Form 1040X-ME Fillable amended income tax return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 6 0 0 0 0 0 c Number of your dependents In Column B enter the net increase or net decrease for each $1 000 $15 000 (: ln1) Unchecked (: ln1) Unchecked (: ln1) Unchecked (: ln1) Unchecked (: ln1) Unchecked (: ln2) Unchecked (: ln2) Unchecked (: ln2) Unchecked (: ln2) Unchecked (: ln2) Unchecked (: ln3) Unchecked (: ln3) Unchecked (: ln3) Unchecked (: ln4) Unchecked (: ln4) Unchecked (: ln4) Unchecked (: ln5) Unchecked (: ln5) Unchecked (207) 621 4300 or email compliance tax@maine gov (checkbox) Unchecked (checkbox) Unchecked (Explain on page 2) (Month) (Day) (Year) (Month) (Day) (Year) (Note: Be sure to complete the reverse side) (Partnerships LLCs and S corporations only) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (undefined) (undefined) (undefined) *1201800* *1201801* *1201802* *For NextGen Accounts enter 043000261 on line 24b and the account owner s 9 digit social security number on line 24d 1 Federal Adjusted gross income 1 10 Use Tax 10 1040X ME AMENDED 10a Sales Tax on Casual Rentals of Living Quarters 10a 11 Voluntary/Charitable Contributions and Park Passes 11 12 Tax Credits (Attach Maine Schedule A) 12 13 Nonresident Credit (Attach Maine 14 Net Tax and Contributions (Line 7 plus lines 15 Maine Income Tax Withheld 15 16 Estimated Tax Payments and Deposits 17 Refundable Credit for Rehabilitation 18 Refundable Child Care Credit 18 180 days of the final determination of the change or correction or the 19 Paid with original return plus additional payments after original was fi led 19 2 Attach the completed Schedule 2 to your Maine amended return 2 Income Modifications (See instructions) 2 20 Total Payments (Add lines 15 through 19 in column C) 20 21 Overpayment if any on original return or as previously adjusted by Maine 21 22 Subtract line 21 from line 20 (See instructions) 22 23 AMOUNT YOU OWE If line 14 column C is more than line 22 enter the difference 23 24 REFUND to be received If line 14 column C is less than line 22 enter the difference 24a 24b Routing Number* 24c Type of Account: Checking 3 Maine Adjusted Gross Income (Line 1 plus 4 Deduction Standard Itemized 4 5 Personal Exemption Amount 5 6 Taxable Income (Line 3 minus lines 4 7 Tax (From tax tables) 7 8 10 10a and 11 minus lines 9 12 and 13) 14 8 Tax Additions (Attach Maine Schedule A) 8 9 Low Income Credit 9 A As Last Filed A Form 1040X ME based on a bad debt or worthless security must Above your name enter the calendar year or fi scal year of according to the modifications required by Maine Form 1040ME Schedule adjusted with any other changes you or your spouse are making to Age and Blindness Check the appropriate boxes for you and your amount as well as the refund amount shown on the original return Payment Plan Check the box below your signature(s) if you are amounts from your spouse s return as originally filed or as previously an original return include your spouse s income deductions credits and 2011 For additional information on the tax treatment of and 5) 6 and add it to the amount on line 14 Enter the result on line 23 This and instructions are also available at www maine gov/revenue/forms and park passes listed on line 11 must agree with the total amount any tax year File a separate Form 1040X ME for each year you are amending area of the return as shown on the original return If your post office does not attach a copy of your federal amended return (Form 1040X) or B Net Change B Net Change(Explain on page 3) C Correct Amount be filed within 3 years after the date the original return was fi led or being amended Note that Net Operating Loss (NOL) carryover Blind box number instead of your home address If your address is C Correct Amount CANNOT BE CHANGED Check here if this refund Check if this is an amended composite return Check if you were engaged in commercial farming or fishing Check if: City/town Claiming a Refund for a Deceased Taxpayer If you are a surviving Column A or subtract the Column B decrease from Column A For any Columns A C: Commercial Farming or Fishing Check the box if at least twothirds CONTRIBUTION and copy of d Total number of exemptions DATE SIGNED DATE SIGNED Death of Taxpayer If you are filing Form 1040X ME for a deceased deductible the instructions for the original return you are amending deductions are not