05
SCHEDULES 1 & 2
See instructions on pages 9 and 10.
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Enclose with your Form 1040ME
*0502122*
2
Attachment Sequence No.
Name(s) as shown on Form 1040ME
Your Social Security Number
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SCHEDULE 1 — INCOME MODIFICATIONS
1 ADDITIONS to federal adjusted gross income.
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a Income from municipal and state bonds, other than Maine ................................................. 1a
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b Net Operating Loss Recovery Adjustment (Attach a schedule showing your calculation) .. 1b
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c Maine State Retirement Contributions ................................................................................. 1c
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d Domestic Production Activities Deduction Add-back (See instructions) .............................. 1d
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e Bonus Depreciation and Section 179 Expense Add-back (See instructions) ...................... 1e
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f
Health Savings Accounts Add-back (See instructions) ........................................................ 1f
g Other (See instructions). List the type and amount of income items included (attach
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supporting documentation) ________________________________________
............. 1g
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h Total additions (Add lines 1a through 1g) ............................................................................ 1h
2 SUBTRACTIONS from federal adjusted gross income.
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a U.S. Government Bond interest included in federal adjusted gross income ....................... 2a
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b State Income Tax Refund (Only if included in federal income) ............................................ 2b
c Social Security and Railroad Retirement Benefits included in federal adjusted gross
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income (See instructions) .................................................................................................... 2c
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d Pension Income Deduction (Complete and attach the worksheet on back) ........................ 2d
e Interest from Maine Municipal General Obligation and Private Activity Bonds included in
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federal adjusted gross income ............................................................................................. 2e
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Premiums for Long-Term Care Insurance (Do not include health insurance premiums on this line)
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NOTE: If you itemize deductions or are self-employed, complete and attach the worksheet on back ... 2f
g Maine State Retirement System Pick-Up Contributions paid to the taxpayer during 2005
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which have been previously taxed by the state ................................................................... 2g
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h Federal Work Opportunity Credit/Empowerment Zone Credit Deduction ............................ 2h
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i
Fiduciary Adjustment - deduction only (Attach a copy of your federal Schedule K-1) ......... 2i
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j
Bonus Depreciation and Section 179 Recapture (See instructions) ................................... 2j
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k Other. List _______________________________ (See instructions) .............................. 2k
(Do not enter non-Maine source income on line 2k)
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Total Subtractions (Add lines 2a through 2k) ....................................................................... 2l
3 Net Modification (Subtract line 2l from line 1h — enter here and on 1040ME, page 1, line 15)
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(If negative, enter a minus sign in the box to the left of the number) ................................ 3
SCHEDULE 2 — ITEMIZED DEDUCTIONS
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4 Total itemized deductions from federal Form 1040, Schedule A, line 28 .................................. 4
5 a Income taxes imposed by this state or any other taxing jurisdiction or general sales taxes
included in line 4 above from federal Form 1040, Schedule A, line 5. (See instructions if
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Form 1040ME, line 14 exceeds $145,950 [$72,975 if Married Filing Separately]) .............. 5a
b Deductible costs, included in line 4 above, incurred in the production of Maine exempt
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income (See instructions) .................................................................................................... 5b
c Amounts included in line 4 that are also being claimed for the Family Development
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Account Credit on Maine Schedule A, line 18 ...................................................................... 5c
d Amount included in line 4 attributable to income from an ownership interest in a
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pass-through entity financial institution ................................................................................ 5d
6 Deductible costs of producing income exempt from federal income tax, but taxable by
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Maine (See instructions) ............................................................................................................ 6
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7 Line 4 minus lines 5a, b, c, and d plus line 6. Enter result here and on 1040ME, page 1, line 17 .. 7
Note: If the amount on line 7 is less than your allowable standard deduction, use the standard deduction.
If Married Filing Separately, however, both spouses must either itemize or use the standard deduction.