
R
G I
N I
A
L
A
M
E
N
D
E
D
P
A
Y
M
E
N
T
A
C
C
O
U
N
T
A
C
C
O
U
N
T
P
E
R
O I
D
P
E
R
O I
D
A
M
O
U
N
T
O
F
A
M
O
U
N
T
O
F
A
D
D
C
O
L
U
M
N
S
R
E
T
U
R
N
R
E
T
U
R
N
O
N
L
Y
T
Y
P
E
C
O
D
E
N
U
M
B
E
R
O
R
E
N I
B
E
G
N I
N
N I
G
E
N
D
N I
G
T
A
X
D
U
E
N I
T
E
R
E
S
T
D
U
E
C
&
D
A
C
R
O
S
S
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
/
/
/
/
_
_
_
_
_
_
_
_
_
_
_
_
PART 4
INDICATE METHOD OF PAYMENT.
TOTAL AMOUNT DUE. Enter total of Column E in Part 3 above. Pay this amount. .............................. $ ___________________
METHOD OF PAYMENT -
YOU MUST ENCLOSE FULL PAYMENT OF THE “TOTAL AMOUNT DUE” SHOWN ABOVE.
Indicate payment type:
Make check payable to: Treasurer, State of Maine
C
H
E
C
K
M
O
N
E
Y
O
R
D
E
R
/
-
-
-
E
N
C
L
O
S
E
D
E
N
C
L
O
S
E
D
EXPIRATION DATE
CREDIT CARD NUMBER
CHARGE TO MY CREDIT CARD:
(MONTH/YEAR)
V
S I
A
M
A
S
T
E
R
C
A
R
D
D
S I
C
O
V
E
R
SIGNATURE OF CARDHOLDER

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Tax Amnesty Application Form - 2003 Tax Amnesty Application Form - 2003 Financial
Tax Amnesty Application Form - Kansas Department Of Revenue Tax Amnesty Application Form - Kansas Department Of Revenue Financial
Property Tax Exemption Application Form - Cbj Assessor's Office - 2003 Property Tax Exemption Application Form - Cbj Assessor's Office - 2003 Financial
Form Dr-100000 - Tax Amnesty Agreement Effective July 1 To October 31, 2003 Form Dr-100000 - Tax Amnesty Agreement Effective July 1 To October 31, 2003 Financial
Form Dr 1089 - Colorado Tax Amnesty Application And Request For Agreement To Pay Installment Plan - 2003 Form Dr 1089 - Colorado Tax Amnesty Application And Request For Agreement To Pay Installment Plan - 2003 Financial
Form 70-108-04-1-1-000 - Tax Amnesty Application 2004 Form 70-108-04-1-1-000 - Tax Amnesty Application 2004 Financial
Form 50-164 - Application For September 1 Inventory Appraisal - 2011 Form 50-164 - Application For September 1 Inventory Appraisal - 2011 Financial
Form Ador 91-5420 - Arizona Tax Amnesty Application - Transaction Privilege And Use Tax Form Ador 91-5420 - Arizona Tax Amnesty Application - Transaction Privilege And Use Tax Financial
Form Ador 91-5419 - Arizona Tax Amnesty Application - Income, Withholding, And Luxury Taxes Form Ador 91-5419 - Arizona Tax Amnesty Application - Income, Withholding, And Luxury Taxes Financial
Form 50-164 - Application For September 1 Inventory Appraisal Form 50-164 - Application For September 1 Inventory Appraisal Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2