Form 1120b-Ext/me - Extension Payment Voucher For Maine Franchise Tax - 2012

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FORM 1120B-EXT/ME
2012
EXTENSION PAYMENT VOUCHER
*1234200*
FOR MAINE FRANCHISE TAX
EXTENSION PAYMENT VOUCHER INSTRUCTIONS
A State of Maine extension request form is not necessary. To make a payment of tax due,
complete and submit this voucher (1120B-EXT/ME) by the original date of your return.
Caution: At least 90% of your Maine franchise tax liability must be paid by the original
due date of your return in order to avoid a penalty for failure to pay tax on time.
Send your voucher with payment for any estimated tax due to:
Maine Revenue Services
P.O. Box 9101
Augusta, ME 04332-9101
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT CUT FORM. DO NOT SEND PHOTOCOPIES OF FORMS.
2012
to
For tax period:
YYYY
YYYY
MM
DD
MM
DD
$
00
.
Financial Institution Name
Amount of Payment
Address
Federal ID Number
City
State
ZIP Code
Date return is due
(with extension)
Rev. 9/12

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