Worksheet A And B - Residency Information Worksheet For Part-Year Residents/nonresidents/"Safe Harbor" Residents/income Allocation Worksheet For Part-Year Residents/nonresidents/"Safe Harbor" Residents Page 2
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1
2Name(s) as shown on Form 1040ME
Your Social Security Number
-
-
WORKSHEET B
Attachment
9
Sequence No.
Income Allocation Worksheet for Part-Year Residents/Nonresidents/“Safe Harbor” Residents
(See instructions at ) - Enclose with your Form 1040ME
Part-year residents, Nonresidents
must complete this worksheet before completing Schedule
and “Safe Harbor” residents
NR or Schedule NRH
Maine Resident Period
Nonresident Period
Federal Income
(Part-year residents only)
(Part-year residents, Nonresidents
(NOTE: Married persons fi ling separate
and “Safe Harbor” residents)
Maine income tax returns must complete
separate worksheets for each spouse)
Column A
Column B
Column C*
Column D
Column E
Income from
Income from Column Income from Column B Income from Column Income from Column D
federal return
A for this period
earned outside of Maine
A for this period
from Maine sources
1. Wages, salaries, tips,
other compensation** ..........................
1
2. Taxable interest ....................................
2
3. Ordinary dividends ...............................
3
4. Alimony received .................................
4
5. Business income/loss ..........................
5
6. Capital gain/loss ..................................
6
7. Other gains/losses ...............................
7
8. Taxable amount of IRA distributions ....
8
9. Taxable amount of pensions
and annuities .......................................
9
10. Rental real estate, royalties,
partnerships, S corporations, and
trusts, etc ............................................. 10
11. Farm income/loss ................................ 11
12. Unemployment Compensation ............ 12
13. Taxable amount of social
security benefi ts ................................... 13
14. Other income (Including lump-sum
distributions, but excluding state
income tax refunds) ............................. 14
15. Add lines 1 through 14 ......................... 15
*
Part-year residents must make an entry in Column C if income was earned in another jurisdiction during the
period of Maine residency. Enter below the name of each other jurisdiction and the dates the income was earned in
those jurisdictions. Use a separate sheet if additional space is needed.
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
Name of other jurisdiction _____________________________
Period (mm/yy) From _____________ To _____________
You must attach a copy of the income tax return(s) fi led with the other jurisdiction
**
If necessary, use Worksheet C (Employee Apportionment Worksheet) for Part-Year Residents/Nonresidents/“Safe
Harbor” Residents to calculate the amount for line 1, Column E. For a copy of Worksheet C, go to the Maine Revenue
Services web site at: or call (207) 624-7894 (to order).
NOTE: See instructions at on how to use Worksheet B, line 15 entries to complete
line 1 of Schedule NR or Schedule NRH.
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