Form 1040x-Me Amended - Maine Individual Income Tax Return Page 3

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FORM 1040X-ME, PAGE 3
99
IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT ($10,000 or less) OR TO A NEXTGEN COLLEGE
*1201802*
INVESTING PLAN ® ACCOUNT, fi ll in the lines below.
24b Routing Number*
24c Type of Account:
Checking
Check here if this refund
will go to an account
Savings
outside the United
24d Account Number*
States ....................
NextGen ®
*For NextGen Accounts, enter 043000261 on line 24b and the account owner’s 9-digit social security number on line 24d.
EXPLANATION OF CHANGES: Explain the changes made to income, deductions and credits. Enter the line number from pages 1 and 2 for each
item you are changing and give the reason for each change. Attach supporting documents for each item changed. Be sure to include your name and
social security number on the attachments.
(Month)
(Day)
(Year)
(Month)
(Day)
(Year)
If taxpayer is deceased,
If spouse is deceased,
IMPORTANT NOTE
enter date of death.
enter date of death.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my
Sign
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.
Here
Keep a
YOUR SIGNATURE:
X
copy of
________________________________
this
DATE SIGNED
YOUR OCCUPATION
return for
SPOUSE’S SIGNATURE (IF JOINT RETURN, BOTH MUST SIGN):
X
your
________________________________
records.
DATE SIGNED
SPOUSE’S OCCUPATION
Paid
PREPARER’S PHONE NUMBER
Pre-
PREPARER’S SIGNATURE:
X
parer’s
________________________________
DATE SIGNED
PREPARER’S SSN or PTIN
Use
Only
FIRM’S NAME (OR YOURS IF SELF-EMPLOYED):
IS
PP
revised 09/12
DO NOT SEND PHOTOCOPIES OF RETURNS
GENERAL INSTRUCTIONS
Purpose of Form. You must fi le an amended Maine income tax
generally be fi led within 7 years after the due date of the return for the tax
return if (1) you have fi led an amended federal income tax return
year in which the debt or security became worthless.
that affects your Maine income tax liability; (2) the Internal Revenue
Information on Income, Deductions, and other items. If you have
Service has made a change or correction to your federal income
questions, such as what income is taxable or what expenses are
tax return that affects your Maine income tax liability; or (3) an error
deductible, the instructions for the original return you are amending
has been made in the fi ling of your original Maine income tax return.
may help you. Be sure to use the Tax Table or Tax Rate Schedules
Use Form 1040X-ME to correct Maine income tax returns for
for the year amended to calculate the corrected tax. The related
any tax year. File a separate Form 1040X-ME for each year you
schedules and forms may also help you. To receive prior year forms,
are amending.
schedules and instructions, call (207) 624-7894. Forms, schedules
When to File. Amended Maine income tax returns must be fi led within
and instructions are also available at
180 days of the fi nal determination of the change or correction or the
Death of Taxpayer. If you are fi ling Form 1040X-ME for a deceased
fi ling of the federal amended return.
taxpayer, write in the date of death in the spaces above the signature
File Form 1040X-ME only after you have fi led your original return.
area of the return.
Generally, to receive a refund of taxes paid, Form 1040X-ME must
If you are fi ling Form 1040X-ME as a surviving spouse fi ling a
be fi led within 3 years after the date the original return was fi led, or
joint return with the deceased, write “Filing as surviving spouse” in
within 3 years after the date the tax was paid, whichever is later. A
the area where you sign the return. If someone else is the personal
return fi led early is considered fi led on the date it was due.
representative, he or she must also sign.
A Form 1040X-ME based on a bad debt or worthless security must
3

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