Form 1041EXT-ME Fillable Extension Payment Voucher
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

*1109600* 1041ME EXT for FIDUCIARY INCOME TAX ADDRESS OF FIDUCIARY (NUMBER and STREET) AMOUNT OF PAYMENT CITY STATE ZIP CODE DO NOT STAPLE OR TAPE CHECK TO YOUR FORM DO NOT CUT FORM DO NOT SEND PHOTOCOPIES OF FORMS EXTENSION PAYMENT VOUCHER Mail with check or money order payable to TREASURER STATE OF MAINE to: Maine Revenue Services P O Box 9101 Augusta ME 04332 9101 NAME AND TITLE OF FIDUCIARY OR TRUSTEE FIDUCIARY SSN OR EIN (do not enter / or ) NAME OF ESTATE OR TRUST ESTATE/TRUST EIN need to file 1041ME EXT or mail this completed form to make your extension payment Pay electronically using Maine EZ Pay at www maine gov/revenue and eliminate the Please STATE OF MAINE Type or Print