Form Hp 1040 - Individual Income Tax Return - City Of Highland Park - 2005

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2005
CITY OF HIGHLAND PARK
FOR THE YEAR
HP 1040
JANUARY 1 - DECEMBER 31, 2005
INDIVIDUAL INCOME TAX RETURN
or other taxable year ending ______
DUE DATE: APRIL 30, 2006
WE WILL NOT ACCEPT ANY VARIATION OF THIS FORM
DO NOT WRITE BELOW
Your Social Security Number
Spouse’s Social Security Number
Birth Date
Telephone
PRIMARY
USE
PEEL-
First Name and Initial
Spouse’s First Name and Initial
Last Name
VERIFIED
OFF
ATTACH LABEL HERE
MAILING
AUDIT
Spouse’s Occupation
Home Address (Number and Street or rural route)
Do NOT use P .O. Box
LABEL
INQUIRY
OR
REFUND
PRINT
Zip
Your Occupation
City, Town, or Post Office and State
ASSESS-
MENT
PRESENT EMPLOYER’S NAME
FILING STATUS
SINGLE
MARRIED, FILING JOINTLY
PRESENT EMPLOYER’S ADDRESS (ACTUAL WORK LOCATION)
MARRIED, FILING SEPARATELY — Enter Full
Name and S.S. No. of Spouse (See Instructions)
Regular
65 or over
YOURSELF
TOTAL EXEMPTIONS CLAIMED
If you can be claimed on Another’s Return
SPOUSE
CHECK IF
RELATIONSHIP
MONTHS IN HOME
DEPENDENTS - WRITE LAST NAME IF DIFFERENT
SOCIAL SECURITY NUMBER
RESIDENT
UNDER 2
NON-RESIDENT
USING BOTH RATES - COMPLETE
SCHEDULE 4
RESIDENT FROM
TO
Report Dollars Only
1.
1. INCOME (Attach copies of all W-2’s. Federal schedules and/or documents to substantiate totals):
A.
RESIDENT: Enter total income from 2005 Federal 1040, or 1040A, or 1040EZ (if no additions or
00
subtractions, carry to line 5)
A
00
B.
NON-RESIDENT: Enter GROSS wages from W-2, HPW-2, or Schedule 1NR, page 2, line H
B
(If you have no additions or subtractions, carry this amount to line 5.)
00
2. ADDITIONS TO INCOME (from page 2, Sehedule 1R, line B for Residents or 2NR line E for Non-Residents)
2.
00
3.
3. TOTAL INCOME: (line 1 plus line 2)
00
4. SUBTRACTIONS FROM INCOME (from page 2, Schedule 1R line J for Residents or Schedule 2NR,
4.
line 1for Non-Residents, if included in line 1 above. Attach all Schedules.)
00
5.
5. ADJUSTED INCOME (line 3 less line 4)
00
6.
6. EXEMPTIONS: Multiply the number of exemptions claimed by $600.00
00
7.
7. TAXABLE INCOME (line 5 less line 6)
8. TAX - Multiply amount on line 7 by one of the following:
A.
RESIDENT ONLY - 2% (.02)
B.
NON-RESIDENT ONLY - 1% (.01)
00
8.
C.
PART-YEAR RESIDENT - Tax from Schedule 4, line M (Copy in back of this booklet)
PAYMENTS AND TAX CREDITS
MAKE CHECK
9.
Highland Park tax withheld (Attach legible W-2 or HPW-2 showing city tax withheld)
9.
PAYABLE
10.
10.
2005 estimate payments including credit from 2004 overpayment
TO
Fed. I.D. Partnership No.
11.
11.
Payment on tentative return or by partnership
CITY
11.A
11A.
Credits for income tax paid to another Michgan City
TREASURER
(Residents only) - See Instructions. (Limit = 1% of Detroit’s taxable wages)
PLEASE ATTACH DETROIT RETURN
00
12. TOTAL PAYMENTS AND CREDITS (Add lines 9 through 11A)
12.
00
Pay In Full With Return
13. If line 8 is larger than line 12 PAY
BALANCE DUE:
13.
ON OR BEFORE APRIL 30, 2006
(No payment necessary if less than $1.00)
00
14. If line 12 is larger than line 8, enter
OVERPAYMENT:
14.
00
15(a)
15. Line 14 to be:
(a) credited on 2006 Estimated Tax
00
(Refund of $10.00 or more reported to IRS)
15(b)
or
(b) refunded
00
16.
16. Add interest-penalty on balance due, if applicable. (See instructions)
Do not enter amounts less than $1.00 as credit will not be carried forward nor will refunds be made for less than $1.00.
If crediting overpayment (Line 14) to 2006 Estimated Tax, attach Declaration of Estimated Tax for 2006 Form HP 1040ES indicating amount to be credited.
I ceclare that I have examined this return and accompaniments and to the best of my knowledge and belief it is true, correct and complete.
If prepared by a person other than taxpayer, his declaration is based on all inormation of which he has any knowledge.
Sign here
DATE
DO NOT WRITE BELOW
(TAXPAYER’S SIGNATURE)
(IF JOINT RETURN BOTH HUSBAND AND WIFE MUST SIGN)
RETURN NUMBER
Sign here
DATE
(SPOUSE’S SIGNATURE)
MAIL WITH RETURN PAYMENTS TO
DATE
RECEIPT NUMBER
City Treasurer, City of Highland Park
(SIGNATURE OF PREPARER OTHER THAN TAXPAYER)
12050 Woodward
Highland Park, MI 48203
(PREPARER’S ADDRESS)
MAIL ALL OTHER RETURNS TO
Income Tax Division, 12050 Woodward
Highland Park, MI 48203
(313) 252-0050 Ext. 216

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