2014 Instructions For Form M-1040ez - City Of Muskegon Page 2
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32014 MUSKEGON M-1040EZ
INDIVIDUAL INCOME TAX RETURN – DUE DATE APRIL 30, 2015
REFER TO INSTRUCTIONS ON BACK TO SEE WHO CAN USE THIS FORM
YOUR FIRST NAME AND MIDDLE INITIAL
LAST NAME
YOUR SOCIAL SECURITY NUMBER
USE THE
MUSKEGON
IF JOINT, SPOUSE'S FIRST NAME AND MIDDLE INITIAL
LAST NAME
YOUR SPOUSE'S SOCIAL SECURITY NUMBER
MAILING
LABEL
HOME ADDRESS (NUMBER AND STREET OR RURAL ROUTE)
YOUR PHONE NUMBER
OTHERWISE
PLEASE
PRINT
CITY, TOWN, OR POST OFFICE
STATE
ZIP CODE
RESIDENCY STATUS
MARRIED FILING SEPARATELY
SEE
Check box if this is
Check box if your
Check box if you
SPOUSE'S NAME
RESIDENT
INSTRUCTIONS
the first time you
address has
do not need a
filed a Muskegon
changed since last
return form mailed
SSN
ON BACK
NON-RESIDENT
return.
year .
to you next year.
1.
Total wages, salaries, and tips. (See instructions on back.)
RESIDENTS: Total from Box 1 of all your W-2 forms.
1.
0
0
NON-RESIDENTS: Total from Box 1 of the W-2 forms for work done in the City of Muskegon. Attach
,
.
your W-2 form(s).
INCOME
2.
Interest income. (See instructions on back.)
2.
RESIDENTS: Report all taxable interest income.
0
0
ATTACH
,
.
NON-RESIDENTS: Leave blank.
COPY 2
3.
Dividend income. (See instructions on back.)
OF YOUR
3.
0
0
RESIDENTS: Report all dividend income.
W-2 FORM(S)
,
.
NON-RESIDENTS: Leave blank.
HERE
4.
0
4.
Add lines 1, 2 and 3. This is your total Muskegon income.
0
0
,
.
5.
EXEMPTION
Enter amount from Exemptions Worksheet on back; or if SINGLE enter $600.00; or if
5.
0
0
MARRIED filing jointly enter $1,200.00.
AMOUNT
,
.
6.
TAXABLE
0
6.
Subtract line 5 from line 4. This is your taxable income.
0
0
INCOME
,
.
7.
RESIDENTS: Multiply line 6 by one percent (.01).
0
7.
0
0
TAX
This form is for non-residents
NON-RESIDENTS: Multiply line 6 by one-half of one percent (.005).
,
.
8.
Total Muskegon tax withheld by employers (attach W-2 forms showing Muskegon withheld)
8.
0
0
,
.
9.
PAYMENTS
9.
Payments on 2014 Declaration of Muskegon Estimated Income Tax.
0
0
AND
,
.
CREDITS
10.
Credit for income tax paid to another Michigan city (RESIDENTS ONLY).
10.
0
0
(Attach copy of other city's return.) USE CITY CREDIT WORKSHEET.
,
.
11.
0
11.
0
0
Add lines 8. 9 and 10 and enter here.
TOTAL
,
.
12.
If line 7 is larger than line 11, subtract line 11 from line 7. This is the amount you owe. Please attach your
12.
payment. Make check payable to: City of Muskegon. If payment due is greater than $100.00, you may be
0
0
TAX DUE
,
.
assessed additional penalties and interest if you were required to pay estimated taxes.
13.
Please see sample on the back page of the M-1040TC
a.
If line 11 is larger than line 7, subtract line 7 from line 11. This is your refund. Allow at least 45 days.
b.
Routing number:
c.
Type:
Checking
Savings
REFUNDS
13.
0
0
d.
,
.
Account number:
AND
CREDITS
14.
Please check the appropriate box to donate your refund. Choose only one program.
14.
0
0
Lakeshore Trail Improvements
Muskegon Recreational Center
Downtown Main Street
,
.
15.
Check this box to credit this refund to the 2015 estimated tax liability.
15.
0
0
,
.
For City of Muskegon use.
I have read this return. Under the penalties of perjury, I declare that to the best of my knowledge and belief the return
Please do not write in box.
is true, correct and accurately lists all amounts and sources of Muskegon income I received during the tax year.
Mail return to: Income Tax Department, P.O. Box 29, Muskegon, MI 49443-0029.
YOUR SIGNATURE
DATE
SPOUSE'S SIGNATURE (IF JOINT RETURN)
DATE
PLEASE SIGN HERE
KEEP A COPY OF THIS
FOR YOUR RECORDS.
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