Contributions To Family Development Account Reserve Funds Tax Credit Worksheet - 2012

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CONTRIBUTIONS TO FAMILY DEVELOPMENT ACCOUNT
RESERVE FUNDS TAX CREDIT
WORKSHEET FOR TAX YEAR 2012
36 M.R.S.A. § 5216-C
TAXPAYER NAME: _____________________________________ EIN/SSN: ________________
Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible
investment, see instructions. Enter name and ID number of the entity on the lines below.
NAME OF PASS-THROUGH ENTITY
EIN/SSN
________________________________________________________________
____________________________
1.
Amount from the Family Development Account Reserve Funds credit
certifi cate issued by FAME for contributions made in 2012 .............................................. 1. ___________________
2.
Income Tax (from Form 1120ME, line 7a or Form 1040ME,
Schedule A, line 20) .......................................................................................................... 2. ___________________
3.
Other tax credits being claimed on Form 1120ME, Schedule C or Form
1040ME, Schedule A ........................................................................................................ 3. ___________________
4.
Tax after other credits (line 2 minus line 3). If zero or less, enter zero ............................. 4. ___________________
5.
Credit amount: Enter the smaller of Line 1 or 4 here and on Form 1120ME,
Schedule C, line 29n or Form 1040ME, Schedule A, line 18 ............................................ 5. ___________________
CARRYFORWARD OF UNUSED CREDIT IS NOT ALLOWED
Rev. 10/12

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