Form 1120x-Me - Maine Amended Corporate Income Tax Return - 2004 Page 2

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FORM 1120X-ME Page 2
MAINE AMENDED
00
CORPORATE INCOME TAX RETURN
*0400601*
Federal EIN
A
B
C
Original
Adjustment
Correct Amount
5. ADJUSTED FEDERAL TAXABLE INCOME (add
lines 3 and 4h). Corporations that apportion in-
,
,
,
come, use this amount for Schedule A, line 16
5.
.00
6. MAINE NET INCOME (from line 5 above
,
,
,
.00
or Schedule A, line 17)
6.
7.
TAX:
a. MAINE CORPORATE INCOME TAX
,
,
.00
(see tax rates on page 6) ......................... 7a
7a.
b. MINIMUM TAX: Schedule B, line 28c
,
,
.00
(attach federal Form 4626) ...................... 7b
7b.
,
,
.00
c. TOTAL TAX (add lines 7a and 7b) ............. 7c
7c.
8.
CREDITS:
,
,
.00
a. MAINE ESTIMATED TAX PAID .............................................................................................................................. 8a.
,
,
.00
b. EXTENSION PAYMENT (Form 1120EXT-ME) ...................................................................................................... 8b.
,
,
.00
c. PAID WITH ORIGINAL RETURN AND ADDITIONAL PAYMENTS after return was filed .................................... 8c.
d. OTHER CREDITS
,
,
.00
(Schedule C, line 29p) ............................ 8d.
8d.
e. PASS-THROUGH ENTITY
,
,
.00
WITHHOLDING (attach Forms 1099ME) 8e.
8e.
f. TOTAL CREDITS
,
,
.00
(add lines 8a through 8e) ........................ 8f.
8f.
,
,
.00
g. OVERPAYMENT on original return or as previously adjusted (enter as a positive number) ............................... 8g.
,
,
.00
9. LINE 8f MINUS LINE 8g (total credits minus overpayments) .................................................................................. 9.
,
,
.00
10. a. If line 7c is greater than line 9, enter the difference as TAX DUE. (If not, skip to line 11) .............................. 10a.
b. PENALTY FOR UNDERPAYMENT -
,
,
.00
attach Form 2220ME ............................ 10b.
10b.
,
,
.00
c. TOTAL AMOUNT DUE (line 10a plus line 10b) - Remit payment with return .................................................... 10c.
(Make check payable to Treasurer, State of Maine)
,
,
.00
11. If line 9 is greater than line 7c, enter amount to be REFUNDED ........................................................................... 11.
-
-
CORPORATION PRESIDENT’S NAME _______________________________________ SOCIAL SECURITY NUMBER
-
-
TREASURER’S NAME ____________________________________________________ SOCIAL SECURITY NUMBER
COMPANY’S WEB SITE ADDRESS __________________________________________________________________
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my 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.
DATE
OFFICER’S SIGNATURE
TITLE
-
-
DATE
SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)
PREPARER’S SSN OR PTIN
File return with:
Maine Revenue Services
Office use only
LG
P.O. Box 1062
Augusta, ME 04332-1062

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