If a joint return, spouse s first name and initial Last name Spouse s social security number

Form Department of the Treasury Internal Revenue Service 1040A U.S. Individual Income Tax Return (99) 2016 Your first name and initial Last name IRS Use Only Do not write or staple in this space. OMB No. 1545-0074 Your social security number Breanna Hewes 006 90 7663 If a joint return, spouse s first name and initial Last name Spouse s social security number Home address (number and street). If you have a P.O. box, see 5 Terrace Ct 2B City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Blue Hill ME 04614 Apt. no. Foreign country name Foreign province/state/county Foreign postal code Filing status Check only one box. Exemptions If more than six dependents, see 1 Single 2 Married filing jointly (even if only one had income) 3 Married filing separately. Enter spouse s SSN above and full name here. Make sure the SSN(s) above and on line 6c are correct. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse 4 Head of household (with qualifying person). (See ) If the qualifying person is a child but not your dependent, enter this child s name here. 5 Qualifying widow(er) with dependent child (see instructions) 6a Yourself. If someone can claim you as a dependent, do not check box 6a. } b Spouse c Dependents: (1) First name Last name (2) Dependent s social security number (3) Dependent s relationship to you (4) if child under age 17 qualifying for child tax credit (see instructions) Boxes checked on 6a and 6b No. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above 1 Income Attach Form(s) W-2 here. Also attach Form(s) 19-R if tax was withheld. If you did not get a W-2, see Adjusted gross income d Total number of exemptions claimed. 7 Wages, salaries, tips, etc. Attach Form(s) W-2. 7 8a Taxable interest. Attach Schedule B if required. 8a b Tax-exempt interest. Do not include on line 8a. 8b 9a Ordinary dividends. Attach Schedule B if required. 9a b Qualified dividends (see instructions). 9b 10 Capital gain distributions (see instructions). 10 11 a IRA 11b Taxable amount distributions. 12 a Pensions and annuities. 11a 12a (see instructions). 12b Taxable amount (see instructions). 13 Unemployment compensation and Alaska Permanent Fund dividends. 13 14 a Social security benefits. 14a 14b Taxable amount (see instructions). 14b 15 Add lines 7 through 14b (far right column). This is your total income. 15 16 Educator expenses (see instructions). 16 17 IRA deduction (see instructions). 17 18 Student loan interest deduction (see instructions). 18 19 Tuition and fees. Attach Form 8917. 19 20 Add lines 16 through 19. These are your total adjustments. 20 11b 12b Add numbers on lines above 1 17,529. 17,529. 21 Subtract line 20 from line 15. This is your adjusted gross income. 21 17,529. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Form 1040A (2016) BAA REV 12/30/16 Intuit.cg.cfp.sp

Form 1040A (2016) Page 2 Tax, credits, 22 Enter the amount from line 21 (adjusted gross income). 22 17,529. and 23 a Check You were born before January 2, 1952, Blind Total boxes if: { payments Spouse was born before January 2, 1952, Blind } checked 23a b If you are married filing separately and your spouse itemizes Standard deductions, check here 23b Deduction for 24 Enter your standard deduction. 24 6,300. People who 25 Subtract line 24 from line 22. If line 24 is more than line 22, enter -0-. 25 11,229. check any box on line 26 Exemptions. Multiply $4,050 by the number on line 6d. 26 4,050. 23a or 23b or who can be 27 Subtract line 26 from line 25. If line 26 is more than line 25, enter -0-. claimed as a This is your taxable income. 27 7,179. dependent, see 28 Tax, including any alternative minimum tax (see instructions). 28 718. 29 Excess advance premium tax credit repayment. Attach All others: Single or Form 8962. 29 Married filing 30 Add lines 28 and 29. 30 718. separately, $6,300 31 Credit for child and dependent care expenses. Attach Married filing Form 2441. 31 jointly or Qualifying 32 Credit for the elderly or the disabled. Attach widow(er), $12,600 Head of 556. household, $9,300 If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions and fill in 48b, 48c, and 48d or Form 8888. Amount you owe Third party designee Sign here Joint return? See Keep a copy for your records. Paid preparer use only Schedule R. 32 33 Education credits from Form 8863, line 19. 33 34 Retirement savings contributions credit. Attach Form 8880. 34 35 Child tax credit. Attach Schedule 8812, if required. 35 36 Add lines 31 through 35. These are your total credits. 36 37 Subtract line 36 from line 30. If line 36 is more than line 30, enter -0-. 