Individuals who are considered to be residents of both Maine (excluding Safe Harbor residents) and another state for
Taxpayers who claim credit for income tax paid to more than one other jurisdiction: The credit for each jurisdiction
(Name of other taxing jurisdiction)
(Part year residents see special instructions on page 2)
(SSN)
(tax payments made to other taxing jurisdictions for prior year tax liabilities cannot be considered when computing this
(TAXPAYER NAME)
1 Maine adjusted gross income from Form 1040ME page 1 line 16 1
1040ME line 16 minus Schedule NR line 6 or Schedule NRH line 6 column C)
2 Income sourced to and taxed by other jurisdictions included in line 1 2
3 Percentage of income taxed by other jurisdictions (divide line 2 by line 1 if line 2 is
36 M R S A 5217 A
4 Limitation of Credit:
a Multiply Form 1040ME page 1 line 20 by line 3 above 4a
Allowable Credit line 4a or 4b whichever is less Enter here and on
and estimated tax payments) based on the percentage of the income that was received while a Maine resident
and Maine Rule 806 The income considered taxed by the other jurisdiction is income after deductions that is analogous to
and that was taxed by the other jurisdiction while a Maine resident Do not include any income that was earned
available at www maine gov/revenue/forms (click on Income Tax Guidance Documents)
b Income taxes paid to other jurisdiction on income shown on line 2 4b
CREDIT for INCOME TAX PAID to
credit); and
Do not enter the amount withheld on line 4b See note below
Do not report income taxes withheld on this line
Enclose with your Form 1040ME
Enter income included on line 1 (based on income entered on Maine Worksheet B column C) that is sourced to
Enter the amount of income tax actually paid to the other jurisdiction on the income shown on line 2 This is the
Enter the Maine tax related to the Maine adjusted gross income shown on line 1 (Form 1040ME line 20 minus
For more information see the Guidance Document for Credit for Tax Paid to Other Jurisdictions
Form 1040ME line 25) multiplied by the ratio on line 3
greater than line 1 enter 1 0000) 3
If income taxes were paid to the other jurisdiction on income received while both a resident and a nonresident of
income for purposes of Schedule NR or Schedule NRH For a description of Maine source income see 36 M R S A 5142
Income sourced to another state must be determined in the same way that a Maine nonresident calculates Maine source
income tax purposes may qualify for a dual resident credit under 36 M R S A 5128 For more information see www
instructions below For more information see the Guidance Document for Credit for Income Tax Paid to Other
jurisdiction if all the following conditions are met:
Jurisdictions available at www maine gov/revenue/forms (click on Income Tax Guidance Documents)
Line 1 Enter the Maine adjusted gross income while a Maine resident excluding period of Safe Harbor residency (Form
Line 2
Line 4a
Line 4b
Line 4b is the income tax assessed by the other jurisdiction minus any tax credits (except withholding and estimated tax
Maine adjusted gross income (federal adjusted gross income plus or minus income modifications)
maine gov/revenue/forms or call (207) 626 8475
Maine prorate the amount of the income taxes paid to that jurisdiction minus any tax credits (except withholding
Maine Schedule A line 7 5
must be computed separately Use a separate worksheet for each jurisdiction Print the name of the other jurisdiction in
Name of other taxing jurisdiction:
Note: You may photocopy this page if you need additional worksheets
OTHER JURISDICTION
Part year residents may claim a credit for tax paid to another jurisdiction on income earned during the period of Maine
payments)
political subdivision of a foreign country that is analogous to a state of the United States;
qualify for both the credit for tax paid to another jurisdiction and the nonresident credit must follow the special
residency only (excluding period of Safe Harbor residency) if all the above conditions are met Part year residents who
Residents (excluding Safe Harbor residents) may claim a credit against Maine income tax for income tax paid to another
Rev 10/12
Special instructions for PART YEAR RESIDENTS
tax liability on the income shown on line 2 minus any tax credits (except withholding and estimated tax payments)
TAXPAYER NAME: SSN:
the income taxed by the other jurisdiction is derived from sources in that jurisdiction
the other jurisdiction is another state a political subdivision thereof the District of Columbia Canadian Province or any
the space provided above line 1 Add the line 5 results together and enter the total on Maine Schedule A line 7 Enclose
the tax paid to the other jurisdiction is directly related to the income received during the tax year covered by this return
to OTHER JURISDICTION
while a nonresident or a Safe Harbor resident of Maine
with your Form 1040ME You must also attach a copy of the income tax return filed with the other jurisdiction
WORKSHEET for CREDIT for INCOME TAX PAID
WORKSHEET INSTRUCTIONS
You must also attach a copy of the income tax return filed with the other jurisdiction