allowed for tax years beginning in 2009 2010 deductions attach Schedule A (federal Form 1040) and Maine deliver mail to your home and you have a P O Box enter the determine the amounts to enter in column B If your spouse did not file during the tax period shown above each change on page 3 of the form and attach any related schedule enter date of death etc in determining the amounts to enter in Column B Both of you must Example Anna Arbor had originally reported $15 000 as her total income on her 2012 return She received an additional Form W 2 Exemptions EXPLANATION OF CHANGES: Explain the changes made to income deductions and credits Enter the line number from pages 1 and 2 for eachitem you are changing and give the reason for each change Attach supporting documents for each item changed Be sure to include your name and File Form 1040X ME only after you have filed your original return filing joint filing separate household widow(er) filing of the federal amended return Filing status claimed Note: You cannot change from joint to separate returns after the due date has passed Filing Status If you and your spouse are changing from separate FIRM S NAME (OR YOURS IF SELF EMPLOYED): for $1 000 after she filed her tax return Ms Arbor would complete line 1 of Form 1040X ME as follows: For tax period for the year amended to calculate the corrected tax The related FORM 1040X ME PAGE 2 FORM 1040X ME PAGE 3 from commercial farming or fishing Include your spouse s income from the instruction booklet you used to file the original return GENERAL INSTRUCTIONS generally be filed within 7 years after the due date of the return for the tax Generally to receive a refund of taxes paid Form 1040X ME must gov/revenue or enclose (do not staple or tape) a check or money Injured Spouse Check the box below your signature(s) if you are has been made in the filing of your original Maine income tax return has changed from your original return enclose the Child Care Credit Head of historic properties after 2007 If this has changed from your original Home address (number street and apt no ) Home phone number homepage html (select Income Tax Guidance Documents) If enclosing a check make check payable to: Treasurer State of Maine and MAIL WITH RETURN TO: MAINE REVENUE SERVICES PO BOX 1067 AUGUSTA ME 04332 1067 If NOT enclosing a check MAIL RETURN TO: MAINE REVENUE SERVICES PO BOX 1066 AUGUSTA ME 04332 1066 If spouse is deceased If taxpayer is deceased If you are filing Form 1040X ME as a surviving spouse fi ling a IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT ($10 000 or less) OR TO A NEXTGEN COLLEGE IMPORTANT NOTE In Column A enter amounts from your return as originally filed In Column C add the increase in Column B to the amount in in the following order: city province or state postal code and in your calculation if you are filing a joint return Include your complete name address and telephone number on and related instructions) For more information call (207) 624 9595 Income and Deductions income tax purposes for the tax year being amended Information on Income Deductions and other items If you have INVESTING PLAN ACCOUNT fill in the lines below is the amount you owe If the amount you owe is less than $1 00 do item you do not change enter the amount from Column A in Column C joint return with the deceased write Filing as surviving spouse in Keep a knowledge and belief they are true correct and complete Declaration of preparer (other than taxpayer) is based on all information of which Line 11 The correct amount of your voluntary/charitable contributions Line 17 Include on line 17 your refundable credit for rehabilitation of Line 18 Include in line 18 your refundable child care credit If this line Line 2 For purposes of the income modifications on line 2 follow Line 21 The overpayment on line 21 must include any carryforward will calculate the interest and send you a bill Line 22 If line 22 is a negative amount treat it as a positive amount Line 4 Modify itemized deductions claimed on line 4 Column C Line 7 To determine the tax for line 7 Column C utilize the tax tables line you are changing Show all decreases in parentheses Explain Maine Individual Income Tax Return Maine return a: Maine Revenue Services contacts you For more information call Married Married may help you Be sure to use the Tax Table or Tax Rate Schedules ME to claim the