Form 1120b-Me - Maine Franchise Tax Return For Financial Institutions - 2011 Page 7
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92011 Form 1120B-ME, Page 2
99
-
*1108411*
Federal Employer ID Number:
6. OVERPAYMENT:
,
,
,
.00
If line 4f, page 1, is greater than 3c plus 5b, page 1, enter overpayment .........6.
7. AMOUNT ON LINE 6 TO BE:
,
,
,
.00
a. CREDITED to next year’s estimated tax ..................................................7a.
,
,
,
.00
b. REFUNDED .............................................................................................7b.
AFFIDAVIT AND SIGNATURE
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 information of which preparer has any
knowledge.
______________________
_________________________________________________________________________________________
Date
Signature of Offi cer
-
-
__________________________________________
Title
Offi cer’s Social Security Number
_____________________
_________________________________________
__________________________________________
Date
Individual or Firm Signature of Preparer
Preparer’s Federal ID Number
PAYMENT AND SUBMISSION
If enclosing a check, make check payable to:
If not enclosing a check,
Treasurer, State of Maine
MAIL RETURN TO:
and MAIL WITH RETURN TO:
MAINE REVENUE SERVICES
MAINE REVENUE SERVICES
P.O. BOX 1065
P.O. BOX 1064
AUGUSTA, ME 04332-1064
AUGUSTA, ME 04332-1065
SCHEDULE A - APPORTIONMENT OF INCOME
Do not complete this schedule if 100% of your business activity is conducted in Maine.
All others must complete this schedule and enter amount in columns A and B, even if those amounts are zero.
Read the instructions on page 4 before completing this schedule.
If this schedule is left blank or excluded, your Maine apportionment factor will be set at 100%. Round all dollar amounts to whole numbers.
(A)
(B)
(C)
Maine Factors
Col. (A) divided by Col. (B)
Within
x Statutory Weighting
Maine
Everywhere in U.S.
Rounded to 6 Decimals
.
.00
.00
,
,
,
,
,
,
X .50 =
8. Total Receipts:
÷
.
,
,
,
.00
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,
,
.00
÷
9. Total Payroll:
X .25 =
.00
.00
.
,
,
,
÷
,
,
,
10. Total Property:
X .25 =
11. MAINE APPORTIONMENT FACTOR (add column (C) lines 8 through 10) ............................................................. 11.
.
,
,
,
.00
12. NET INCOME PER BOOKS (page 1, line 1a.) .................................12.
13. INCOME APPORTIONED TO MAINE (line 12 multiplied by line 11).
,
,
,
.00
Enter here and on page 1, line 1b ...................................................13.
,
,
,
.00
14. TOTAL END-OF-YEAR ASSETS (page 1, line 2a) ..........................14.
15. ASSETS APPORTIONED TO MAINE (line 14 multiplied by line 11).
,
,
,
.00
Enter here and on page 1, line 2b ....................................................15.
Rev. 11/11
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