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Maine Free Printable  for 2024 Maine Media Production Residency Affidavit

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Media Production Residency Affidavit
Media Production Affidavit

Clear Print Maine Revenue Services Certified Media Production Residency Affidavit 36 M.R.S. § 6902(1) allows a certified media production company to receive a reimbursement equal to 12% of certified production wages paid to employees who are residents of Maine. To assist the production company in qualifying my wage, I,___________________________________, who resides at ________________________________________________ in the town/city of _________________________________, Maine, hereby certify the following: 1. Check if applicable: I filed as a resident* individual on my most recently filed Maine income tax return; or I was not required to file an income tax return for the most recently completed tax year, but I could have filed as a resident individual if a return had been required; or I was claimed, or could have been claimed as a dependent** on a Maine income tax return of an individual who filed as a resident individual on the filer’s most recently filed Maine income tax return. 2. The certified media production company for which this affidavit applies: A. Company’s Name:_________________________________________________________________ B. Company’s Address:________________________________________________________________ _ _______________________________________________________________________________ C. Company’s Employer Identification Number:_ ____________________________________________ 3. I authorize Maine Revenue Services (“MRS”) to inform the production company above if it is later determined by MRS that I was not a Maine resident during the certified media production period. Under penalties of perjury, I declare that I have examined this form and related statements and to the best of my knowledge and belief they are true, correct and complete. _____________________________________________________________________________ ___________________ Resident’s Signature Date _____________________________________________________________________________ Resident’s Printed Name Resident’s Social Security Number: - - * Generally, a Maine resident is an individual (1) who was domiciled in Maine for the entire tax year; or (2) who maintained a permanent place of abode in Maine for the entire tax year and spent a total of more than 183 days in Maine. For a more comprehensive description of Maine residency, see the Guidance to Residency Status document at www.maine. gov/revenue/tax-return-forms (select Income Tax Guidance Documents). ** Maine relies on federal rules for determining dependency. Generally, an individual must pay more than 50% of your support to claim you as a dependent for individual income tax purposes. Other rules apply. For more information, see federal Form 1040 instructions available at www.irs.gov/forms-instructions. Note: The media production company must retain a copy of this affidavit on file for at least three years, available for review by Maine Revenue Services upon request. Revised: December 2021
Extracted from PDF file 2023-maine-media-production-affidavit.pdf, last modified November 2021

More about the Maine Media Production Affidavit Other TY 2023

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

Related Maine Other Forms:

TaxFormFinder has an additional 61 Maine income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Maine Media Production Affidavit.

Form Code Form Name
Visual Media Production Credit Certified Visual Media Production Credit

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 Media Production Affidavit from the Revenue Services in February 2024.

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Historical Past-Year Versions of Maine Media Production Affidavit

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

2020 Media Production Affidavit


2019 Media Production Affidavit


2017 Media Production Affidavit


2016 Media Production Affidavit


Media Production Residency Affidavit 2015 Media Production Affidavit


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