37 38 Health care: individual responsibility (see instructions). Full-year coverage 38 39 Add line 37 and line 38. This is your total tax. 39 40 Federal income tax withheld from Forms W-2 and 19. 40 41 2016 estimated tax payments and amount applied from 2015 return. 41 42a Earned income credit (EIC). No 42a b Nontaxable combat pay election. 42b 43 Additional child tax credit. Attach Schedule 8812. 43 44 American opportunity credit from Form 8863, line 8. 44 371. 45 Net premium tax credit. Attach Form 8962. 45 46 Add lines 40, 41, 42a, 43, 44, and 45. These are your total payments. 46 47 If line 46 is more than line 39, subtract line 39 from line 46. This is the amount you overpaid. 47 48a Amount of line 47 you want refunded to you. If Form 8888 is attached, check here 48a b Routing c Type: Checking Savings number 2 1 1 2 7 4 3 8 2 d Account number 4 0 2 0 8 7 2 9 2 9 49 Amount of line 47 you want applied to your 2017 estimated tax. 49 50 Amount you owe. Subtract line 46 from line 39. For details on how to pay, see 50 51 Estimated tax penalty (see instructions). 51 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete the following. No Designee s name Phone no. Personal identification number (PIN) Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Your signature Date Your occupation Daytime phone number Spouse s signature. If a joint return, both must sign. Date Spouse s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Print/type preparer s name Preparer s signature Date Check if PTIN self-employed Firm's name Firm's address Self-Prepared REV 12/30/16 Intuit.cg.cfp.sp CMA (AAMA) 938. (207)249-0844 Firm's EIN Phone no. 556. 162. 0. 162. 1,3. 1,147. 1,147. Form 1040A (2016)

Form 8863 Department of the Treasury Internal Revenue Service (99) Name(s) shown on return! CAUTION Education Credits (American Opportunity and Lifetime Learning Credits) Attach to Form 1040 or Form 1040A. Information about Form 8863 and its separate instructions is at www.irs.gov/form8863. OMB No. 1545-0074 2016 Attachment Sequence No. 50 Your social security number Breanna Hewes 006-90-7663 Complete a separate Part III on page 2 for each student for whom you're claiming either credit before you complete Parts I and II. Part I Refundable American Opportunity Credit 1 After completing Part III for each student, enter the total of all amounts from all Parts III, line 30. 1 2 Enter: $180,000 if married filing jointly; $90,000 if single, head of household, or qualifying widow(er)............. 2 90,000. 3 Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for the amount to enter...... 3 4 Subtract line 3 from line 2. If zero or less, stop; you can't take any education credit................... 4 5 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er)................. 5 6 If line 4 is: Equal to or more than line 5, enter 10 on line 6............ Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to at least three places)..................... 17,529. 72,471. 10,000. }.... 7 Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet the conditions described in the instructions, you can't take the refundable American opportunity credit; skip line 8, enter the amount from line 7 on line 9, and check this box.... 7 8 Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and on Form 1040, line 68, or Form 1040A, line 44. Then go to line 9 below.......... 8 Part II Nonrefundable Education Credits 9 Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) 9 10 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19.......... 10 11 Enter the smaller of line 10 or $10,000.................... 11 12 Multiply line 11 by 20% (0.20)....................... 12 13 Enter: $131,000 if married filing jointly; $65,000 if single, head of household, or qualifying widow(er)............. 13 14 Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for the amount to enter........ 14 15 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0- on line 18, and go to line 19............... 15 16 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er)................. 16 17 If line 15 is: Equal to or more than line 16, enter 10 on line 17 and go to line 18 Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three places).............................. 17 18 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) 18 19 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see instructions) here and on Form 1040, line 50, or Form 1040A, line 33.......... 19 For Paperwork Reduction Act Notice, see your tax return Form 8863 (2016) BAA REV 12/30/16 Intuit.cg.cfp.sp 6 927. 10 927. 371. 556. 556.

