Form 1120b-Ext/me - Extension Payment Voucher For Maine Franchise Tax - 2015
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FORM 1120B-EXT/ME
2015
EXTENSION PAYMENT VOUCHER
*1234200*
FOR MAINE FRANCHISE TAX
EXTENSION PAYMENT VOUCHER INSTRUCTIONS
A State of Maine extension request form is not necessary. To make a payment of tax due,
complete and submit this voucher by the original due date of your return.
Caution: At least 90% of your Maine franchise tax liability must be paid by the original
due date of your return in order to avoid a penalty for failure to pay tax on time.
Send your voucher with payment for any estimated tax due to:
Maine Revenue Services
P.O. Box 9101
Augusta, ME 04332-9101
PLEASE DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. INCLUDE THE ORIGINAL FULL SHEET OF THIS FORM WITH YOUR PAYMENT.
THIS FORM IS NOT REQUIRED IF PAYMENT WAS MADE ELECTRONICALLY.
2015
to
For tax period:
YYYY
YYYY
MM
DD
MM
DD
.
00
Financial Institution Name
Amount of Payment
Address
Federal ID Number
Date Return is Due
City
State
Zip Code
(with extension)
Rev. 07/15
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