Form 1041me - Income Tax Return For Resident And Nonresident Estates And Trusts - 2012

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2012
FORM 1041ME - INCOME TAX RETURN
99
FOR RESIDENT AND NONRESIDENT ESTATES AND TRUSTS
For calendar year 2012 or tax year beginning in 2012
*1209100*
2 0 1 2
Tax period
to
Amended Return
ESTATE/TRUST/QFT EIN (do not enter / or -)
Name of Estate or Trust (as it appears on Federal Form SS-4)
Name and Title of Fiduciary or Trustee
FIDUCIARY SSN OR EIN (do not enter / or -)
Address of Fiduciary (number and street)
CONTACT PERSON FIRST NAME
LAST NAME
City
State
ZIP Code
TELEPHONE NUMBER
Type of
Decedent’s estate
Qualifi ed Funeral Trust (QFT)
Bankruptcy estate
Qualifi ed
entity (check
Enter QFT EIN in space above
(enter decendent’s SSN)
(Chapter 7)
Disability Trust
one box):
Bankruptcy estate
Simple Trust
Complex Trust
ESBT (S Portion Only)
Pooled Income
(Chapter 11)
Check the boxes that apply:
Resident estate or trust
Nonresident estate or trust
Initial return
Final return
.00
1. Federal taxable income (nonresident estates and trusts, skip to line 3) ............................................1
2. Fiduciary Adjustment: Resident estates and trusts only (see instructions) ...................................2
.00
3. Maine taxable income (resident estate or trust - line 1 plus or minus line 2.
.00
Nonresident estate or trust - Schedule NR, line 9, column B) ..............................................................3
.00
4. Maine income tax (from tax table on page 2 of instructions) ..............................................................4
5. Adjustments to tax (from Schedule A, line 17) ...................................................................................5
.00
.00
6. Adjusted Maine income tax (line 4 plus or minus line 5) ...................................................................6
7. Tax payments: a. Maine income tax withheld (attach Form W-2, W-2G, 1099-R or 1099ME) ......7a
.00
b. 2012 estimated tax payments (including real estate withholding tax
payments) and extension payments .................................................................7b
.00
.00
c. Total payments (add lines 7a and 7b) ................................................................7c
8. a. If line 6 is greater than line 7c, enter TAX BALANCE DUE ..........................................................8a
.00
b. Enter PENALTY for underpayment of estimated tax (attach Form 2210ME)
(Check here if you checked the box on Form 2210, line 17 ..........................
.............8b
.00
.00
c. TOTAL AMOUNT DUE (add lines 8a and 8b) Make checks payable to Treasurer, State of Maine .....8c
9. If line 7c is greater than line 6, enter OVERPAYMENT ...................................................................... 9
.00
10. Overpayment to be:
a. CREDITED to next year’s estimated tax. 10a
.00
.00
b. REFUNDED .............................................10b
REFUND DEPOSITED DIRECTLY TO YOUR CHECKING ACCOUNT ($10,000 or less). SEE INSTRUCTIONS.
Check this box if this
10c. Routing Number
refund will go to an
account outside the
United States. .............
10d. Checking Account Number
Sign return on page 2

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