Form 1120EXT-ME Fillable Extension payment voucher
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Address MM DD YYYY City Town or Post Office State ZIP Code Corporation Name Federal Employer Identifi cation Number CORPORATIONS *1200300* DO NOT STAPLE OR TAPE CHECK TO YOUR FORM DO NOT CUT FORM DO NOT SEND PHOTOCOPIES OF FORMS Enter the beginning and ending dates for the tax year (NOT the quarter dates) FORM 1120EXT ME MAINE EXTENSION TAX Maine Revenue Services P O Box 9101 Augusta ME 04332 9101 Make check payable to TREASURER STATE OF MAINE Mail both to: MM DD YYYY MM DD YYYY Amount of Payment Original Due Date of PAYMENT VOUCHER FOR Your Federal Tax Return