Form 8863 (2016) Page 2 Name(s) shown on return Your social security number Breanna Hewes 006-90-7663! CAUTION Complete Part III for each student for whom you're claiming either the American opportunity credit or lifetime learning credit. Use additional copies of page 2 as needed for each student. Part III Student and Educational Institution Information See 20 Student name (as shown on page 1 of your tax return) 21 Student social security number (as shown on page 1 of your tax return) Breanna Hewes 006-90-7663 22 Educational institution information (see instructions) a. Name of first educational institution (1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see 99 Farm Road Bangor ME 04401 (2) Did the student receive Form 18-T from this institution for 2016? Yes No (3) Did the student receive Form 18-T from this institution for 2015 with box Yes No 2 filled in and box 7 checked? If you checked No in both (2) and (3), skip (4). (4) If you checked Yes in (2) or (3), enter the institution's federal identification number (from Form 18-T). 23 Has the Hope Scholarship Credit or American opportunity credit been claimed for this student for any 4 tax years before 2016? 24 Was the student enrolled at least half-time for at least one academic period that began or is treated as having begun in 2016 at an eligible educational institution in a program leading towards a postsecondary degree, certificate, or other recognized postsecondary educational credential? See 25 Did the student complete the first 4 years of postsecondary education before 2016? See 26 Was the student convicted, before the end of 2016, of a felony for possession or distribution of a controlled substance?! CAUTION Beal College 45-3113313 b. Name of second educational institution (if any) (1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see (2) Did the student receive Form 18-T from this institution for 2016? (3) Did the student receive Form 18-T from this institution for 2015 with box 2 filled in and box 7 checked? Yes Yes If you checked No in both (2) and (3), skip (4). (4) If you checked Yes in (2) or (3), enter the institution's federal identification number (from Form 18-T). Yes Stop! Go to line 31 for this student. No Go to line 24. Yes Go to line 25. No Stop! Go to line 31 for this student. Yes Stop! Go to line 31 for this student. Yes Stop! Go to line 31 for this student. No Go to line 26. No No No Complete lines 27 through 30 for this student. You can't take the American opportunity credit and the lifetime learning credit for the same student in the same year. If you complete lines 27 through 30 for this student, don't complete line 31. American Opportunity Credit 27 Adjusted qualified education expenses (see instructions). Don't enter more than $4,000..... 27 28 Subtract $2,000 from line 27. If zero or less, enter -0-................. 28 29 Multiply line 28 by 25% (0.25)........................ 29 30 If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1. 30 Lifetime Learning Credit 31 Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts III, line 31, on Part II, line 10......................... 31 927. 0. 0. 927. Form 8863 (2016)

2016 01 01 2 0 1 6 MAINE INDIVIDUAL INCOME TAX FORM 1040ME See Print neatly in blue or black ink only. to 12 31 2016 Check here if this is an AMENDED return. 16021V0 BREANNA 006 90 7663 Your First Name MI Your Social Security Number HEWES Your Last Name Spouse s Social Security Number Spouse s First Name Spouse s Last Name MI Home Phone Number Work Phone Number 207 249 0844 5 TERRACE CT, APT. 2B BLUE HILL ME 04614 Current Mailing Address (PO Box, number, street and apt. no) City or Town State ZIP Code Foreign country name Foreign province/state/county Foreign postal code A Maine Property Tax Fairness Credit / Maine Sales Tax Fairness Credit - Maine residents and part-year residents only - see Schedule PTFC/STFC. Check this box if you are fi ling a return only to claim the Property Tax Fairness Credit on line 25d and/or the Sales Tax Fairness Credit on line 25e. Otherwise, leave this box blank. Follow the instructions on Schedule PTFC/STFC. 1 Maine Clean Election Fund. Maine Residents Only. Check here if you, or your spouse, if fi ling jointly, want $3 to go to this fund. You Spouse 2 Check here if you were engaged in COMMERCIAL FARMING OR FISHING during 2016... FILING STATUS (Check one) 3 Single 4 Married fi ling jointly (Even if only one had income) 5 Married fi ling separately. Enter spouse s social security number and full name above. 