Form 841me - Certified Visual Media Production Wage Reimbursement Application (Page 5 of 5) in pdf

CERTIFIED VISUAL MEDIA PRODUCTION WAGE REIMBURSEMENT

SPECIFIC INSTRUCTIONS, cont.

Line 2.

Enter the total certiﬁ ed production wages for nonresident individuals listed on the page.

Line 3.

Enter the sum of Maine resident certiﬁ ed production wages for all pages of Schedule 2 submitted. Also, enter

this amount, combined with the amount from Schedule 3, line 3, on Form 841ME, line 1.

Line 4.

Enter the sum of nonresident certiﬁ ed production wages for all pages of Schedule 2 being submitted. Also,

enter this amount, combined with the amount from Schedule 3, line 4, on Form 841ME, line 3.

SCHEDULE 3

All ﬁ lers requesting reimbursement must complete Schedule 3 for payments made to temporary employee leasing

companies (including loan-out companies) for employees performing personal services directly related to the certiﬁ ed

media production. For purposes of Form 841ME and Schedule 3, these payments are also known as certiﬁ ed production

wages. Complete a separate Schedule 3 for each temporary employee leasing and loan out company to which payments

were made. Only include the portion of payments for personal services.

Column 1. Enter the last name, ﬁ rst name and middle initial for each temporary employee leasing company employee who

earned wages during the production period.

Column 2. Enter the social security number for each individual listed in column 1.

Column 3. Enter an “X” in the box if the individual in column 1 is not a resident of Maine.

If the individual is a Maine resident, the media production company must retain a copy of the individual’s

residency afﬁ davit on ﬁ le for at least three years. This form is available on the MRS web site at maine.gov/

revenue/forms.

Column 5. Enter the payments made to the temporary employee-leasing company or loan-out company with respect

to each individual listed in column 1. The payments must be directly related to the certiﬁ ed visual media

production. Do not enter amounts in excess of $50,000 paid for any single individual for personal services

rendered in connection with a particular certiﬁ ed visual media production. 36 M.R.S. § 6901.

Line 1.

Enter total payments for Maine resident individuals listed on the page.

Line 2.

Enter total payments for nonresident individuals listed on the page.

Line 3.

Enter the sum of Maine resident payments for all pages of Schedule 3 submitted. Also, enter this amount,

combined with the amount from Schedule 2, line 3, on Form 841ME, line 1.

Line 4.

Enter the sum of nonresident payments for all pages of Schedule 3 submitted. Also, enter this amount,

combined with the amount from Schedule 2, line 4, on Form 841ME, line 3.

Important: If all required lines and schedules are not completed, your reimbursement request cannot be processed.

Form 841me - Certified Visual Media Production Wage Reimbursement Application Page 5