Form 900me - Payment Voucher For Maine Income Tax Withheld

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PAYMENT VOUCHER FOR MAINE INCOME TAX WITHHELD
Maine Revenue Services
99
P.O. Box 9101
Form 900ME
Augusta, ME 04332-9101
*1106510*
.
,
,
1.
Amount Remitted:
-
Withholding Account Number:
-
-
2.
Quarter Begin Date:
Business
Name:
-
-
Quarter End Date:
3.
Date Wages/Non-wages Paid
Amount Withheld
____________________________________________________
Contact Person
_______________________
____________________
_______________________
____________________
____________________________________________________
Contact Person’s Telephone Number
_______________________
____________________
MAKE CHECK PAYABLE TO TREASURER, STATE OF MAINE
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT CUT FORM. DO NOT SEND PHOTOCOPIES OF FORMS.

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