Form S-1040x - Amended Individual Income Tax Return - Springfield
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1
2AMENDED INDIVIDUAL INCOME TAX RETURN
S-1040X
Tax Year:
ENTER CALENDAR YEAR OR ENDING DATE OF FISCAL YEAR (MO./DAY/YR.) OF THIS RETURN
______________
PART I
IDENTIFICATION
(Please type or print legible)
Your first name & initial (if joint return, also give spouse's name)
Last name
Present home address (number & street, including apartment)
Your social security no.
_
_
City, town or post office, State and ZIP code
Spouse's social security no.
DO NOT WRITE IN THIS SPACE
_
_
IMPORTANT: Please answer all questions, fill in applicable items, and explain changes on Page 2.
Enter name and address on original return (if same as above. write Same) If changing from separate to joint return, enter names and addresses used on original returns
(NOTE you cannot change from joint to separate returns after the due date has passed for filing separate returns)
On Original Return
Resident
Non-resident
Part-year resident from ______________________ to ______________________
Residency
Status
On This Return
Claimed
Resident
Non-resident
Part-year resident from ______________________ to ______________________
Married
*Married
Exemptions:
Single
filing jointly
filing separately
Filing
On Original Return ___________
On This Return ___________
On On Original Return . . . .
Status
On This Return . . . . . . . . . .
Claimed
A As originally
B Net Change
C Correct
* Give Name & S.S. # of Spouse: __________________________________________________________________
reported or as
(increase or
Amount
last adjusted
decrease - explain
PART II
INCOME, ADDITIONS and DEDUCTIONS
on Page 2
1. TOTAL W-2 INCOME: (wages, salaries, tips, etc.) (Attach all W-2's)
A. RESIDENTS: enter total W-2 income.
B. NONRESIDENTS (See instructions) ...................... 1
2. ADDITIONS TO INCOME: All other income: (interest, dividends, business income, capital gains, ...
rents, royalties, partnerships, estates, trusts, farm, etc.) .................................................................... 2
(ATTACH ALL SCHEDULES AND EXPLANATIONS)
3. SUBTRACTIONS FROM INCOME (All allowed losses and adjustments.).......................................... 3
(See instructions)
(ATTACH ALL SCHEDULES AND EXPLANATIONS)
4. ADJUSTED INCOME (Add lines 1 and 2 less line 3.)......................................................................... 4
5. EXEMPTIONS: Multiply the number of exemptions claimed by $1,500.00 for 1999 and after.
$600.00 for 1998 and prior years ...................................................................................................... 5
6. TAXABLE INCOME (line 4 less line 5) ............................................................................................... 6
7. TAX - Multiply amount on line 6 by one of the following:
7
A. RESIDENT ONLY - 1% (.01) ......................................................................................................
B. NONRESIDENT ONLY - 1/2% (.005)..........................................................................................
C. PART-YEAR RESIDENT - Tax from Schedule 3, line 1 ..............................................................
PART III
CREDITS AND PAYMENTS
8.
SPRINGFIELD tax withheld (Attach W-2 supplied by employer)........................... 8
9.
Estimate payments (including credit from overpayment) ...................................... 9
10. Credits for income tax paid to another Michigan municipality or by a partnership. 10
11. TOTAL PAYMENT AND CREDITS (Add lines 8, 9 and 10.) ................................. 11
A.
Amount paid with original return, plus additional tax paid after filing .............................................................................. A. _________________
B.
Total credits and payments. Add lines 11 and 12 of column C ...................................................................................... B. _________________
PART IV
REFUND OR BALANCE DUE
C.
Refund, if any, shown or original return line 13 A or B ................................................................................................... C. _________________
D.
Enter the difference between lines B and C (see instructions) ....................................................................................... D. _________________
12. If line 7, column C, is greater than lind D, enter BALANCE DUE. Pay in full ................................................................. 12. _________________
13A If line 7, column C, is less than line D, enter REFUND to be received ........................................................................... 13A ________________
COMPLETE PAGE 2 (OVER)
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