Form 1120ext-Me - Maine Extension Tax Payment Voucher For Corporations - 2012

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2012
FORM 1120EXT-ME
99
CORPORATIONS
MAINE EXTENSION TAX
*1200300*
PAYMENT VOUCHER FOR
Enter the beginning and ending dates for the tax year (NOT the quarter dates)
to
2012
$
.00
MM
DD
YYYY
MM
DD
YYYY
Amount of Payment
Federal Employer Identifi cation Number
Corporation Name
Address
MM
DD
YYYY
Original Due Date of
Your Federal Tax Return
City, Town or Post Offi ce
State
ZIP Code
Make check payable to TREASURER, STATE OF MAINE. Mail both to:
Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101.
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT CUT FORM. DO NOT SEND PHOTOCOPIES OF FORMS.

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