2004
SUPER RESEARCH AND DEVELOPMENT
TAX CREDIT WORKSHEET
36 M.R.S.A. § 5219-L
TAXPAYER NAME: _________________________________________ EIN/SSN: __________________
Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.)
making an eligible investment, see instructions. Also, please provide name and ID number of the
pass-through entity on the lines below.
NAME OF PASS-THROUGH ENTITY
EIN/SSN
_________________________________________________________
______________________
1.
Total qualified research expenses spent for research conducted in Maine during tax
year 2004 (federal Form 6765, Section A, line 8 or Section B, line 25) ...................... 1. ______________
2.
Super credit base amount
Qualified Research expenses spent for research conducted in Maine for the 3 taxable
years immediately preceding June 12, 1997. For calendar year filers, these are:
1994
_______________
1995
_______________
1996
_______________
Total
_______________
÷ 3 =
_______________ x 1.5 = Super credit base amount ..................................... 2. ______________
3.
Qualified research expenses in excess of super credit base amount
(subtract line 2 from line 1).......................................................................................... 3. ______________
4.
Carryover from previous years (see instructions) ........................................................ 4. ______________
5.
Total credit available this year (add line 3 and line 4) ................................................ 5. ______________
6.
2004 tax after other credits (Form 1120ME, line 7a minus other credits claimed
on Schedule C, or Form 1040ME, line 23 minus Schedule A, Line 3c, minus
other credits claimed on Schedule A). .......................................................................... 6. ______________
7.
Line 6 x 50% (0.50) ..................................................................................................... 7._____________
8.
Year 2003 tax less credits
(2003 Form 1120ME, line 7c minus 8c, or 2003 Form 1040ME, line 26) ................... 8._____________
9.
Subtract line 8 from line 6 and enter the difference here .............................................. 9._____________
10. Credit Amount: Enter the smaller of line 5, line 7, or line 9
(enter here and on Form 1120ME, Schedule C, line 29h or Form 1040ME,
Schedule A, line 13) ..................................................................................................... 10. _____________
Rev. 01/05