Quality Child-Care Investment Tax Credit Worksheet

QUALITY CHILD-CARE INVESTMENT TAX CREDIT

WORKSHEET FOR TAX YEAR 2011

36 MRSA § 5219-Q

TAXPAYER NAME: _____________________________________ EIN/SSN: ________________

Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible

investment, see instructions. Enter name and ID number of the entity on the lines below.

NAME OF PASS-THROUGH ENTITY

EIN/SSN

________________________________________________________________

____________________________

Type of Entity: (Please check one)

Partnership

Sole Proprietor

C corporation

S corporation

LLC

Trust

2011 Quality child-care investments certiﬁ ed by the Department of Health and

Human Services, Ofﬁ ce of Child Care and Head Start. Attach a copy of the certiﬁ cate ........ 1. __________________

Note: S corporation shareholders, partners, LLC members, trusts and

trust beneﬁ ciaries: Enter on line 1 the total certiﬁ ed investment

of the pass-through entity, then go to line 2 to calculate your

percentage share.

C corporations: Enter amount on line 1 or $30,000, whichever is less. S corporation

shareholders, partners, LLC members, trusts and trust beneﬁ ciaries: Enter an

amount equal to line 1 multiplied by your percentage interest in the pass-through

entity (or $30,000, whichever is less) . Your percentage interest: _______ % ....................... 2. __________________

Credit amount. C corporations, S corporations shareholders, partners, LLC members,

trusts and trust beneﬁ ciaries: Multiply line 2 x by 30% (.30) (Do not enter more than

$9,000). Sole-proprietors: Enter $1,000 if a qualiﬁ ed investment of at least $10,000 was

made this year or in a previous year (see instructions) ....................................................... 3. __________________

Credit carried forward from previous tax years (see instructions) ........................................... 4. __________________

Total credit available this year (line 3 plus line 4). Corporate taxpayers, enter on Form

1120ME, Schedule C, line 29c. Individual taxpayers, enter on Form 1040ME, Schedule A,

line 18 ...................................................................................................................................... 5. __________________

If this is the only Maine income tax credit you are claiming this year, complete lines 6 and 7. Otherwise, go to line 8.

6. Tax Liability. Enter the amount from Form 1120ME, line 7a or Form 1040ME,

Schedule A, line 20 ................................................................................................................. 6. __________________

7. Credit Used. Enter the lesser of line 5 or line 6 ..................................................................... 7. __________________

8. Carryforward amount available for future tax years:

If you completed lines 6 and 7, subtract line 7 from line 5.

If you did not complete lines 6 and 7, enter the amount from line 5 not

used on Form 1040ME, Schedule A or Form 1120ME, Schedule C as a result

of claiming other Maine credits and because the total of all credits claimed is

limited to the Maine tax liability ..................................................................................... 8. __________________

Rev. 2/12