Form Crb - Maine Franchise Tax Combined Report For Unitary Members - 2015

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FORM CRB - Page 1 of 2
MAINE FRANCHISE TAX
2015
COMBINED REPORT FOR UNITARY MEMBERS
Federal EIN : __________________
Important:
The Combined Report must be accompanied by a legible copy of the parent
company’s federal Consolidated Tax Return, pages 1 through 5 (or equivalent).
This report must be attached to Form 1120B-ME.
Col. 1
Column 2
Column 3
Column 4
Column 5
Column 6 (A)
Column 6 (B)
Nexus
Name and
Net Income per
Net Income per
Allowable
Adjusted
Total
with
Federal ID Number of
Books of Unitary
Books of Unitary
Adjustments
Separate Net Income
End-of-year
Maine
Unitary Business Member
Member Participating
Member Filing
per Books of Unitary
Assets
in a Federal
Separate Federal
Member (Combine
Consolidated Filing
Return
Cols 3, 4, & 5)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Adjustments and eliminations for columns 6 (B) through 9
17.
(Attach schedule showing origin of any amount entered on this line)
18.
TOTALS

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