6 Head of household (With qualifying person) 7 Qualifying widow(er) with dependent child (Year spouse died ) Composite Return (Pass-through Entities ONLY) RESIDENCY STATUS (Check one) 8 Resident 8a Safe Harbor Resident Check here if you are 9 Part-Year Resident 10 Nonresident 11 Nonresident Alien fi ling Schedule NRH 12 CHECK IF: You were: 12a 65 or over 12b blind Spouse was: 12c 65 or over 12d blind 13 Enter the TOTAL number of EXEMPTIONS claimed on your federal return... 13 Calculate Your Taxable Income 17529 14 FEDERAL ADJUSTED GROSS INCOME.... 14 15 INCOME MODIFICATIONS. (From Schedule 1, line 3.)... 15 16 MAINE ADJUSTED GROSS INCOME. (Line 14 plus or minus line 15.)... 16 17529 17 DEDUCTION. Standard (See page 3 of the )... 17 11600 Itemized (See Maine Schedule 2 and page 3 of the ) 18 EXEMPTION. (See )... 18 4050 1555 REV 12/30/16 INTUIT.CG.CFP.SP Continue on page 2 1

2016 FORM 1040ME, Page 2 1602101 Calculate Your Tax and Nonrefundable Credits Tax Payments/Refundable Credits 19 TAXABLE INCOME. (Line 16 minus lines 17 and 18.)... 19 20 INCOME TAX. (Find the tax for the amount on line 19 in the tax table in this booklet or compute your tax using the tax table or tax rate schedules available at www.maine.gov/revenue/forms.... 20 20a TAX CREDIT RECAPTURE AMOUNTS (Enclose worksheet(s) - see instructions). 20a 21 TOTAL TAX. (Line 20 plus line 20a)... 21 22 TAX CREDITS. (From Maine Schedule A, line 23.)... 22 23 NONRESIDENT CREDIT. (For part-year residents, nonresidents and Safe Harbor residents only.) From Schedule NR, line 9 or NRH, line 11... 23 (You MUST attach a copy of your federal return and TDY papers, if applicable.) 24 NET TAX. (Subtract lines 22 and 23 from line 21.) (Nonresidents see ).. 24 25 TAX PAYMENTS. a Maine income tax withheld. (Enclose W-2, 19 and 19ME forms.)... 25a b 2016 estimated tax payments and 2015 credit carried forward, extension payments and payments with original return. (Include any REAL ESTATE WITHHOLDING tax payments.)... 25b c REFUNDABLE TAX CREDITS (from Maine Schedule A, line 7)... 25c d Property Tax Fairness Credit (Schedule PTFC/STFC, line 13). (See )... (For Maine residents and part-year residents only) e Sales Tax Fairness Credit (Schedule PTFC/STFC, line 14 or 14a).... 25e (See ) (For Maine residents and part-year residents only) f TOTAL. (Add lines 25a, b, c, d, and e.)... 25f 26 If this is an amended return, enter overpayment, if any, on original return or as previously adjusted... 26 27 Line 25f minus line 26. (If negative, enter a minus sign in the box to the left of the number.)... 27 28 INCOME TAX OVERPAID. If line 27 is larger than line 24, enter amount overpaid. (Line 27 minus line 24 - if line 24 is negative, enter line 27 here.)... 28 29 INCOME TAX UNDERPAID. If line 24 is larger than line 27, enter amount underpaid. (Line 24 minus line 27 - see )... 29 25d 1879 107 107 0 0 107 658 100 758 758 651 Calculate Use Tax / Voluntary Contributions / Refund Due 30 USE TAX (SALES TAX). (See )... 30 30a SALES TAX ON CASUAL RENTALS OF LIVING QUARTERS. (See )... 31 CHARITABLE CONTRIBUTIONS and PARK PASSES. (From Maine Schedule CP, line 10.) 31 32 NET OVERPAYMENT. (Line 28 minus lines 30, 30a and 31.) NOTE: If total of lines 30, 30a and 31 is greater than line 28, enter as amount due on line 34a. 32 33 Amount of line 32 to be CREDITED to 2017 estimated tax... 33a REFUND 33b 30a 0 651 IF YOU WOULD LIKE YOUR REFUND SENT DIRECTLY TO YOUR BANK ACCOUNT ($10,000 or less), see page 4 of the instructions and fill in the lines below. Check here if this refund will go to an account outside the United States.... 33c 33d Routing Number Account Number 211274382 4020872929 0 651 33e Type of Account: Checking Savings 1555 REV 12/30/16 INTUIT.CG.CFP.SP Continue on page 3

