2012
Form 1120X-ME
MAINE AMENDED
CORPORATE INCOME TAX RETURN
99
For calendar year
2012
2012 or tax year
*1200600*
to
MM
DD
YYYY
MM
DD
YYYY
USE THIS FORM ONLY
FOR TAX YEAR 2012
Name of Corporation
Federal Business code
Address
Federal Employer ID Number
State of
Incorporation
City, Town or Post Offi ce
State
ZIP Code
Parent Company Employer ID Number
Contact Person’s First Name
Contact Person’s Last Name
Telephone Number
:
REASON FOR CHANGE
(1)
IRS
(2)
Net operating
change
loss
ELECTRONIC SERVICES
(3)
Federal
(4)
Accounting
Maine Revenue Services provides electronic services for fi ling income tax returns and
amended 1120X
change
making payments. Corporate returns may be fi led electronically using the Modernized
E-File program if supported by the tax software package you use. MRS also accepts
(5)
Other (attach explanation)
ACH credit and debit payments.
For more information, select Electronic Services at
(6)
Member of an affi liated group
fi ling a separate return
(7)
Combined return (attach Form CR)
A. Original
B. Adjustment
C. Correct Amount
A.
FEDERAL CONSOLIDATED INCOME
.00
if fi ling as part of a federal consolidated return ..
A.
A.
1.
FEDERAL TAXABLE INCOME If negative, enter
.00
a minus sign in the box to the left of the number
1.
1.
2.
SUBTRACTIONS:
.00
a. NONTAXABLE INTEREST ........................ 2a.
2a.
.00
b. FOREIGN DIVIDEND GROSS-UP ................ 2b.
2b.
c. WORK OPPORTUNITY CREDIT AND EM-
POWERMENT ZONE CREDIT DEDUCTIONS
.00
(attach federal Form 5884 or Form 8844) .... 2c.
2c.
d. INCOME NOT TAXABLE UNDER THE
.00
CONSTITUTION OF MAINE OR THE U.S. .
2d.
2d.
e. DIVIDENDS FROM CERTAIN AFFILIATED
.00
CORPORATIONS
........ 2e.
2e.
(limitations - see instructions)
f. NET OPERATING LOSS RECAPTURE
.00
(limitations - see instructions) ........................ 2f.
2f.
g. INCOME FROM OWNERSHIP INTEREST IN
PASS-THROUGH FINANCIAL ENTITIES
.00
(subject to Maine franchise tax) .................. 2g.
2g.
h. STATE INCOME TAX REFUNDS
.00
(included in line 1 above) ............................... 2h.
2h.
i. BONUS DEPRECIATION / SECTION 179
.00
EXPENSE RECAPTURE (see instructions) ...
2i.
2i.
.00
j. OTHER (see instructions) ............................ 2j.
2j.
k. TOTAL SUBTRACTIONS
.00
(add lines 2a through 2j) ............................... 2k.
2k.