Contributions To Family Development Account Reserve Funds Tax Credit Worksheet - 2004

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2004
CONTRIBUTIONS TO FAMILY
DEVELOPMENT ACCOUNT RESERVE FUNDS
TAX CREDIT WORKSHEET
36 M.R.S.A. § 5216-C
TAXPAYER NAME: _______________________________________ EIN/SSN: ____________________
Note: you must attach a copy of the credit certificate issued by the Finance Authority of Maine.
Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.)
making an eligible investment, see instructions. Also, please provide name and ID number of pass-through
entity on the lines below.
NAME OF PASS-THROUGH ENTITY
EIN/SSN
_________________________________________________________
_______________________
1. Amount from the Family Development Account Reserve Funds credit
certificate issued by FAME for contributions made in 2004 ........................................... 1. ______________
2. Income Tax (from Form 1120ME, line 7a or Form 1040ME, line 23, minus
Schedule A, line 3c) ........................................................................................................ 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. 01/05

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