Fillable FORM 1040ME: 99 MAINE INDIVIDUAL INCOME TAX 2 (State of Maine)

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FORM 1040ME: 99 MAINE INDIVIDUAL INCOME TAX 2 (State of Maine)

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RESIDENCY STATUS (Check one)
Resident
“Safe Harbor” Resident
Part-year Resident
Nonresident
Nonresident Alien
(Maine Nonresident)
Nonresident Alien
(Maine Resident)
Check here if you are
lingSchedule NRH
You Spouse
14. FEDERAL ADJUSTED GROSS INCOME. .............................................................. 14.
15a. INCOME ADDITION MODIFICATIONS. (From Schedule 1A, line 12.) ................. 15a.
15b. INCOME SUBTRACTION MODIFICATIONS. (From Schedule 1S, line 29.) ......... 15b.
16. MAINE ADJUSTED GROSS INCOME. (Line 14 plus line 15a, minus line 15b.) .... 16.
17. DEDUCTION. Standard(Seepage4oftheinstructions.) ........................... 17.
Itemized(SeeMaineSchedule2andpage4oftheinstructions.)
18. EXEMPTION. (Multiply line 13 x $4,300.) .............................................................................................. 18.
CAUTION - your exemption amount may be limited. See instructions.
2021
99
MAINE INDIVIDUAL INCOME TAX
FORM 1040ME
For tax period
1/1/2021 to 12/31/2021 or
to
2 0 2
1
Check here if this is an AMENDED return.
*2102100*
See instructions. Print neatly in blue or black ink only.
Your Social Security Number
Spouse’s Social Security Number
Home Phone Number
Work Phone Number
Single
M
arriedling jointly (Even if only one had income)
Marriedlingseparately. Enter spouse’s social
security number and full name above.
Head of household(withqualifyingperson)
Qualifyingwidow(er)
with dependent child
(Year spouse died )
Composite Return,
Schedule 1040C-ME
1. Maine Clean Election Fund. Maine Residents Only.
Checkhereifyou,oryourspouse,iflingjointly,
want$3togotothisfund.
2.CheckhereifyouwereengagedinCOMMERCIAL
FARMING OR FISHINGduring2021 ...................
Your First Name MI
Your Last Name
Spouse’s First Name MI
Spouse’s Last Name
CurrentMailingAddress(P.O.Box,number,streetandapartmentnumber)
City or Town State ZIP Code
Note: If either spouse is deceased, enter the
date of death on Form 1040ME, page 3 in the
spaces provided above the signature area.
Calculate Your Taxable Income
Maine Property Tax Fairness Credit / Maine Sales Tax Fairness Credit - Maine residents and part-year residents only - see Schedule
PTFC/STFC.Checkthisboxifyouarelingareturnonly to claim the Property Tax Fairness Credit on line 25d and/or the Sales Tax
Fairness Credit on line 25e. Otherwise, leave this box blank. Follow the instructions on Schedule PTFC/STFC.
Continueonpage2
A.
13. Enter the TOTAL number
of EXEMPTIONS. See
instructions.
.................
13.
13a. Enter the TOTAL number
ofqualifyingchildrenand
dependents. Also see
Form 1040ME,
Schedule A, line 8 ........ 13a.
Foreigncountryname Foreignprovince/state/county Foreignpostalcode
12. CHECK IF: You Spouse
were was
65 or over ....... 12a. 12c.
Blind................12b. 12d.
DO NOT ENTER $ signs, commas, or decimals.
3.
4.
5.
6.
7.
8.
8a.
9.
10.
11.
11a.
Partnership Audit,
Schedule 1040PA-ME
FILING STATUS (Check one)
PASS-THROUGH ENTITIES ONLY
PRINT
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IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT ($20,000 or less), see page 5 of the instructions and ll
in the lines below.
19. TAXABLE INCOME. (Line 16 minus lines 17 and 18.) ......................................... 19.
20. INCOME TAX. (Find the tax for the amount on line 19 in the tax table
inthisbookletorcomputeyourtaxusingthetaxtableortaxrateschedules
available at www.maine.gov/revenue/tax-return-forms.) ....................................... 20.
20a.
TAX CREDIT RECAPTURE AMOUNTS. (Enclose worksheet(s) - see instructions)
.. 20a.
21. NONRESIDENT CREDIT. (For part-year residents, nonresidents and
“Safe Harbor” residents only.) From Schedule NR, line 9 or NRH, line 11 ............ 21.
(You MUST attach a copy of your federal return and TDY papers, if applicable.)
22. TOTAL TAX. (Line 20 plus line 20a minus line 21) ............................................... 22.
23. NONREFUNDABLE TAX CREDITS. (From Maine Schedule A, line 23.) ............ 23.
24. NET TAX. (Line 22 minus line 23.) (Nonresidents see instructions.) .................... 24.
25. TAX PAYMENTS.
a. Maine income tax withheld. (Enclose W-2, 1099 and 1099ME forms.) .......... 25a.
b. 2021 estimated tax payments and 2020 credit carried forward, extension
paymentsandpaymentswithoriginalreturn.(IncludeanyREAL ESTATE
WITHHOLDING tax payments.) ........................................................................ 25b.
