Form Br 1040ez - Attach To 1040 Form - Individual Return

Form Br 1040ez - Attach To 1040 Form - Individual Return - 2015 Page 2

INSTRUCTIONS FOR FORM BR 1040EZ

Use This Form If:

WHO CAN

USE THIS

You were a Resident of Big Rapids for all of 2015 with income from wages,

FORM

interest or dividends.

You were a Non-Resident of Big Rapids for all of 2015 with wages earned in Big

Rapids and none of the earnings from Big Rapids employees is excluded from

Big Rapids Income Tax.

Place a check mark in the Resident or Non-Resident township area. A part-year

RESIDENCY

resident of Big Rapids cannot use this form.

STATUS

If you have income on your Federal Income Tax Return that is not taxable by

INCOME

Big Rapids, use Form BR 1040.

Total Wages, Salaries and Tips.

LINE 1

Residents: Total from Box 1 of all your W-2 forms.

Non-Residents: Total from Box 1 of all the W-2 forms for work done in the City

of Big Rapids.

Attach your W-2 forms on the front of form BR 1040EZ

LINE 2

Residents: Report all taxable interest and dividend income.

Non-Residents: Leave blank, interest and dividend income is not taxable to a

Non-Resident.

This schedule applies to both residents and non-residents who file their return

LINE 10

after the due date of April 30, 2016 and owe tax liability.

A. Interest - .0001161 per day

A.________________

B. Penalty - 1% of the amount of the unpaid

tax for each month of fraction thereof not

to exceed a total penalty of 25% of the

unpaid tax.

B.________________

C. Total penalty and interest, but must pay a

minimum of $2.00

Enter on BR 1040EZ, Line 10

______________

Form Br 1040ez - Attach To 1040 Form - Individual Return - 2015 Page 2