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Clean Fuel Infrastructure Development Tax Credit Worksheet 36 M.r.s.a. 5219-P - State Of Maine - 2004

2004

CLEAN FUEL INFRASTRUCTURE DEVELOPMENT

TAX CREDIT WORKSHEET

36 M.R.S.A. § 5219-P

TAXPAYER NAME: _______________________________________ EIN/SSN: ____________________

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 the pass-through entity on the

lines below.

NAME OF PASS-THROUGH ENTITY

EIN/SSN

______________________________________________________

_______________________________

Qualified expenditures in 2004 ______________

x .25 ...................................... 1. ______________

Maine taxable income generated from the sale of clean fuels ______________ multiplied

by applicable tax rate on Maine taxable income ______________ %. . ...................... 2. ______________

Tax Rate Fromula:

Tax Liability: _________ divided by Taxable income: _________ equals Tax Rate: ___________

(See instructions for details)

Credit Amount: Enter the smaller of line 1 or line 2 (Corporations, enter this amount

here and on Form 1120ME, Schedule C, line 29l, Credit Claimed) .............................. 3. ______________

Carryforward from previous year ................................................................................ 4. ______________

Total credit available this year: Line 3 plus line 4 (enter here and on Form 1120ME,

Schedule C, line 29l or Form 1040ME, Schedule A, line 18) ....................................... 5. ______________

Carryforward: Line 1 minus line 3 plus any unused amount on Form 1120ME, Schedule

C or Form 1040ME, Schedule A. ............................................................................... 6. ______________

Clean Fuel Infrastructure Development Tax Credit Worksheet 36 M.r.s.a. 5219-P - State Of Maine - 2004