Form 941ME 2018 Employer's Return of Maine Income Tax Withholding - Maine

Form 941ME or the "Employer's Return Of Maine Income Tax Withholding" is a form issued by the Maine Department of Administrative and Financial Services.

Download a PDF version of the Form 941ME down below or find it on the Maine Department of Administrative and Financial Services Forms website.

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FORM 941ME
MAINE REVENUE SERVICES
99
EMPLOYER’S RETURN
2018
*1706200*
OF MAINE INCOME TAX WITHHOLDING
Due on or Before:
Quarterly Period Covered:
QUARTER #
2018 -
2018
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
1.
Maine income tax withheld
for this quarter
(from
.
Withholding Account Number:
Schedule 2, line 7a or
8b) ..... $
2a. Payments made (semiweekly
payments from Schedule 1, line
5 plus, if amended, any payments
made with, or after fi ling, the
Name
.
original return) ...................... $
2b. If amended, overpayment on
original return or as previously
Address
.
adjusted ................................ $
2c. Line 2a minus line 2b. If
negative, enter a minus sign
City
State
ZIP Code
to the left of the number ........ $
A.
Check here if MRS granted a waiver allowing you to exclude non-
wage withholding from Schedule 2. See instructions. ..................A.
3a. Amount due with this return
.
(See
instructions) .................... $
B.
Check here if this is an amended return. See instructions ............B.
3b. Overpayment to be refunded
.
(See
instructions) .......................$
C.
Check here to close your withholding account. To close your
unemployment compensation account, or update your business
information, use Form 941BN-ME .................................................C.
If this is an amended form received after the end of the calendar year to which it applies, check each box on line 4 that applies, include a detailed
explanation of the adjustments and attach any supporting documentation to this return.
Note: Pursuant to 36 M.R.S. § 5276, if there is an overpayment of tax required to be deducted and withheld under § 5250, a refund shall be made to
the employer only to the extent that the overpayment was not deducted and withheld by the employer.
4. By checking the box(es) below, I certify that:
the overpayment on line 3b is not attributable to income taxes withheld from employees or payees OR that portion of overpayment
identifi ed on line 3b attributable to overcollected income tax withholding for the current calendar year has been repaid to employees
and written statements have been obtained for each employee stating that the employee has not claimed and will not claim a refund or
credit of the amount of the overcollection.
payee statements (Forms W-2/W-2C or original/corrected 1099 statements) have been issued to employee(s) or payee(s) identifi ed as
amended on Schedule 2, and I am enclosing copies of these forms to verify my refund request.
I am enclosing an amended Form W-3ME (Reconciliation of Maine Income Tax Withheld) to refl ect changes made on this form.
Explanation of adjustments:
Under penalties of perjury, I certify that the information contained on this return, report and attachment (s) is true and correct.
Signature:
Date:
Print Name:
Telephone:
Contact Person Email:
For Paid Preparers Only
Paid Preparer’s Signature:
Date:
Telephone:
Firm’s Name (or yours, if self-employed):
Paid Preparer EIN:
Address:
Maine Payroll Processor License Number
If enclosing a check, make check payable to:
If not enclosing a check
Treasurer, State of Maine
MAIL RETURN TO:
and MAIL WITH RETURN TO:
MAINE REVENUE SERVICES
MAINE REVENUE SERVICES
P.O. BOX 1065
P.O. BOX 1064
AUGUSTA, ME 04332-1065
AUGUSTA, ME 04332-1064
FORM 941ME
MAINE REVENUE SERVICES
99
EMPLOYER’S RETURN
2018
*1706200*
OF MAINE INCOME TAX WITHHOLDING
Due on or Before:
Quarterly Period Covered:
QUARTER #
2018 -
2018
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
1.
Maine income tax withheld
for this quarter
(from
.
Withholding Account Number:
Schedule 2, line 7a or
8b) ..... $
2a. Payments made (semiweekly
payments from Schedule 1, line
5 plus, if amended, any payments
made with, or after fi ling, the
Name
.
original return) ...................... $
2b. If amended, overpayment on
original return or as previously
Address
.
adjusted ................................ $
2c. Line 2a minus line 2b. If
negative, enter a minus sign
City
State
ZIP Code
to the left of the number ........ $
A.
Check here if MRS granted a waiver allowing you to exclude non-
wage withholding from Schedule 2. See instructions. ..................A.