c.REFUNDABLETAXCREDITS.(FromMaineScheduleA,line7.) ................... 25c.
d.
Property Tax Fairness Credit (Schedule PTFC/STFC, line 12). (See instructions.)
... 25d.
(For Maine residents and part-year residents only.)
e. Sales Tax Fairness Credit. (Schedule PTFC/STFC, line 13 or 13a.). ............. 25e.
(See instructions.)
(For Maine residents and part-year residents only.)
f. TOTAL. (Add lines 25a, b, c, d, and e.) ............................................................. 25f.
26. Ifthisisanamendedreturn,enteroverpayment,ifany,onoriginalreturnor
aspreviouslyadjusted. .......................................................................................... 26.
27. Line25fminusline26.(Ifnegative,enteraminussignintheboxtotheleft
of the number.) ...................................................................................................... 27.
28. INCOME TAX OVERPAID.Ifline27islargerthanline24,enteramount
overpaid.(Line27minusline24-ifline24isnegative,enterline27here.) ........ 28.
29. INCOME TAX UNDERPAID.Ifline24islargerthanline27,enteramount
underpaid. (Line 24 minus line 27.) (See instructions.) ......................................... 29.
30. USE TAX (SALES TAX). (See instructions.) ......................................................... 30.
30a.
SALES TAX ON CASUAL RENTALS OF LIVING QUARTERS. (See instructions.)
..
30a.
31.
CHARITABLE CONTRIBUTIONS and PARK PASSES.
(From Maine Schedule CP, line 11.)
31.
32. NET OVERPAYMENT. (Line 28 minus lines 30, 30a and 31.) – Note: If total of
lines30,30aand31isgreaterthanline28,enterasamountdueonline34a. ...... 32.
33. Amount of line 32 to be
CREDITED to
2022 estimated tax. ..... 33a.
REFUND
33b.
Calculate Your Tax and Nonrefundable Credits
2021 FORM 1040ME, Page 2
99
*2102101*
Tax Payments/Refundable Credits
Calculate Use Tax / Voluntary Contributions / Refund Due
.00
Check here if this refund
willgotoanaccount
outside the United
States. ........................
33e.TypeofAccount: Checking Savings
33c . RoutingNumber
33d. Account Number
Continueonpage3
DO NOT ENTER $ signs, commas, or decimals.
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Yoursignature Datesigned Youroccupation
Spouse’ssignature(Ifjointreturn,bothmustsign) Datesigned Spouse’soccupation
Your email address
Preparer’ssignature Datesigned Preparer’sphonenumber
Print preparer’s name and name of business Preparer’s SSN or PTIN
Do you want to allow another person to discuss this return with Maine Revenue Services? Yes (completethefollowing). No.
Designee’sname: Phoneno.: Personalidentication#:
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.
Paid
Preparer’s
Use
Only
99
IfrequestingaREFUND,mailto:MaineRevenueServices,P.O.Box1066,Augusta,ME04332-1066
If NOTrequestingarefund,mailto:MaineRevenueServices,P.O.Box1067,Augusta,ME04332-1067
DO NOT SEND PHOTOCOPIES OF RETURNS
Third Party
Designee
(Seepage5of
the instructions.)
SIGN
HERE
Keep a
copy of
this return
for your
records.
IMPORTANT NOTE
If taxpayer is deceased, If spouse is deceased,
enter date of death. enter date of death.
*2102111*
(Month) (Day) (Year)(Month) (Day) (Year)
Payment
Plan
Injured
Spouse
Name(s) as shown on Form 1040ME Your Social Security Number
34a. TAX DUE. (Add lines 29, 30, 30a and 31.) - Note: If total of lines 30, 30a and
31isgreaterthanline28,enterthedierenceasanamountdueonthisline. ..... 34a.
b. Underpayment Penalty. (Attach Form 2210ME.)
Check here if you checked the box on Form 2210ME, line 17. .......... 34b.
c. TOTAL AMOUNT DUE. (Add lines 34a and 34b.) (Pay in full with return.) .......... 34c.
EZ PAY at https://portal.maine.gov/ezpay or ENCLOSE CHECK payable to: Treasurer, State of Maine. DO NOT SEND CASH.
TAX DUE
2021 FORM 1040ME, Page 3
Avoid errors that delay processing of returns:
DO NOT ENTER $ signs, commas, or decimals.
•• Use black or blue ink. Do not use red ink.
•• Besuretoenteramountsoncorrectlines.
•• Line A. Check the Property Tax Fairness Credit/Sales Tax
Fairness Credit box, if it applies.
•• Line 20. Use the correct column from the tax table for your
lingstatus.
•• Refund. If you overpaid your tax, enter the amount you want
to be refunded on line 33b.
•• Double check social security numbers, ling status, and
number of exemptions.
•• Double check mathematical calculations.
•• Besuretosignyourreturn.
•• Enclose W-2 forms with the return.
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FORM 1040ME: 99 MAINE INDIVIDUAL INCOME TAX 2 (State of Maine)

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Completed 17 June 2022

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