Form Blu-1 - Blueberry Tax Return printable pdf download

Form Blu-1 - Blueberry Tax Return

Blu

Maine Revenue Services

Blueberry Tax Return

*1117000*

Registration No.

Period Begin

Due Date

Period End

1. Entity Information

OUT OF BUSINESS?

Date closed:

OWNERSHIP OR NAME CHANGE?

Date

Explanation

SOLD? Date

ADDRESS CHANGE?: Check here and make the appropriate changes to the preprinted address.

Do Not Use Red Ink!

Pounds Total pounds grown, purchased or sold during month for which this report is made

Total

Tax at $ .015 per pound ($1.50 per 100 lbs.)

Due

Credits

Credit Carry Forward From Prior Period

Amount

Line 2 minus line 3. Use line 5 if the result is a credit amount.

Due

Credit

If Line 2 minus line 3 is a credit amount, enter the amount to the right.

Due

If you wish a refund rather than a carry forward to the next period, check here



Mail To:

Maine Revenue Service

P.O. Box 1065

Augusta, ME

04332-1065

Print Name

Date

Signature and Title

Phone #

BLU-1, Revised 11/11

For assistance in completing this form, call (207) 624-9609

Form Blu-1 - Blueberry Tax Return