3a. Amount due with this return
.
(See
instructions) .................... $
B.
Check here if this is an amended return. See instructions ............B.
3b. Overpayment to be refunded
.
(See
instructions) .......................$
C.
Check here to close your withholding account. To close your
unemployment compensation account, or update your business
information, use Form 941BN-ME .................................................C.
If this is an amended form received after the end of the calendar year to which it applies, check each box on line 4 that applies, include a detailed
explanation of the adjustments and attach any supporting documentation to this return.
Note: Pursuant to 36 M.R.S. § 5276, if there is an overpayment of tax required to be deducted and withheld under § 5250, a refund shall be made to
the employer only to the extent that the overpayment was not deducted and withheld by the employer.
4. By checking the box(es) below, I certify that:
the overpayment on line 3b is not attributable to income taxes withheld from employees or payees OR that portion of overpayment
identifi ed on line 3b attributable to overcollected income tax withholding for the current calendar year has been repaid to employees
and written statements have been obtained for each employee stating that the employee has not claimed and will not claim a refund or
credit of the amount of the overcollection.
payee statements (Forms W-2/W-2C or original/corrected 1099 statements) have been issued to employee(s) or payee(s) identifi ed as
amended on Schedule 2, and I am enclosing copies of these forms to verify my refund request.
I am enclosing an amended Form W-3ME (Reconciliation of Maine Income Tax Withheld) to refl ect changes made on this form.
Explanation of adjustments:
Under penalties of perjury, I certify that the information contained on this return, report and attachment (s) is true and correct.
Signature:
Date:
Print Name:
Telephone:
Contact Person Email:
For Paid Preparers Only
Paid Preparer’s Signature:
Date:
Telephone:
Firm’s Name (or yours, if self-employed):
Paid Preparer EIN:
Address:
Maine Payroll Processor License Number
If enclosing a check, make check payable to:
If not enclosing a check
Treasurer, State of Maine
MAIL RETURN TO:
and MAIL WITH RETURN TO:
MAINE REVENUE SERVICES
MAINE REVENUE SERVICES
P.O. BOX 1065
P.O. BOX 1064
AUGUSTA, ME 04332-1065
AUGUSTA, ME 04332-1064
SCHEDULE 1 (FORM 941ME)
2018
99
Name:
*1706204*
Withholding
Account No.:
Quarterly
-
2018
2018
Period Covered:
MM
DD
YYYY
MM
DD
YYYY
Schedule 1
ing
Reconciliation of Semiweekly Payments of Income Tax Withhold
For employers or non-payroll fi lers required to remit withholding taxes on a semiweekly basis.
Date Wages or Non-
Amount of
Date Wages or Non-
Amount of
Date Wages or Non-
Amount of
wages Paid
Withholding Paid
wages Paid
Withholding Paid
wages Paid
Withholding Paid
Subtotal A
Subtotal B
Subtotal C
.
5. Total payment amount (Enter on Form 941ME, line 2) ................................................................................... $
SCHEDULE 2 (FORM 941ME)
2018
99
*1706201*
Name:
Withholding
Quarterly Period Covered:
Account No.:
2018
2018
MM
DD
YYYY
MM
DD
YYYY
INDIVIDUAL EMPLOYEE / PAYEE WITHHOLDING REPORTING AND CORRECTIONS
If this is an amended return, see instructions before completing this schedule.
A
B
C
D
Original Return
Amended Return
Payee Name (Last, First, MI)
Social Security Number
Withholding
Correct Withholding
.
.
a.
.
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b.
.
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c.
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d.
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e.
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n.
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o.
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p.
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q.
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r.
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s.
6. Total of columns C (line 6a)
.
.
and D (line 6b) on this page ............................. 6a. $
6b. $
7. Total of columns C (line 7a)
.
.
and D (line 7b) for ALL pages ........................... 7a. $
7b. $
8. If amended, enter withholding reported on original
or as previously adjusted from Form 941ME, line 1
(line 8a). Adjusted amount (line 8b). See instructions.
.
Enter line 8b amount on Form 941ME, line 1. .. 8a. $
8b. $

Download Form 941ME 2018 Employer's Return of Maine Income Tax Withholding - Maine

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