Form 1040me - Maine Individual Income Tax - Long Form - 2004
ADVERTISEMENT
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*0402100*
MAINE INDIVIDUAL INCOME TAX
1040ME LONG FORM
00
For tax period
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/
/
/
0 4
*0402100*
to
1/1/04 to 12/31/04 or
Check here if this is a Composite Return (Partnerships, LLCs, and S Corporations only)
IMPORTANT!
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You must enter your SSN(s) below.
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Your Social Security Number
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-
Spouse’s Social Security Number
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Home Phone Number
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Work Phone Number
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Check this box if your name or address has changed since last year.
Write your correct name(s), address and ssn(s) in the spaces provided
NOTE: If either spouse is deceased, enter the date of death on the
above. Do NOT use the label if your name or address has changed.
back of this page in the spaces provided above the signature area.
1 Maine Clean Election Fund – (See instructions on page 6.) NOTE: Checking
2 Check here if you were engaged in
the box will not increase your tax or reduce your refund.
YES
NO
COMMERCIAL FARMING OR FISHING
Do you want $3 to go to this fund .......................................................
during 2004. (See Instructions)
If a joint return, does your spouse want $3 to go to this fund ............
12 CHECK IF:
You
Spouse
FILING STATUS (Check one)
RESIDENCY STATUS (Check one)
were
was
3
Single
4
Married filing joint return (Even if only one had income)
8
Resident
65 or over ........... 12a
12c
5
Married filing separate return. Enter spouse’s social
9
Part-Year Resident
Blind ................... 12b
12d
security number and full name above.
10
Nonresident
6
Head of household (With qualifying person)
11
Nonresident Alien
7
Qualifying widow(er) with dependent child
13
Enter the TOTAL number of EXEMPTIONS claimed on
(Year spouse died
)
your federal return ...............................................................
14 FEDERAL ADJUSTED GROSS INCOME. (See instructions on page 6 for
line references to federal forms. If negative, enter a minus sign in the box
,
,
.
to the left of the number.) .................................................................................... 14
15 INCOME MODIFICATIONS. (From Schedule 1, line 3. If negative, enter a
,
,
.
minus sign in the box to the left of the number) .............................................. 15
16 MAINE ADJUSTED GROSS INCOME. (Line 14 plus or minus line 15.
,
,
.
If negative, enter a minus sign in the box to the left of the number.) ............ 16
,
,
.
17 DEDUCTION.
Standard (See Instructions on page 6) ............................... 17
Itemized (From Schedule 2, line 7)
,
.
18 EXEMPTION. Multiply the number of exemptions on line 13 by $2,850 ............................................ 18
19 TAXABLE INCOME. (Line 16 minus lines 17 and 18. If negative, enter a minus
,
,
.
sign in the box to the left of the number.) ......................................................... 19
20 INCOME TAX. (Find the tax for the amount on line 19 in the tax table on
,
,
.
pages 31-35) (If line 19 is negative, enter zero.) ................................................. 20
,
,
.
21 TAX ADDITIONS. (From Maine Schedule A, line 4.) .......................................... 21
22 LOW-INCOME TAX CREDIT. (See instructions.
NOTE: If you qualify for this
,
.
credit, you must file a return only if you are claiming a refund.)
............................................................. 22
,
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.
23 TOTAL TAX. (Line 20 plus line 21 minus line 22) ................................................ 23
,
,
.
24 TAX CREDITS. (From Maine Schedule A, line 21) ............................................... 24
25 NONRESIDENT CREDIT. (For nonresidents and part-year residents only) (From
,
,
.
Schedule NR, line 9 or NRH, line 11-You MUST attach a copy of your federal return.) ... 25
,
,
.
26 NET TAX. (Subtract lines 24 and 25 from line 23) (Nonresidents see instructions) .. 26
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