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

*1234200* A State of Maine extension request form is not necessary To make a payment of tax due Address Federal ID Number Augusta ME 04332 9101 Caution: At least 90% of your Maine franchise tax liability must be paid by the original City State Zip Code (with extension) complete and submit this voucher by the original date of your return Date Return is Due due date of your return in order to avoid a penalty for failure to pay tax on time EXTENSION PAYMENT VOUCHER EXTENSION PAYMENT VOUCHER INSTRUCTIONS Financial Institution Name Amount of Payment FOR MAINE FRANCHISE TAX For tax period: 2014 FORM 1120B EXT/ME Maine Revenue Services MM DD YYYY MM DD YYYY P O Box 9101 PLEASE DO NOT STAPLE OR TAPE CHECK TO YOUR FORM INCLUDE THE ORIGINAL FULL SHEET OF THIS FORM WITH YOUR PAYMENT Rev 06/14 Send your voucher with payment for any estimated tax due to: