1040me Long Form - Maine Individual Income Tax

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1040ME LONG FORM

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

28 TAX PAYMENTS.

Maine Income Tax Withheld. (Enclose W-2, 1099 and 1099ME forms). ............ è28a

2003 Estimated Tax Payments and 2002 Credit Carried Forward.

STEP 6

(Nonresidents: Include any REAL ESTATE WITHHOLDING Tax Payments). ....... 28b

Enter Your

Tax

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

Payments

and

Refundable child care credit. Enclose the Child Care Credit Worksheet on page 22.

Refundable

Enter amount from the Child Care Credit Worksheet, line 5. ................................. 28d

Credit

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

29 OVERPAYMENT. If line 28e is larger than line 27, enter amount overpaid

(Line 28e minus line 27) .................................................................................................. 29

STEP 7

30 UNDERPAYMENT. If line 27 is larger than line 28e, enter amount underpaid

Calculate

(Line 27 minus line 28e) .................................................................................................. 30

Your Use

Tax and

Voluntary

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

Contributions

32 VOLUNTARY CONTRIBUTIONS AND PARK PASSES. (From Schedule CP, line 10) .. 32

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

is greater than line 29, enter as amount due on line 35a below .................................... 33

34 Amount to be CREDITED

REFUND

to 2004 estimated tax ... 34a

34b

.....

IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT ($5,000 or less) OR TO YOUR NEXTGEN COLLEGE INVESTING PLAN ®

STEP 8

ACCOUNT, see the instructions on pages 7 and 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

Your

bank account or NextGen College Investing Plan ® Account.

REFUND

34e Type of Account:

Checking

Direct

34c Routing Number

TAX DUE

Savings

Deposit

34d Account Number

NextGen ®

35 a TAX DUE. (Add lines 30, 31, and 32) - NOTE: If total of lines 31 and 32 is

greater than line 29, enter the difference as an amount due on line 35a ................ 35a

b Underpayment Penalty (Attach Form 2210ME)

Check here if you checked the box on Form 2210, line 17 .............

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

c 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

36 FOR MAINE RESIDENTS ONLY: If you would like to receive a 2004 Maine Residents 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 2003 program was

generally available to Maine residents with household income less than $46,300 for multi-member households or less than $29,900 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. The application period is August 1, 2004 through December

31, 2004. THE APPLICATION WILL BE MAILED TO YOU IN AUGUST 2004 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. A postcard containing your 6-digit PIN(s) to be used for electronic filing will be mailed to you instead. .......................................................................................................... è

If taxpayer is deceased,

If spouse is deceased,

IMPORTANT NOTE

enter date of death.

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

(See page 8)

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

____________________________

______________

__________________

Keep a

YOUR SIGNATURE

DATE SIGNED

YOUR OCCUPATION

copy of this

____________________________

______________