Form 1120me - Maine Corporate Income Tax Return

FORM 1120ME - Page 2

2009

MAINE CORPORATE INCOME TAX RETURN

*0900101*

Federal EIN

.00

...................................................

5. ADJUSTED FEDERAL TAXABLE INCOME (add lines 3 and 4h).

TAX:

.00

GROSS TAX (see tax rates on page 6) ................................................................................................................ 6

.00

7. a. MAINE CORPORATE INCOME TAX (from line 6 above or Schedule A, line 17. See instructions) ........................ 7a

.00

b. MINIMUM TAX: Schedule B, line 28c (attach federal Form 4626)........................................................................... 7b

.00

c. TOTAL TAX (add lines 7a and 7b) ............................................................................................................................ 7c

PAYMENTS AND CREDITS:

.00

a. MAINE ESTIMATED TAX PAID ............................................................................................................................... 8a

.00

b. EXTENSION PAYMENT (Form 1120EXT-ME) .......................................................................................................... 8b

.00

c. OTHER CREDITS Schedule C, page 4, line 29o ..................................................................................................... 8c

.00

d. INCOME TAX WITHHELD from a pass-through entity or gambling winnings ......................................................... 8d

(enclose Form 1099ME, W-2G, or other supporting documentation)

.00

e. REFUNDABLE HISTORIC REHABILITATION CREDIT ..........................................................................................8e

.00

f. TOTAL PAYMENTS AND CREDITS (add lines 8a through 8e) .................................................................................. 8f

Use EZ Pay at

.00

9. a. If line 7c is greater than line 8f, enter TAX BALANCE DUE ... 9a

maine.gov/revenue

b. Enter PENALTY for underpayment of estimated tax

Check here if Form 2220ME

.00

(attach Form 2220ME).............................................................. 9b

block 5.a. is checked.

c. TOTAL AMOUNT DUE (add lines 9a and 9b). Pay in full with return. You may be required to make payments

.00

electronically. See instructions or Rule 102.............................................................................................................. 9c

(Please make check payable to Treasurer, State of Maine)

.00

10. If line 8f is greater than line 7c, enter OVERPAYMENT ................................................................................................ 10

11. Amount of line 10 to be:

.00

a. CREDITED to next year’s estimated tax ................................................................................................................. 11a

.00

b. REFUNDED ........................................................................................................................................................... 11b

CORPORATION PRESIDENT’S NAME ____________________________________SOCIAL SECURITY NUMBER

TREASURER’S NAME _________________________________________________SOCIAL SECURITY NUMBER

COMPANY’S WEB SITE ADDRESS ______________________________________________________________________

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge and belief they are

true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

DATE

OFFICER’S SIGNATURE

TITLE

SOCIAL SECURITY NUMBER

DATE

SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)

PREPARER’S SSN OR PTIN

THIS RETURN MUST BE ACCOMPANIED BY A LEGIBLE COPY OF THE U.S. CORPORATE INCOME TAX RETURN, FEDERAL FORM 1120,

PAGES 1-4, FOR THE SAME TAXABLE PERIOD.

File return with:

Ofﬁ ce use only