Form Schedule 1 Fillable Income modifications / pension income deduction worksheet - rev. Jan. 5, 2015
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

i Total additions (Add lines 1a through 1h) 1i Pension benefi ts that do not qualify are those received from an $10 000 00 $ 10 000 00 ( MePERS ) allowed to be deducted on Form 1040ME Schedule 1 (Do not enter non Maine source income on line 2k) (from federal Form 1040A line 12b or federal Form 1040 line 16b) 6 (If negative enter a minus sign in the box to the left of the number) 3 00 (qualified pension plans including qualified 401 SIMPLE plans) (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) *Eligible pension income does not include benefits earned byanother person except in the case of a surviving spouse Onlythe individual that earned the benefit from prior employment mayclaim the pension income for the deduction However a widowedspouse receiving survivor s benefits under an eligible pensionplan may claim that amount for purposes of this deduction butthe total pension deduction for the surviving spouse may notexceed $10 000 *Use this column only if filing married joint return and only if spouse separately earned an eligible pension 1 ADDITIONS to federal adjusted gross income 2 Enter amount from federal Schedule A line 1 $ 2 Maximum allowable deduction 2 2 SUBTRACTIONS from federal adjusted gross income 2014 WORKSHEET for Maine Schedule 1 line 2f 2014 Worksheet for Pension Income Deduction Schedule 1 Line 2d 3 Enter amount of long term care premiums included in line 2 above $ 3 Net Modification (Subtract line 2l from line 1i enter here and on 1040ME page 1 line 15) 3 Total social security and railroad retirement benefits you received whether taxable or not 3 4 Divide line 3 by line 2 401(k) (qualified cash or deferred arrangements) and 403 (employee 457(b) (state and local government/tax exempt organizations/eligible 55 that is not part of a series of equal periodic payments made over 6 Enter amount of long term care insurance premiums included on federal Form 1040 line 29 $ 6 Total eligible military retirement pay included in your federal adjusted gross income 7 Add line 5 and line 6 7 7 Subtract line 5 and line 6 from line 1 Enter result here and on Schedule 1 line 2f $ 8 Enter the smaller of line 2 or line 7 here and the total for both spouses on Schedule 1 line 2d 8 a Income from municipal and state bonds other than Maine 1a a U S Government Bond interest included in federal adjusted gross income (See instructions) 2a accounts under IRC section 408(k) simplified employee pension and federal pension benefits and retirement benefits received from annuities) Deductible pension income also includes benefi ts received applicable may not be included in the deductible pension amount Attachment Attachment b Net Operating Loss Recovery Adjustment (Attach a schedule showing your calculation) 1b b State Income Tax Refund (Only if included in federal adjusted gross income) 2b beneficiary See instructions) 2h benefits received whether taxable or not Bonds included in federal adjusted gross income (See instructions) 2e c Maine Public Employees Retirement System Contributions 1c c Social Security and Railroad Retirement Benefits included in federal adjusted gross d Domestic Production Activities Deduction Add back (See instructions) 1d d Pension Income Deduction (Complete and attach the worksheet on back) 2d Deductible pension income includes military retirement pay state deduction may not be taken when a taxpayer converts a traditional deductions and federal Schedule A line 4 is greater than zero or you are self employed and federal Form 1040 line 29 is greater than zero deferred compensation plans) except that pick up contributions does not qualify for the pension income deduction For example a during 2014 which have been previously taxed by the state 2g e Bonus Depreciation Add back (See instructions) 1e e Interest from Maine Municipal General Obligation Private Activity and Airport Authority Enclose this Worksheet and copies of your 1099 form(s) with your Form 1040ME Enclose with your Form 1040ME Enter amount from federal Schedule A line 4 $ and multiply by percentage on line 4 above $ Enter the smaller of line 1 or line 4 here Enter total amount of long term care insurance premiums paid during 2014: $ f Maine Capital Investment Credit Bonus Depreciation Add back (See instructions) 1f f Premiums for Long Term Care Insurance (Do not include health insurance premiums on this line) federal Form 4972 and distributions subject to the additional 10% federal tax on early distributions (see federal Form 5329 Part 1 For individuals claiming a deduction for long term care insurance premiums Complete this worksheet only if you claim Maine itemized For more information visit www maine gov/revenue/forms For more information visit www maine gov/revenue/forms *1402203*2014SCHEDULE 1 Form 1040 lines 15b and 16b) CAUTION: Include only deductible pension benefits that are FORM 1040ME from an individual retirement account under IRC section 408 Roth g Fiduciary Adjustment additions only (Attach a copy of your federal Schedule K 1) 1g g Maine Public Employees Retirement System Pick Up Contributions paid to the taxpayer gross income Except for military retirement pay the $10 000 cap h Contributions to Qualified Tuition Programs 529 Plans (Limited to $250 per h Other (See instructions) (Attach worksheet(s)) 1h i Fiduciary Adjustment subtractions only (Attach a copy of your federal Schedule K 1) 2i income (See instructions) 2c INCOME MODIFICATIONS ineligible deferred compensation plan under IRC section 457(f) IRA accounts under IRC section 408A SIMPLE individual retirement IRA to a Roth IRA The taxpayer in this case does not receive a its employees under Internal Revenue Code (IRC) sections 401(a) j Bonus Depreciation and Section 179 Recapture (See instructions) 2j k Other (See instructions) (Attach worksheet(s)) 2k l Total Subtractions (Add lines 2a through 2k) 2l line 2g and pension income from 457(b) plans received prior to age line 6 must be reduced by any social security and railroad retirement Name(s) as shown on Form 1040ME Name(s) as shown on Form 1040ME Your Social Security Number *1402203*2014SCHEDULE 1 not specifically excluded See the instructions above 1 Note that a conversion of benefits from one account to another NOTE: Enter eligible non military pension benefits on line 1 and eligible military retirement pay on NOTE: If you itemize deductions or are self employed complete and attach the worksheet on back 2f of eligible pension income* that is included in your federal adjusted or federal Form 1040 line 59) Also disability benefits reported as plans established and maintained by an employer for the benefi t of plans under IRC section 408(p) benefits received under IRC section received from the Maine Public Employees Retirement System refunds of excess contributions lump sum distributions included on retirement or IRA benefit at the time of conversion SCHEDULE 1 INCOME MODIFICATIONS For Form 1040ME line 15 See instructions on pages 3 and 4 Sequence No 4 Sequence No 5 Spouse* Subtract line 3 from line 2 (if zero or less enter zero) Taxpayer the life of the recipient and the recipient s designated benefi ciary if Total eligible non military pension income (both Maine and non Maine sources) included in wages on your federal income tax return do not qualify You and your spouse (if married) may each deduct up to $10 000 your federal adjusted gross income (from federal Form 1040A lines 11b and 12b or federal Your Social Security Number