Form 1120me - Maine Corporate Income Tax Return - 2004 Page 2

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FORM 1120ME - Page 2
MAINE CORPORATE INCOME TAX RETURN
00
*0400101*
Federal EIN
,
,
,
5. ADJUSTED FEDERAL TAXABLE INCOME (add lines 3 and 4h).
Corporations that apportion income
.00
5
use this amount for Schedule A, line 16. If negative, enter a minus sign in the box to the left of the number ............................
,
,
,
.00
6. MAINE NET INCOME (from line 5 above or Schedule A, line 17) ....................................................... 6
,
,
7.
TAX:
.00
a. MAINE CORPORATE INCOME TAX (see tax rates on page 6) .......................................................................... 7a
,
,
.00
b. MINIMUM TAX: Schedule B, line 28c (attach federal Form 4626) .................................................................... 7b
,
,
.00
c. TOTAL TAX (add lines 7a and 7b) ....................................................................................................................... 7c
8.
CREDITS:
,
,
.00
a. MAINE ESTIMATED TAX PAID ............................................... 8a
,
,
.00
b. EXTENSION PAYMENT (Form 1120EXT-ME) .......................... 8b
,
,
.00
c. OTHER CREDITS Schedule C, page 4, line 29p .................. 8c
d. INCOME TAX WITHHELD from a pass-through entity
,
,
.00
(enclose Form 1099ME) ....................................................... 8d
,
,
.00
e. TOTAL CREDITS (add lines 8a, 8b, 8c and 8d) ............................................................................................... 8e
,
,
9. a. If line 7c is greater than line 8e, enter TAX BALANCE DUE
.00
(If not, skip to line 10) ............................................................ 9a
,
,
b. Enter PENALTY for underpayment of estimated tax
Check here if Form 2220ME
.00
(attach Form 2220ME)
9b
block 5.a. is checked.
,
,
.00
c. TOTAL AMOUNT DUE (add lines 9a and 9b). Pay in full with return ................................................................ 9c
(Please make check payable to
Treasurer, State of
Maine)
,
,
.00
10. If line 8e is greater than line 7c, enter OVERPAYMENT ....................................................................................... 10
,
,
11. Amount of line 10 to be:
.00
a. CREDITED to next year’s estimated tax ........................................................................................................ 11a
,
,
.00
b. REFUNDED ..................................................................................................................................................... 11b
Next year’s
To reduce state printing and postage costs, if you have your return done by a tax preparer and do not need Maine income tax forms and
return:
instructions mailed to you next year, check box at right .....................................................................................................................................
-
-
CORPORATION PRESIDENT’S NAME __________________________________________ SOCIAL SECURITY NUMBER
-
-
TREASURER’S NAME _______________________________________________________ SOCIAL SECURITY NUMBER
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 complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
DATE
OFFICER’S SIGNATURE
TITLE
-
-
DATE
SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)
PREPARER’S SSN OR PTIN
THIS RETURN MUST BE ACCOMPANIED BY A LEGIBLE COPY OF THE U.S. CORPORATION INCOME TAX RETURN, FEDERAL FORM 1120, PAGES 1-4
OR FORM 1120A, PAGES 1 & 2, FOR THE SAME TAXABLE PERIOD.
File return with:
Please submit forms in the following order:
Office use only
Maine Revenue Services
1. Pages 1 through 4 of Form 1120ME.
P.O. Box 1062
2. Form CR, if required, including affiliation schedule.
LG
Augusta, ME 04332-1062
3. Other statements for the Maine income tax return.
4. A copy of federal Form 1120, pages 1 through 4 (or Form 1120A, pages 1 and 2).

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