1040s-Me Resident Short Form - Maine Individual Income Tax - Maine Revenue Services - 2009 Page 2
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1
22009 1040S-ME
RESIDENT SHORT FORM
99
Page 2
*0902201*
,
.
20 INCOME TAX. (From line 19, page 1) ......................................................................................... 20
21 LOW-INCOME CREDIT. If the amount on line 18 is $2,000 or less and neither you nor your
.
spouse (if married) are claimed on another person’s return, enter the amount on line 20 here ............................21
NOTE: You are not required to fi le a return if you qualify for this credit. (See instructions)
,
.
22 EARNED INCOME TAX CREDIT (EIC). Your federal EIC $ _________ x .04. Enter result here ....... 22
,
.
23 NET INCOME TAX. Line 20 minus lines 21 and 22 (If less than zero, enter zero) ..................... 23
,
.
24 MAINE INCOME TAX WITHHELD. (Enclose W-2 and 1099 forms) .........................................
24
(DO NOT include estimated tax payments)
,
.
25 OVERPAYMENT. If line 24 is larger than line 23, subtract line 23 from line 24. Enter result here ...25
,
.
26 UNDERPAYMENT. If line 23 is larger than line 24, subtract line 24 from line 23. Enter result here .. 26
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.
27 USE TAX (SALES TAX). (See instructions) ................................................................................. 27
,
.
27a SALES TAX ON CASUAL RENTALS OF LIVING QUARTERS. (See instructions) ................... 27a
28 TOTAL VOLUNTARY CONTRIBUTIONS AND PARK PASS PURCHASES. (From
,
.
Schedule CP, line 14) ................................................................................................................... 28
☺
29 REFUND. (Line 25 minus lines 27, 27a and 28) - NOTE: If total of lines 27, 27a and 28 is greater than
,
.
line 25, subtract line 25 from the total of lines 27, 27a and 28 and enter the amount on line 31 below....29
IF YOU WOULD LIKE YOUR REFUND DEPOSITED DIRECTLY TO YOUR BANK ACCOUNT ($10,000 or less) OR TO A NEXTGEN COLLEGE
®
INVESTING PLAN
ACCOUNT, read the instructions on page 4 and fi ll out the information below.
Check this box if this
30c Type of Account:
Checking
30a Routing Number*
refund will go to an
*For NextGen Accounts, enter 043000261
Savings
account outside the
NextGen ®
30b Account Number*
United States. .............
*For NextGen Accounts, enter the account owner’s 9-digit social security number (do not enter hyphens).
31 AMOUNT DUE. Line 26 plus lines 27, 27a and 28. (OR If total of lines 27, 27a and 28 is greater than line 25,
,
.
subtract line 25 from the total of lines 27, 27a and 28). (If $1,000 or more, see instructions.) Enter result here. ....31
EZ PAY at or ENCLOSE CHECK payable to: Treasurer, State of Maine. DO NOT SEND CASH.
32
FOR MAINE RESIDENTS ONLY: Check this box if you would like to receive a Maine Residents Property Tax and Rent Refund Application in 2010:
See instructions on page 4 for information about the Tax and Rent “Circuitbreaker” Program. THE APPLICATION WILL BE
MAILED TO YOU IN AUGUST 2010 unless your income on line 15 exceeds the income limits for this program.
To reduce printing and postage costs if you fi le your return electronically, use tax preparation software or have your return done by a tax preparer
and do not need Maine income tax forms and instructions mailed to you next year, check box at right.
...............................................................................
(Month)
(Day)
(Year)
(Month)
(Day)
(Year)
If taxpayer is deceased,
If spouse is deceased,
IMPORTANT NOTE
/
/
/
/
enter date of death.
enter date of death.
Third Party
Do you want to allow another person to discuss this return with Maine Revenue Services?
Yes (complete the following).
No.
Designee
Designee’s name __________________________
Phone no. (
) ___________________
Personal identifi cation #:
(See page 4)
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.
SIGN
_____________________________
______________
__________________
HERE
Your Signature
Date signed
Your occupation
Keep a
_____________________________
______________
__________________
copy of
this return
Spouse’s signature (if joint return, both must sign)
Date signed
Spouse’s occupation
for your
_____________________________
_____________
__________________
records
Preparer’s signature
Date
Preparer’s phone number
Paid
_____________________________________________
Preparer’s
Print preparer’s name and name of business
Use
Preparer’s
or
SSN
PTIN
Only
If requesting a REFUND, mail to: Maine Revenue Services, P.O. Box 9110, Augusta, ME 04332-9110
OFFICE USE
If NOT requesting a refund, mail to: Maine Revenue Services, P.O. Box 1066, Augusta, ME 04332-1066
PP
IS
ONLY:
DO NOT SEND PHOTOCOPIES OF RETURNS
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