Form 1120b-Me - Maine Franchise Tax Return For Financial Institutions - 2004 Page 2
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2FORM 1120B-ME, Page 2
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*0408411*
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.00
6. OVERPAYMENT: If line 4f, page 1 is greater than line 3c, page 1, enter overpayment ................................. 6
7. Amount on line 6 to be:
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.00
a. CREDITED to next year’s estimated tax .................................................................................................. 7a
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.00
b. REFUNDED ............................................................................................................................................ 7b
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
SIGNATURE OF OFFICER
TITLE
_________________________________
_____________________________________________________
____________________________________________
DATE
INDIVIDUAL OR FIRM SIGNATURE OF PREPARER
PREPARER’S FEDERAL IDENTIFICATION NUMBER
Mail to: Maine Revenue Services, P.O. Box 1062, Augusta, ME 04332-1062
SCHEDULE A - APPORTIONMENT OF INCOME
Do not complete this schedule if 100% of your business activity is conducted in Maine.
All others must complete this schedule and enter amounts in columns A and B, even if those amounts are zero.
Read the instructions on page 5 of the Maine Franchise Tax Instructions booklet before completing this Schedule.
If this schedule is left blank or excluded, your Maine apportionment factor will be set at 100%. Round all dollar amounts to whole numbers.
(A)
(B)
(C)
Maine Factors
Col. (A) divided by Col. (B)
Within
x Statutory Weighting
Maine
Everywhere
Rounded to 6 Decimals
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÷
0.
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x .50 =
8. RECEIPTS
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÷
0.
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x .25 =
9. PAYROLL
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÷
10. TOTAL
0.
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x .25 =
PROPERTY
0.
11. MAINE APPORTIONMENT FACTOR - Sum of lines 8, 9 and 10, Column (C) ............................................................................................. 11
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12. NET INCOME PER BOOKS (Page 1, line 1a) ............................................................................................... 12
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13. INCOME APPORTIONED TO MAINE (line 12 x line 11 factor). Enter here and on page 1, line 1b .............. 13
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14. TOTAL END-OF-YEAR ASSETS (page 1, line 2a) ........................................................................................ 14
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15. ASSETS APPORTIONED TO MAINE (line 14 x line 11 factor). Enter here and on page 1, line 2b ............... 15
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