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Maine Free Printable 2023 Wellness Programs Credit Worksheet for 2024 Maine Credit for Wellness Programs

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Credit for Wellness Programs
2023 Wellness Programs Credit Worksheet

Clear Print Credit for Wellness Programs Worksheet for Tax Year 2023 36 M.R.S. § 5219-FF Enclose with Form 1040ME, Form 1041ME, or Form 1120ME. Taxpayer Name:________________________________________ EIN/SSN: _________________ Note: In the case of pass-through entities (such as partnerships, LLCs, S corporations, and trusts) making eligible expenditures, the partners, members, shareholders, beneficiaries, or other owners are allowed a credit in proportion to their respective interests in these entities. Enter name and ID number of the entity on the lines below. Also enter your ownership percentage in the pass-through entity for the tax year. Attach a copy of the federal Schedule K-1 issued to you by the pass-through entity. Name of Pass-through Entity EIN/SSN Ownership Percentage _____________________________________________________ ______________________ _____________ % 1. Number of Employees (on an average monthly basis)............................................................ 1.___________________ 2. Multiply line 1 by $100.00........................................................................................................ 2.___________________ 3. Total expenditure made during the taxable year to develop, institute and maintain a wellness program.................................................................................................................. 3.___________________ 4. Amount of unused credit on 2022 credit worksheet, line 5, carried forward to 2023............... 4.___________________ 5. Line 3 plus line 4...................................................................................................................... 5.___________________ 6. Enter the smallest of line 2, 5, or $2,000. Enter here and on Form 1040ME, Schedule A, Other Tax Credits Worksheet, line 8; Form 1041ME, Schedule A, line 11; or Form 1120ME, Schedule C, line 1k..................................................... 6.___________________ 7. Provide a brief description of the qualified wellness program. ____________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 8. Provide a brief list of expenditures for development, institution, and maintenance of the qualified wellness program. _____________________________________________________________________________________________ _____________________________________________________________________________________________ Unused credit amounts on line 3 may be carried forward for up to five years. Note: MRS may request additional information supporting the credit claimed before the return can be processed. Worksheet Instructions An employer with 20 or fewer employees (calculated on an average monthly basis) may qualify for the credit for wellness programs. An employer is a taxpayer that employs one or more individuals performing services for the taxpayer within Maine. The credit is equal to expenditures made during the taxable year to develop, institute and maintain a wellness program. The total credit (including the carryover of unused credit amounts from prior years) is limited to the lesser of $100 per employee or $2,000, and may not reduce tax liability to less than zero. Any unused credit amounts on line 3 may be carried forward for up to 5 years. A wellness program is a program that improves employee health, morale and productivity. This includes, but is not limited to, health education programs, behavioral change programs and incentive awards to employees who engage in regular physical activity. Behavioral change programs include counseling, seminars or classes on nutrition, stress management, or smoking cessation. Note: Maine taxable income must be increased by the amount of any expenditures included on line 3 above that were used to reduce federal taxable income. See 36 M.R.S. §§ 5122(1)(EE) and 5200-A(1)(X). Revised: December 2023
Extracted from PDF file 2023-maine-credit-wellness-program.pdf, last modified November 2023

More about the Maine Credit Wellness Program Other Tax Credit TY 2023

We last updated the Credit for Wellness Programs in February 2024, so this is the latest version of Credit Wellness Program, fully updated for tax year 2023. You can download or print current or past-year PDFs of Credit Wellness Program directly from TaxFormFinder. You can print other Maine tax forms here.


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Other Maine Other Forms:

TaxFormFinder has an additional 61 Maine income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Adult Dependent Care Credit Adult Dependent Care Credit Worksheet
Biofuel and Use Credit Biofuel Commercial Production and Commercial Use Credit
Capital Investment Credit Maine Capital Investment Credit
Child Care Investment Credit Quality Child Care Investment Credit (OBSOLETE)
Credit Wellness Program Credit for Wellness Programs

Download all ME tax forms View all 62 Maine Income Tax Forms


Form Sources:

Maine usually releases forms for the current tax year between January and April. We last updated Maine Credit Wellness Program from the Revenue Services in February 2024.

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Credit Wellness Program is a Maine Other form. States often have dozens of even hundreds of various tax credits, which, unlike deductions, provide a dollar-for-dollar reduction of tax liability. Some common tax credits apply to many taxpayers, while others only apply to extremely specific situations. In most cases, you will have to provide evidence to show that you are eligible for the tax credit, and calculate the amount of the credit to which you are entitled.

Historical Past-Year Versions of Maine Credit Wellness Program

We have a total of nine past-year versions of Credit Wellness Program in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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