Form 1120ext-Me - Maine Extension Tax Payment Voucher For Corporations - 2011
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12011
FORM 1120EXT-ME
99
CORPORATIONS
MAINE EXTENSION TAX
*1100300*
PAYMENT VOUCHER FOR
Enter the beginning and ending dates for the tax year (NOT the quarter dates)
2 0 1 1
/
.00
/
/
/
to
$
,
,
MM
DD
YYYY
MM
DD
YYYY
Amount of Payment
-
Corporation Name
Federal Employer Identifi cation Number
/
/
MM
DD
YYYY
Address
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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Parent category: Financial