Maine Individual Income Tax 1040s-Me Resident Short Form - 2000 Page 2

*000220100*

1040S-ME RESIDENT SHORT FORM

Page 2

Do not write or staple above - 000220100

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19 INCOME TAX (from line 18, page 1) ........................................................................................................... 19

20 LOW-INCOME CREDIT If the amount on line 17 is $2,000 or less and neither you nor your spouse

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(if married) are claimed on another person’s return, enter the amount on line 19 here ..................................................... 20

NOTE: You are not required to file a return if you qualify for this credit. (See instructions)

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21 EARNED INCOME TAX CREDIT (EIC) Your federal EIC $ _______________ x .05. Enter result here ........ 21

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22 NET INCOME TAX Line 19 minus lines 20 and 21 (If less than zero, enter zero) .......................................... 22

STEP 5

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Calculate Your

23 MAINE INCOME TAX WITHHELD (enclose [do not staple or tape] W-2 and 1099 forms) ........................

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23

Tax and

Voluntary

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Contributions

24 OVERPAYMENT If line 23 is larger than line 22, subtract line 22 from line 23. Enter result here ................... 24

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25 UNDERPAYMENT If line 22 is larger than line 23, subtract line 23 from line 22. Enter result here ................ 25

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26 TOTAL VOLUNTARY CONTRIBUTIONS AND PARK PASS PURCHASES (from Schedule CP, line 13) ....... 26

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27 USE TAX (SALES TAX) (see instructions) .................................................................................................. 27

J

REFUND

28

If line 24 is greater than the total of lines 26 and 27, subtract lines 26 and 27 from line 24.

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Enter result here. Otherwise go to line 30 below. ......................................................................................... 28

IF YOU WOULD LIKE YOUR REFUND DEPOSITED DIRECTLY INTO YOUR BANK ACCOUNT, read the instructions on page 8, and fill out the

information 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 6

Calculate Your

29a Routing Number

29c Account type

Checking

Refund or

Amount Due

29

Savings

29b Account Number

AMOUNT DUE

30

Line 25 plus lines 26 and 27. (OR If total of lines 26 and 27 is greater than line 24,

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subtract line 24 from the total of lines 26 and 27). (If $1,000 or more see instructions.) Enter result here. ........ 30

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.

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, you may apply for this refund anytime from

August 1, 2001 through January 31, 2002. THE APPLICATION WILL BE MAILED TO YOU IN AUGUST 2001 unless the income on line 14 is greater than the income limits for the program.

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 instructions mailed to

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

(Day)

(Year)

(Day)

(Year)

(Month)

(Month)

If taxpayer is deceased,

If spouse is deceased,

/

/

/

/

enter date of death .............

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.

________________________________________

_____________________________

_______________________________________________

YOUR SIGNATURE

DATE

YOUR OCCUPATION

Sign Here

________________________________________

_____________________________

_______________________________________________

SPOUSE’S SIGNATURE

DATE

SPOUSE’S OCCUPATION

Keep a copy

of this return

If necessary to process your return, may Maine Revenue Services discuss the contents of the return with the preparer

for your

shown below?

Yes

No

records

__________________________________________

_______________________

_________________________________________

Paid

PREPARER’S SIGNATURE

DATE

PREPARER’S PHONE NUMBER

Preparer’s

use only

__________________________________________________________________________

FIRM’S NAME (or yours, if self-employed)

PREPARER’S EIN or PTIN

If requesting a Refund, mail to: Maine Revenue Services, P.O. Box 9110, Augusta, ME 04332-9110

OFFICE USE

If NOT requesting a refund, mail to: Maine Revenue Services, P.O. Box 1066, Augusta, ME 04332-1066

CK $ __________

PP

IS

ONLY:

DO NOT SEND PHOTOCOPIES OF RETURNS