Form 1040me - Maine Individual Income Tax - Long Form

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1040ME LONG FORM

Page 2

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27 Amount from line 26. (NET TAX) - If less than zero, enter zero here. ......................................

a Maine Income Tax Withheld (Enclose W-2 and 1099 forms) .............. è 28a

28 TAX PAYMENTS.

STEP 6

b 2000 Estimated Tax Payments and 1999 Credit Carried Forward

(Include REAL ESTATE WITHHOLDING Tax Payments). ...................... 28b

Enter Your

Tax

Payments

c Extension payment ............................................................................. 28c

d TOTAL (Add lines 28a, b, and c) ......................................................... 28d

29 OVERPAYMENT. If line 28d is larger than 27, enter amount overpaid (line 28d minus line 27) ......

STEP 7

30 UNDERPAYMENT. If line 27 is larger than line 28d, enter amount underpaid (line 27 minus line 28d) .....

Calculate

Your USE TAX

and Voluntary

31 USE TAX (SALES TAX). (See Instructions.) ...........................................................................

Contributions

32 VOLUNTARY CONTRIBUTIONS AND PARK PASSES. (From Schedule CP, line 13) ................

33 REFUND. (Line 29 minus lines 31 and 32) – NOTE: If total of lines 31 and 32

are greater than line 29, enter as amount due on line 35c below .............................................

34 Amount to be CREDITED

REFUND

to 2001 estimated tax .... 34a

..... 34b

IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT, SEE THE INSTRUCTIONS ON PAGE 8 AND FILL IN THE LINES BELOW.

NOTE: Completing the information below authorizes Maine Revenue Services to disclose your social security number, listed on the front of this form, to your financial

institution for the sole purpose of depositing your income tax refund directly into your bank account.

STEP 8

34e Type of Account:

Checking

34c Routing Number

Your

Savings

REFUND

34d Account Number

TAX DUE

a TAX DUE. (Add lines 30, 31 and 32) .................................................................................... 35a

b Underpayment Penalty (attach Form 2210ME)

Check if you used the annualized income installment method ......................

............... 35b

TOTAL AMOUNT DUE

. (Add lines 35a and 35b) (Pay in full with return)

ENCLOSE CHECK payable to: Treasurer, State of Maine. Include your social security

number on your check to receive proper credit on your account. DO NOT SEND CASH.

........ 35c

FOR MAINE RESIDENTS ONLY: If you would like to receive a 2001 Maine Resident’s Property Tax and Rent Refund Application Check here: .................. è

The Maine Residents Property Tax and Rent Refund program is a property tax relief program for qualified homeowners or renters who live in Maine. The 2000 program was

generally available to Maine residents with household income less than $42,600 for multi-member households or less than $27,400 for single-member households. Also, your

property taxes must have been greater than 4% of your income or your rent must have been greater than 22% of your income. Under current law, the application period is August 1, 2001

through January 31, 2002. THE APPLICATION WILL BE MAILED TO YOU IN AUGUST 2001 unless your income on line 16 exceeds the income limits for this program.

To reduce printing and postage costs, if you have your return done by a tax preparer and do not need Maine income tax forms and instructions mailed

to you next year, check box at right .................................................................................................................................................................................... è

If taxpayer is deceased,

If spouse is deceased,

IMPORTANT NOTE

enter date of death.

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.

SIGN

____________________________

______________

__________________

HERE

YOUR SIGNATURE

DATE SIGNED

YOUR OCCUPATION

Keep a

____________________________

______________