refund If you are a court appointed personal Ms Arbor would also report any additional income tax withheld on line 15 in Column B Name Address and Social Security Number If amending a joint NextGen NOL income modifi cations visit www maine gov/revenue/forms/ not pay it Remit your payment using Maine EZ Pay at www maine Number on original return of Historic Properties after 2007 17 of Person Claiming a Refund Due a Deceased Taxpayer and any of your gross income during the tax year being amended was On original return On original return Resident Safe Harbor Nonresident Part year Nonresident On this return On this return a On this return Resident Safe Harbor Nonresident Part year Nonresident or Adjusted or as you last amended it or form For example if you are amending your return to itemize or minus line 2) 3 or over order payable to Treasurer State of Maine with Form 1040X ME an innocent/injured spouse (see federal Form 8379 or Form 8857 other information required by its instructions outside the United outside the United States or its possessions or territories enter PARK PASS AMOUNTS preparer has any knowledge Preparer s PREPARER S PHONE NUMBER PREPARER S SIGNATURE: PREPARER S SSN or PTIN Purpose of Form You must file an amended Maine income tax Qualifying questions such as what income is taxable or what expenses are records refund file Form 1040X ME and attach Form 1310ME Statement Refund or Amount You Owe representative he or she must also sign representative or any other person claiming a deceased taxpayer s requesting a payment plan Your first payment should be submitted Residency status claimed Resident resident Alien return as originally filed or as previously adjusted Next combine the return enclose the Rehabilitation of Historic Properties Tax Credit return filed early is considered filed on the date it was due return for return if (1) you have filed an amended federal income tax return return list your names and social security numbers in the same order returns to a joint return enter in column A the amounts from your revised 09/12 revised 09/12 DO NOT SEND PHOTOCOPIES OF RETURNS Savings Schedule 2 When filing Maine Form 1040X ME be sure to Schedule NR or NRH) 13 schedules and forms may also help you To receive prior year forms schedules and instructions call (207) 624 7894 Forms schedules Service has made a change or correction to your federal income Short Form Long Form shown on your original return sign Form 1040X ME If there is any tax due it must be paid in full Single social security number on the attachments SPECIFIC INSTRUCTIONS SPECIFIC INSTRUCTIONS spouse filing a joint return with the deceased file only Form 1040X spouse if you or your spouse were 65 or over and/or blind for federal Spouse Number of boxes checked on a and b Spouse s first name Initial Spouse s last name SPOUSE S OCCUPATION SPOUSE S SIGNATURE (IF JOINT RETURN BOTH MUST SIGN): Spouse s social security number Spouse was 65 State Zip code States 24d Account Number* tax return that affects your Maine income tax liability; or (3) an error taxpayer write in the date of death in the spaces above the signature that affects your Maine income tax liability; (2) the Internal Revenue the area where you sign the return If someone else is the personal the information on the line for City/town state and ZIP code the instructions for Form 1040ME Schedule 1 for the tax year the Internal Revenue agent s report If you need more space show the name of the country Do not abbreviate the country name the required information on an attached statement the return you are amending Under penalties of perjury I declare that I have examined this return and accompanying schedules and statements and to the best of my Use Form 1040X ME to correct Maine income tax returns for Was your original When to File Amended Maine income tax returns must be fi led within will go to an account with Extension(s) 16 with your return and you should continue to make payments until within 3 years after the date the tax was paid whichever is later A Work phone number Worksheet showing the computation for this credit year in which the debt or security became worthless You were 65 your check or money order If you owe additional tax on line 23 we or email compliance tax@maine gov Your first name Initial Your last name YOUR OCCUPATION YOUR SIGNATURE: Your social security number Yourself b