2016 FORM 1040ME, Page 3 Name(s) as shown on Form 1040ME 1602111 Your Social Security Number BREANNA HEWES 006 90 7663 TAX DUE 34a TAX DUE. (Add lines 29, 30, 30a and 31) - NOTE: If total of lines 30, 30a and 31 is greater than line 28, enter the difference as an amount due on this line... 34a b Underpayment Penalty. (Attach Form 2210ME.) Check here if you checked the box on Form 2210, line 17... 34b c TOTAL AMOUNT DUE. (Add lines 34a and 34b.) (Pay in full with return.)... 34c EZ PAY at www.maine.gov/revenue or ENCLOSE CHECK payable to: Treasurer, State of Maine. DO NOT SEND CASH IMPORTANT NOTE If taxpayer is deceased, If spouse is deceased, enter date of death. enter date of death. (Month) (Day) (Year) (Month) (Day) (Year) Third Party Designee Do you want to allow another person to discuss this return with Maine Revenue Services? Yes (complete the following). No. (See page 4 of the instructions) Designee s name Phone no. Personal identifi cation #: Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. SIGN HERE Keep a copy of this return for your records CMA AAMA Your signature Date signed Your occupation Spouse s signature (If joint return, both must sign) Date signed Spouse s occupation Paid Preparer s Use Only Preparer s signature Date Preparer s phone number SELF PREPARED Print preparer s name and name of business Preparer s SSN or PTIN Avoid errors that delay processing of returns: Use black or blue ink. Do not use red ink. Be sure to enter amounts on correct lines. Line A. Check the Property Tax Fairness Credit/Sales Tax Fairness Credit box, if it applies. Lines 12 and 17. If you are over 65 and/or blind, see the instructions on page 3 and claim the additional amount as allowed. Line 20. Use the correct column from the tax table for your filing status. Refund. If you overpaid your tax, enter the amount you want to be refunded on line 33b. Double check social security numbers, fi ling status, and number of exemptions. Double check mathematical calculations. Be sure to sign your return. Enclose W-2 forms with the return. If requesting a REFUND, mail to: Maine Revenue Services, P.O. Box 1066, Augusta, ME 04332-1066 If NOT requesting a refund, mail to: Maine Revenue Services, P.O. Box 1067, Augusta, ME 04332-1067 DO NOT SEND PHOTOCOPIES OF RETURNS 1555 REV 12/30/16 INTUIT.CG.CFP.SP Payment Plan Injured Spouse

Attachment Sequence No. 3 SCHEDULE PTFC/STFC FORM 1040ME 2016 PROPERTY TAX FAIRNESS CREDIT SALES TAX FAIRNESS CREDIT For MAINE RESIDENTS and PART-YEAR RESIDENTS ONLY. Enclose with Form 1040ME. See For more information, visit www.maine.gov/revenue/forms. 1602205 Name(s) as shown on Form 1040ME Your Social Security Number BREANNA HEWES 006 90 7663 Enter your If married, enter your date of birth 06 21 1990 spouse s date of birth MM DD YYYY MM DD YYYY Physical location of property where you lived during 2016 (if different from your mailing address): TOTAL INCOME - Complete line 1 or line 2 below, but not both. Complete line 1 if you do not file federal Form 1040, 1040A or 1040EZ. Complete line 2 if you do file federal Form 1040, 1040A or 1040EZ. Then go to line 3. IF YOU DO NOT FILE FEDERAL FORM 1040, 1040A or 1040EZ, ENTER: 1. (a) Social security benefi ts and railroad retirement benefi ts (see instructions)...1a. (b) Interest and dividends (see instructions)...1b. (c) Pensions, annuities and IRA distributions (see instructions)...1c. (d) Wages, salaries, tips, etc. (see )...1d. (e) Other income (see instructions)...1e. OR, IF YOU DO FILE FEDERAL FORM 1040, 1040A or 1040EZ, ENTER: 2. (a) Federal total income (from federal Form 1040, line 22, Form 1040A, line 15 or Form 1040EZ, line 4). If fi ling Schedule NRH - see...2a. (b) Social security benefi ts not included on line 2a above (federal Form 1040, line 20a minus line 20b or Form 1040A, line 14a minus line 14b) and railroad retirement benefi ts not included on line 2a above (see instructions)...2b. (c) Interest not included on line 2a above. If fi ling Schedule NRH - see...2c. (d) Loss add-backs (see instructions)...2d. 