Form 1040x-Me Amended - Maine Individual Income Tax Return

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1040X-ME AMENDED
99
Maine Individual Income Tax Return
*1201800*
For tax period
to
Was your original
Maine return a:
Your fi rst name
Initial
Your social security number
Your last name
Spouse’s social security number
Short Form
Long Form
Check if:
Spouse’s fi rst name
Initial
Home phone number
You were 65
or over
Spouse’s last name
Work phone number
Blind
Home address (number, street and apt. no.)
Spouse was 65
or over
City/town
State
Zip code
Blind
Check if this is an amended composite return
Check if you were engaged in commercial farming or fi shing
(Partnerships, LLCs and S corporations only)
during the tax period shown above.
Filing status claimed. Note: You cannot change from joint to separate returns after the due date has passed.
On original return ........
Single
Married
Married
Head of
Qualifying
fi ling joint
fi ling separate
household
widow(er)
On this return ....... ......
Single
Married
Married
Head of
Qualifying
fi ling joint
fi ling separate
household
widow(er)
Residency status claimed.
On original return .......
Resident
“Safe Harbor”
Nonresident
Part-year
Nonresident
Resident
resident
Alien

On this return .............
Resident
“Safe Harbor”
Nonresident
Part-year
Nonresident
Resident
resident
Alien
Exemptions.
Number on original return
On this return
a.
Yourself b.
Spouse
Number of boxes checked on a and b
c. Number of your dependents
d. Total number of exemptions

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