1040s-Me Resident Short Form - Maine Individual Income Tax - Maine Revenue Services - 2009
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1
22009
S
99
MAINE INDIVIDUAL INCOME TAX
*0902200*
1040S-ME RESIDENT SHORT FORM
IMPORTANT!
You must enter your SSN(s) below.
Your First Name
MI
Your Last Name
Your Social Security Number
-
-
Spouse’s First Name
MI
Spouse’s Last Name
Spouse’s Social Security Number
-
-
Mailing Address (PO Box, number, street and apt. no)
Home Phone Number
-
-
Work Phone Number
-
-
City
State
Zip Code
NOTE: If either spouse is deceased, enter the date of death on the back of this page in the spaces provided above the signature area.
1 Maine Clean Election Fund – (See instructions on page 3.) NOTE: Checking
2 Check here if you were engaged in
the box will not increase your tax or reduce your refund.
YES
NO
COMMERCIAL FARMING OR FISHING
Do you want $3 to go to this fund ........................................................
during 2009. (See Instructions) .................
If a joint return, does your spouse want $3 to go to this fund ..............
FILING STATUS (Check one)
3
Single
8 CHECK IF:
You
Spouse
were
was
4
Married fi ling joint return (Even if only one had income)
5
Married fi ling separate return. Enter spouse’s social security number and full name above.
65 or over ............. 8a
8c
6
Head of household (With qualifying person)
7
Qualifying widow(er) with dependent child
Blind...................... 8b
8d
(Year spouse died
)
9
Enter the TOTAL number of EXEMPTIONS claimed on your federal return .............................................................................. 9
10 FEDERAL ADJUSTED GROSS INCOME. (See instructions on page 3 for line references
,
.
to federal forms. If negative, enter a minus sign in the space to the left of the number.) ......... 10
11 MAINE PUBLIC EMPLOYEES RETIREMENT SYSTEM CONTRIBUTIONS and
,
.
UNEMPLOYMENT COMPENSATION BENEFITS. (See instructions.) ...................................11
,
.
12 U.S. GOVERNMENT BOND INTEREST included in your federal adjusted gross income ...... 12
13 SOCIAL SECURITY AND RAILROAD RETIREMENT BENEFITS included in your federal
,
.
adjusted gross income ............................................................................................................. 13
,
.
14 PENSION INCOME DEDUCTION. (See instructions and worksheet on page 8) ................... 14
15 MAINE ADJUSTED GROSS INCOME. (Add lines 10 and 11, subtract lines 12, 13, and 14.
,
.
If negative, enter a minus sign in the space to the left of the number) ..................................... 15
,
.
16 STANDARD DEDUCTION. (See instructions on page 3) ...............................................................16
,
.
17 EXEMPTION. (Multiply number of exemptions on line 9 by $2,850) ...............................................17
18 TAXABLE INCOME. (Line 15 minus lines 16 and 17.
,
.
If negative, enter a minus sign in the space to the left of the number.) ...........................................18
19 INCOME TAX. (Find the tax for the amount on line 18 in the tax table on pages 9-11 or
,
.
compute your tax using the tax rate schedule on page 11. If line 18 is negative, enter zero.) ........19
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