High-Technology Investment Tax Credit Worksheet For Tax Year 2015 36 M.r.s. 5219-M

HIGH-TECHNOLOGY INVESTMENT TAX CREDIT

WORKSHEET FOR TAX YEAR 2015

36 M.R.S. § 5219-M

TAXPAYER NAME: _____________________________________ EIN/SSN: ________________

Note: Owners of pass-through entities (such as partnerships, LLCs, S corporations, and trusts) making an eligible

investment, see instructions. Enter name and ID number of the entity on the lines below. Also enter your ownership

percentage in the pass-through entity for the tax year.

OWNERSHIP

NAME OF PASS-THROUGH ENTITY

EIN/SSN

PERCENTAGE

_______________________________________________

_______________________

________ %

Carryforward from previous year ........................................................................................................... 1. _____________________

Investment credit base for purchased eligible equipment ..................................................................... 2. _____________________

Amount of investment credit base from line 2 also claimed as a business

deduction for federal tax purposes. Enter here and on Form 1120ME, line

4g or 1040ME, Schedule 1, line 1h or Form 1041ME, Schedule 1, line 1g .......................................... 3. _____________________

Lease payments on eligible equipment ................................................................................................. 4. _____________________

Total credit available this year. Line 1 plus line 2 plus line 4 ................................................................ 5. _____________________

2015 tax (Form 1120ME, line 7a plus credit recapture amounts included in line 7b or

Form 1040ME, line 21 or Form 1041ME, Schedule A, line 18) ............................................................. 6. _____________________

2014 tax (Form 1120ME, line 7a plus credit recapture amounts included in line 7b or

Form 1040ME, line 21 or Form 1041ME, Schedule A, line 15) ............................................................. 7. _____________________

Other 2014 credits (Form 1120ME: line 8e plus Schedule C, line 29o minus Schedule C

line 29i; Form 1040ME: lines 25c and 25d plus Schedule A, line 20 minus Schedule A,

line 14; Form 1041ME: Schedule A, line 14 minus line 8 plus any amount of the Rehabilitation

of Historic Properties Tax Credit claimed on Form 1041ME, line 7a). If zero or less, enter zero .......... 8. _____________________

2014 tax less other credits (line 7 minus line 8) .................................................................................... 9. _____________________

10. Subtract line 9 from line 6 and enter the difference here. If zero or less, enter zero .......................... 10. _____________________

11. Other 2015 credits (Form 1120ME: line 8c plus 8e minus Schedule C, line 29h and the family

development account credit included in Schedule C, line 29n; Form 1040ME: lines 25c and 25d

plus Schedule A, line 21 minus the super credit for substantially increase research included in

Schedule A, line 16 and the family development account credit included in Schedule A, line 20;

Form 1041ME: Schedule A, line 4 plus line 19 minus any amounts included in Schedule A lines 12

or 16 related to the super credit for substantially increased research or the family development

account credit). If zero or less, enter zero ........................................................................................... 11. _____________________

12. 2015 tax less other credits (line 6 minus line 11). If zero or less, enter zero ...................................... 12. _____________________

13. Credit amount. Enter the lowest of line 5, line 10, line 12 or $100,000.

(Enter allowable credit on Form 1120ME, Schedule C, line 29i or Form

1040ME, Schedule A, line 15 or Form 1041ME, Schedule A, line 11) ................................................ 13. _____________________

Unused credit amounts may be carried forward for up to ﬁ ve taxable years.

Rev. 08/15