Form 1120x-Me - Maine Amended Corporate Income Tax Return - 2004

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Form 1120X-ME
MAINE AMENDED
CORPORATE INCOME TAX RETURN
00
*0400600*
0 4
For calendar year 2004 or tax year
to
USE THIS FORM ONLY
MM
DD
MM
DD
Y Y
FOR TAX YEAR 2004
Federal Business Code
Name of Corporation
Federal EIN
Address
State of
Incorporation
Parent Company EIN
State
ZIP Code
City, Town, or Post Office
Contact Person’s First Name
Contact Person’s Last Name
Telephone Number
IRS change
Net operating loss
Federal amended 1120X
Accounting change
Other (attach explanation)
REASON FOR
CHANGE :
You are a member of an affiliated group filing a separate return
You are filing a combined return (If so, complete & attach Form CR)
A. Original
B. Adjustment
C. Correct Amount
,
,
,
A. CONSOLIDATED FEDERAL TAXABLE INCOME
.00
if filing as part of a federal consolidated return
A.
1. FEDERAL TAXABLE INCOME If negative, enter
,
,
,
.00
a minus sign in the box to the left of the number
1.
2.
DEDUCTIONS:
,
,
,
.00
a. NONTAXABLE INTEREST
2a.
,
,
,
b. FOREIGN DIVIDEND GROSS-UP
.00
2b.
c. WORK OPPORTUNITY CREDIT AND
EMPOWERMENT ZONE CREDIT
,
,
,
.00
(attach federal Form 5884 or Form 8844)
2c.
d. INCOME NOT TAXABLE UNDER THE
,
,
,
.00
CONSTITUTION OF MAINE OR THE U.S.
2d.
e. DIVIDENDS FROM CERTAIN AFFILIATED
,
,
,
.00
CORPORATIONS (limitations - see instructions)
2e.
f . NET OPERATING LOSS DEDUCTION CARRY-
,
,
,
.00
OVER (limitations - see instructions)
2f.
g. INCOME FROM OWNERSHIP INTEREST IN
,
,
,
.00
PASS-THROUGH ENTITY FINANCIAL
2g.
INSTITUTIONS subject to Maine Franchise Tax
,
,
,
h. STATE INCOME TAX REFUNDS
2h.
.00
included in line 1 above
,
,
,
i. NORTHERN MAINE TRANSMISSION COR-
2i.
.00
PORATION ADJUSTMENT (see instructions)
,
,
,
j. BONUS DEPRECIATION / SECTION 179
2j.
.00
EXPENSE RECAPTURE (see instructions)
,
,
,
k. TOTAL DEDUCTIONS (add lines 2a through 2j)
2k.
.00
3. LINE 1 MINUS LINE 2k. If negative, enter
,
,
,
.00
a minus sign in the box to the left of the number
3.
4.
ADDITIONS:
,
,
,
.00
a. INCOME TAXES imposed by Maine
4a.
or any other state (attach schedule)
,
,
,
.00
b. UNRELATED EXPENSES (attach schedule)
4b.
,
,
,
c. INTEREST FROM STATE AND MUNICIPAL
.00
BONDS other than Maine
4c.
,
,
,
d. NET OPERATING LOSS RECOVERY
.00
ADJUSTMENT
4d.
e. LOSS, EXPENSES OR DEDUCTIONS FROM
,
,
,
.00
OWNERSHIP INTEREST IN FINANCIAL
4e.
INSTITUTIONS subject to Maine Franchise Tax
,
,
,
.00
f . HIGH-TECHNOLOGY CREDIT ADD-BACK
4f.
,
,
,
g. BONUS DEPRECIATION / SECTION 179
.00
EXPENSE ADD-BACK
4g.
,
,
,
h. TOTAL ADDITIONS (add lines 4a through 4g)
.00
4h.

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