Form 1120x-Me - Maine Amended Corporate Income Tax Return - 2014 Page 3

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2014

FORM 1120X-ME Page 3

MAINE AMENDED

CORPORATE INCOME TAX RETURN

*1400602*

Federal EIN

PAYMENTS AND CREDITS:

.00

a. MAINE ESTIMATED TAX PAID ................................

.............................................................................................. 8a.

.00

b. EXTENSION PAYMENT (Form 1120EXT-ME) ......... ............................................................................................... 8b.

.00

c. PAYMENT WITH ORIGINAL RETURN AND ADDITIONAL PAYMENTS after return was ﬁ led ................................ 8c.

d. TAX CREDITS

.00

(Schedule C, line 29o) ......................................... 8d.

8d.

e. PASS-THROUGH ENTITY WITHHOLDING

or withholding from gambling winnings

.00

(attach Forms 1099ME or W2G) ....................... 8e.

8e.

.00

REFUNDABLE CREDITS (Schedule C, line 30c) 8f.

8f.

g. TOTAL PAYMENTS AND CREDITS

.00

(add lines 8a through 8f) ...................................... 8g.

8g.

.00

h. OVERPAYMENT on original return or as previously adjusted (enter as a positive number) .................................... 8h.

.00

LINE 8g MINUS LINE 8h .............................................................................................................................................. 9.

.00

10a. If line 7c is greater than line 9, enter the difference as TAX DUE ............................................................................ 10a.

b. PENALTY FOR UNDERPAYMENT -

.00

attach Form 2220ME ......................................... 10b.

10b.

c. TOTAL AMOUNT DUE (line 10a plus line 10b) - Remit payment with return.

.00

(Make check payable to Treasurer, State of Maine) . ...............................................................................................10c.

.00

11.

If line 9 is greater than line 7c, enter amount to be REFUNDED .................................................................................11.

REFUND DEPOSITED DIRECTLY TO YOUR CHECKING ACCOUNT ($10,000 or less). SEE INSTRUCTIONS.

Routing Number

Check this box if this refund will

go to an account outside the

United States .....................

Checking Account Number

CORPORATION PRESIDENT’S NAME

TREASURER’S NAME

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

SOCIAL SECURITY NUMBER

DATE

SIGNATURE AND ADDRESS OF PREPARER (INDIVIDUAL OR FIRM)

PREPARER’S SSN OR PTIN

If enclosing a check, make check payable to: Treasurer, State of Maine and MAIL WITH RETURN TO: MAINE REVENUE SERVICES, PO BOX 1065 AUGUSTA, ME 04332-1065.

If not enclosing a check, MAIL RETURN TO: MAINE REVENUE SERVICES, PO BOX 1064 AUGUSTA, ME 04332-1064.