17529 3. Total Income. Add lines 1a through 1e OR lines 2a through 2d above...3. Note that if the amount on line 3 is more than the amount shown in the table below for your fi ling status and the number of personal exemptions you claim on Form 1040ME, line 13, you do not qualify for the property tax fairness credit. If your Filing Status is: AND You claim no more than 2 personal exemptions You claim more than 2 personal exemptions Your maximum income limitation is: Single $33,333 $33,333 Head of Household, or Married fi ling Jointly, or $43,333 $53,333 Qualifying Widow(er) Married fi ling Separately $21,667 $26,667 If the amount on line 3 is more than the maximum income amount shown in the sales tax fairness credit table (see instructions for line 14) for your fi ling status and the number of personal exemptions you claim on Form 1040ME, line 13, you do not qualify for the sales tax fairness credit. OR 17529 Continue on next page. To apply for the property tax fairness credit, go to line 4. If you are applying only for the sales tax fairness credit, go to line 14. 1555 REV 12/30/16 INTUIT.CG.CFP.SP

2016 Form 1040ME, Schedule PTFC/STFC, page 2 1602206 PROPERTY TAX FAIRNESS CREDIT (lines 4 through 13): 4. Enter the property tax you paid on your home in 2016. (See )...4. If you paid no property tax in 2016, skip to line 5a. 5. (a) Enter the rent you paid on your home in 2016. (See )...5a. 634 If you paid no rent in 2016, skip to line 6. (b) Does the rent entered on line 5a include heat, utilities, furniture or similar items?... 5b. Yes No (c) If line 5b is yes and you know the amount paid for heat, utilities, furniture or similar items, enter that amount on line 5c. If yes, and you do not know the amount paid, multiply line 5a by 15% (.15) and enter the result on line 5c. If line 5b is no, enter 0 on line 5c....5c. 0 (d) Line 5a minus line 5c...5d. (e) Multiply line 5d by 15% (.15)...5e. (f) Landlord s name and telephone number MAINE DEVELOPMENT 6. Add lines 4 and 5e...6. 7. Enter the amount shown in the table below for your fi ling status and the number of personal exemptions you claim on Form 1040ME:... 7. If your Filing Status is: AND 2079476795 ASSOCIATES You claim no more than 2 personal exemptions You claim more than 2 personal exemptions Your maximum benefi t base is: Single $2,000 $2,000 Head of Household, or Married fi ling Jointly, or $2,600 $3,200 Qualifying Widow(er) Married fi ling Separately $1,300 $1,600 8. Benefit base. Enter the smaller of line 6 or line 7...8. 9. Multiply line 3 by 6% (.06)...9. OR 634 95 95 2000 95 1052 (a) Is the amount on line 8 more than the amount on line 9? If yes, go to line 10 below. If no, you...9a. Yes No do not qualify for the property tax fairness credit. Go to line 14 below to apply for the sales tax fairness credit. 10. Subtract line 9 from line 8...10. 11. Multiply line 10 by 50% (.50)...11. 12. Were you or your spouse (if married fi ling jointly) at least 65 years of age during the tax year?...12. Yes No (a) If yes, enter $900. If no, enter $600....12a. NOTE: If you are married filing a separate return and both you and your spouse claim the property tax fairness credit on the same homestead, enter $450 if yes or $300 if no. 13. Enter line 11 or line 12a, whichever is smaller, here and on Form 1040ME, line 25d....13. SALES TAX FAIRNESS CREDIT (lines 14 and 14a): 14. See the table on page 14 for your fi ling status. Enter the amount shown for your total income from line 3 and the number of personal exemptions you claim on Form 1040ME, line 13. If you are fi ling Schedule NR or Schedule NRH, go to line 14a. Otherwise, enter this amount on Form 1040ME, line 25e....14. (a) PART-YEAR RESIDENTS FILING SCHEDULE NR OR SCHEDULE NRH - You must prorate the sales tax fairness credit. Schedule NR, multiply line 14 by the Maine-source income ratio (100 minus Schedule NR, line 7). Schedule NRH, multiply line 14 by the Maine-source income ratio of your income (100 minus Schedule NRH, line 7, column C). Enter the result here and on Form 1040ME, line 25e....14a. 1555 REV 12/30/16 INTUIT.CG.CFP.SP 600 100