Form 1120me - Maine Corporate Income Tax Return - 2012 Page 3
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5FORM 1120ME - Page 3
2012
99
MAINE CORPORATE INCOME TAX RETURN
*1200102*
Federal EIN
Use EZ Pay at
maine.gov/revenue
.00
9a.
If line 7c is greater than line 8f, enter TAX BALANCE DUE..9a
Check here if
b.
Enter PENALTY for underpayment of estimated tax
Form 2220ME
.00
block 5.a. is checked.
(attach Form 2220ME) .........................................................9b
c.
TOTAL AMOUNT DUE (add lines 9a and 9b). Pay in full with return. You may be required to make payments
.00
electronically. See instructions or Rule 102. (Please make check payable to Treasurer, State of Maine).........9c
.00
10.
If line 8f minus line 9b is greater than line 7c, enter OVERPAYMENT ..................................................................10
11.
Amount of line 10 to be:
.00
.00
11b. REFUNDED
a. CREDITED to next year’s estimated tax
REFUND DEPOSITED DIRECTLY TO YOUR CHECKING ACCOUNT ($10,000 or less). SEE INSTRUCTIONS.
Check this box if this
11c. Routing Number
refund will go to an
account outside the
11d. Checking Account Number
United States. .............
CORPORATION PRESIDENT’S NAME
SOCIAL SECURITY NUMBER
TREASURER’S NAME
SOCIAL SECURITY NUMBER
COMPANY’S WEB SITE ADDRESS
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 all information of which preparer has any knowledge.
DATE
OFFICER’S SIGNATURE
TITLE
SOCIAL SECURITY NUMBER
DATE
SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)
PREPARER’S SSN OR PTIN
THIS RETURN MUST BE ACCOMPANIED BY A LEGIBLE COPY OF THE U.S. CORPORATE INCOME TAX RETURN, FEDERAL FORM 1120, PAGES
1-5, FOR THE SAME TAXABLE PERIOD.
Please submit forms in the following order:
1. Pages 1 through 5 of Form 1120ME, as required.
2. Form CR, if required, including affi liation schedule.
3. Other statements for the Maine income tax return.
4. A copy of federal Form 1120, pages 1 through 5.
If enclosing a check, make check payable to:
If not enclosing a check,
MAIL RETURN TO:
Treasurer, State of Maine
and MAIL WITH RETURN TO:
MAINE REVENUE SERVICES
MAINE REVENUE SERVICES
P.O. BOX 1064
P.O. BOX 1065
AUGUSTA, ME 04332-1064
AUGUSTA, ME 04332-1065
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