Form W-3me - Reconciliation Of Maine Income Tax Withheld - Maine Revenue Services

MAINE REVENUE SERVICES

P.O. BOX 1061

AUGUSTA, ME 04332-1061

INSTRUCTIONS FOR FORM W-3ME

RECONCILIATION OF MAINE INCOME TAX WITHHELD

Persons required to withhold must file a reconciliation return W-3ME. Total income tax withheld as shown on the reconciliation

return should equal the total withholding payments made to Maine Revenue Services for the year and should also equal the total

amount of Maine income tax withheld as shown on all information returns furnished payees. If you file paper W-2 forms with the

Social Security Administration or if you file 1099 forms magnetically with the IRS, do not send copies of Forms W-2 and 1099 with

your Maine W-3ME. In all other cases, you must submit copies of Forms W-2 and 1099 to Maine either magnetically or on paper

with Form W-3ME.

When to File: No later than February 28.

Where to File: Mail by FIRST CLASS MAIL to Maine Revenue Services, P.O. Box 1061, Augusta, ME 04332-1061.

Note: Mail Form W-3ME separately; do not include in the same envelope with Form 941ME or 941/C1-ME.

If line 1 and line 2 below do not agree, file an amended return, Form 941A-ME, to correct the period or periods for which the

error(s) was made.

Rev. 10/01

MAINE REVENUE SERVICES

FORM W-3ME

P.O. BOX 1061

RECONCILIATION OF MAINE INCOME TAX WITHHELD

AUGUSTA, ME 04332-1061

Withholding Account Number ________________________ Year _______________

KEEP THIS COPY FOR YOUR FILES

1. Total Maine Income Tax withheld

shown on payee statements $ _____________

2. Total Maine Withholding Tax

reported for the year

$ _____________

YOUR COPY

Do not request a refund or make payment with this

form. Use Form 941A-ME to amend your account and

request a refund or remit a payment.

DETACH HERE - COMPLETE THE FORM BELOW AND MAIL - KEEP ABOVE COPY FOR YOUR RECORDS

990663000

MAINE REVENUE SERVICES

FORM W-3ME

P.O. BOX 1061

RECONCILIATION OF MAINE

AUGUSTA, ME 04332-1061

INCOME TAX WITHHELD

Withholding Account Number

Year

-

Enter employer’s name and address as it appears on Form 941ME or Form 941/C1-ME

1. Total Maine Income Tax withheld shown on payee statements

Name (as distinguished from trade name)

.

,

,

2. Total Maine Withholding Tax reported for the year

Trade name (if any)

.

,

,

Street address

Do not request a refund or make payment with this

form. Use Form 941A-ME to amend your account

and request a refund or remit a payment.

City

State

ZIP code

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true,

correct, and complete.

Date _____________ Signature _____________________________________ Title ________________________________ Telephone ________________________________

(Owner, President, Partner, Member, etc.)