SCHEDULE A
ADJUSTMENTS TO TAX
FORM 1040ME
2012
See instructions on page 14.
99
Enclose with your Form 1040ME.
Attachment
*1202103*
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Sequence No.
Name(s) as shown on Form 1040ME
Your Social Security Number
Section 1. TAX ADDITIONS:
(Part-year residents/Nonresidents/“Safe Harbor” residents see instructions on page 14.)
1.
RETIREMENT PLAN DISTRIBUTIONS - Enter the amount from federal Form 1040, line 44
.00
related to lump-sum distributions (federal form 4972) $
x .075 ....................... 1
2.
EARLY DISTRIBUTION FROM QUALIFIED RETIREMENT PLANS - Enter the amount from
.00
federal Form 1040, line 58 related to early distributions $
x .075 .................. 2
.00
3.
TOTAL ADDITIONS - Add lines 1 and 2. Enter result here and on 1040ME, page 1, line 21 .......... 3
Section 2. TAX CREDITS (See instructions for details):
4.
CREDIT FOR THE ELDERLY - Enter amount from federal Form 1040, line 53 related to credit
.00
for the elderly or federal Form 1040A, line 30 $
x .20 ...................................................*4
5.
CHILD CARE CREDIT - Enter amount from line 6 of the Child Care Credit Worksheet on
.00
page 14. Enclose the worksheet with your return. ....................................................................*5
6.
EARNED INCOME TAX CREDIT - Enter amount from federal Form 1040, line 64a or
.00
federal Form 1040A, line 38a or federal Form 1040EZ, line 8a $
x .05 ...................*6
7.
CREDIT FOR INCOME TAX PAID TO OTHER JURISDICTIONS - Enter the amount from line 5
.00
from the worksheet for the Credit for Income Tax Paid to Other Jurisdictions available at ..............7
.00
8.
MAINE SEED CAPITAL CREDIT (Enclose worksheet-see instructions) ..................................8
.00
9.
CREDIT FOR EDUCATIONAL OPPORTUNITY (Enclose worksheet-see instructions) ............ 9
.00
10. MAINE CAPITAL INVESTMENT CREDIT (Enclose worksheet-see instructions) .................... 10
.00
11. RESEARCH EXPENSE TAX CREDIT (See instructions) .......................................................... 11
.00
12. RESEARCH & DEVELOPMENT SUPER CREDIT (See instructions) ....................................... 12
.00
13. HIGH-TECHNOLOGY CREDIT (Enclose worksheet-see instructions) .................................... 13
.00
14. MAINE MINIMUM TAX CREDIT (Enclose worksheet-see instructions) .................................. 14
.00
15. MEDIA PRODUCTION CREDIT (Enclose worksheet-see instructions) .................................. 15
16. PINE TREE DEVELOPMENT ZONE CREDIT - Enter the amount from the Credit Application
.00
Worksheet (Enclose worksheet-see instructions) ................................................................... 16
.00
17. FOREST MANAGEMENT PLANNING CREDIT (Supporting documentation must be included). 17
.00
18. OTHER TAX CREDITS - List
(See instructions) ... 18
.00
19. TOTAL CREDITS - Add lines 4 through 18. ................................................................................... 19
.00
20. MAINE INCOME TAX - Form 1040ME, line 23 ............................................................................. 20
21. ALLOWABLE CREDITS - Amount on line 19 or line 20, whichever is less. Enter here and
.00
on FORM 1040ME, line 24 ........................................................................................................... 21
*NOTE: Personal credits (lines 4, 5, 6 and 9 above) taken by part-year residents, nonresidents and “Safe Harbor” residents are prorated based on the ratio of Maine-
source income to total income. For lines 4 and 6, this is done on Schedule NR, line 8 or Schedule NRH, line 10. Line 5 is prorated on the Worksheet for Child Care Credit.
Line 9 is determined on the related credit worksheet. Maine business credits are claimed in their entirety, up to the Maine tax liability (carryover provisions may apply).
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