Form 1120x-Me - Maine Amended Corporate Income Tax Return - 2011 Page 2
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4FORM 1120X-ME Page 2
2011
99
-
MAINE AMENDED
Federal EIN
*1100601*
CORPORATE INCOME TAX RETURN
A
B
C
Original
Adjustment
Correct Amount
5. ADJUSTED FEDERAL TAXABLE INCOME
,
,
,
.00
(add lines 3 and 4h). .....................................5.
5.
TAX:
,
,
,
.00
6. GROSS TAX (see instructions) ....................... 6.
6.
7.
a. MAINE CORPORATE INCOME TAX
(from line 6 above or Schedule A, line 17.
,
,
.00
See instructions) ....................................... 7a
7a.
b. MINIMUM TAX: Schedule B, line 28c
,
,
.00
(attach federal Form 4626) ....................... 7b
7b.
,
,
.00
c. TOTAL TAX (add lines 7a and 7b) ............ 7c
7c.
8.
PAYMENTS AND CREDITS:
,
,
.00
a. MAINE ESTIMATED TAX PAID .............. 8a.
,
,
.00
b. EXTENSION PAYMENT (Form 1120EXT-ME) ...................................................................................... 8b.
,
,
.00
c. PAYMENT WITH ORIGINAL RETURN AND ADDITIONAL PAYMENTS after return was fi led ............ 8c.
d. OTHER CREDITS
,
,
.00
(Schedule C, line 29o ..................... 8d
8d.
e. PASS-THROUGH ENTITY WITHHOLDING
,
,
.00
or withholding from gambling winnings
8e.
(attach Forms 1099ME or W2G) .............. 8e.
,
,
.00
f.
REFUNDABLE HISTORIC REHABILITATION
8f.
CREDIT .................................................... 8f.
g. TOTAL PAYMENTS AND CREDITS
,
,
.00
(add lines 8a through 8f) .......................... 8g
8g.
,
,
.00
h. OVERPAYMENT on original return or as previously adjusted (enter as a positive number) ................. 8h.
,
,
.00
9. LINE 8g MINUS LINE 8h (total credits minus overpayments) ...................................................................... 9.
,
,
.00
10. a. If line 7c is greater than line 9, enter the difference as TAX DUE. ...................................................... 10a.
b. PENALTY FOR UNDERPAYMENT -
,
,
.00
attach Form 2220ME .............................10b.
10b.
c. TOTAL AMOUNT DUE (line 10a plus line 10b) - Remit payment with return.
,
,
.00
(Make check payable to Treasurer, State of Maine) ................................................................................. 10c.
,
,
.00
11. If line 9 is greater than line 7c, enter amount to be REFUNDED ............................................................... 11.
REFUND DEPOSITED DIRECTLY TO YOUR CHECKING ACCOUNT ($10,000 or less). SEE INSTRUCTIONS.
11c. Routing Number
Check this box if this refund will
go to an account outside the
11d. Checking Account Number
United States. .............
CORPORATION PRESIDENT’S NAME ________________________________________ TREASURER’S NAME ___________________________________________
COMPANY’S WEB SITE ADDRESS __________________________________________________________
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 com-
plete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
DATE
OFFICER’S SIGNATURE
TITLE
SOCIAL SECURITY NUMBER
-
-
DATE
SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)
PREPARER’S SSN OR PTIN
If enclosing a check, make check payable to:
Treasurer, State of Maine
If not enclosing a check,
and MAIL WITH RETURN TO:
MAINE REVENUE SERVICES
MAIL RETURN TO:
MAINE REVENUE SERVICES
P.O. BOX 1064
P.O. BOX 1065
AUGUSTA, ME 04332-1064
AUGUSTA, ME 04332-1065
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