MAINE REVENUE SERVICES TAX CLEARANCE
MAINE GAMBLING CONTROL BOARD
|Applicant Name: |Phone #: |
|(Please Print Clearly) | |
|Social Security #: |Date of Birth: |
|Taxpayer Current Address: |Alternate name you may have filed under: |
1. Do you have any State of Maine tax liability that is currently outstanding? ( No ( Yes
If YES, please explain:_________________________________________________________________
___________________________________________________________________________________
2. Are you required to file any Maine State return(s) other than individual income tax ( No ( Yes
If YES, please list tax type and account #:__________________________________________________
___________________________________________________________________________________
3. Have you filed a Maine State Income Tax Return every year for the past 7 years?
( No ( Yes If NO, please list the year(s) and explain why the return(s) was not filed:
________________________________________________________________________________________________________________________________________________________________________
4. Are there any Maine State tax returns that have not been filed because you lived outside the State of Maine? ( No ( Yes If YES, what years, what state(s), and what date did you return
to Maine:____________________________________________________________________________
____________________________________________________________________________________
NOTE: Any question that has not been answered completely and correctly will delay the tax clearance process. Please be specific.
I authorize the Maine Gambling Control Board, their designees and the Maine State Police to share my social security number and tax history with Maine Revenue Services for tax background purposes. I also authorize Maine Revenue Services to release my tax history results back to the Maine Gambling Control Board, their Designees and the Maine State Police.
Applicant Signature:___________________________________Date:___________________________
MRS – Office Use Only
Clearance Granted: ( Yes ( No If No, reason:___________________________________
____________________________________________________________________________________
MRS Clearance Officer:________________________________ Date:____________________________
Tracer Needed: ( Yes ( No F107 Notes: (
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- 2015 2016 bill 170 text of previous version mar 18 2015
- notice to tax sale purchasers iowa treasurers
- attachment b to inf
- 2015 2016 bill 3568 sales tax exemptions south carolina
- dickinson county memorial hospital maintains
- maine revenue services tax clearance
- state of wyoming
- title 12 department of revenue missouri secretary of
- title 12 department of missouri secretary of state
Related searches
- florida department of revenue business tax application
- wisconsin department of revenue estimated tax form
- revenue canada tax calculator
- fl dept of revenue sales tax efile
- tax clearance hawaii
- tax clearance kansas
- florida department of revenue sales tax lookup
- nj tax clearance certificate
- alabama department of revenue withholding tax table
- department of revenue sales tax lookup
- internal revenue service tax forms
- internal revenue service tax forms for 2016