Form L-1041 - Fiduciary Return printable pdf download

City of Lansing Income Tax

-1.041.

Fiduciary Return

For the Calendar Year 2009 or other taxable period beginning

, 20 , ending

, 20

TIIIS IS NOT A FEDERAL RETURN

Please

Name of Estate or Trust

Employer Identification Number of Estate or Trust

Type

Name, Address and Title of Fiduciary

for Audit Use Only

INCOME - Net profit (or loss) from business located in Lansing

1. Total net profit (or loss) for period (from Federal Form 1041)

2. Add City of Lansing income tax deducted from income

3. Total allocable income (Line I + Line 2)

4. Allocation percentage from Schedule A below

5. Allocated income (Line 3 x Line 4)

6. Net Income (or loss) from rental property located in Lansing (Federal Form 1041)

7. Net Income (or loss) from sale or exchange of property in Lansing from July I, 1968 (Federal Form 1041)

8. Other Lansing Income

Total Lansing Income (Lines 5 -t- 6 +7

-F

10. Less amount of Lansing income on Line 9 applicable to beneficiaries who are residents of Lansing per following computation

(Resident beneficiaries' share of distributable net income received by the estate or trust) ± (Total distributable net income received) x (Amount on Line 9 less

any portion of Line 9 not included in distributable net income) = Amount to enter on Line 10 above.

11. Amount subject to tax (Line 9 - Line 10)

12. TAX (Line I I x .50%)

Make Check Payable to Treasurer, City of Lansing: Mail to Treasurers Office, 124 W Michigan Ave, G-

29, Lansing, MI 48933

Schedule A -Business Allocation Formula

Located Everywhere

Located in Lansing

III

Percentage

(II ± I)

1. Average net book value of real and tangible property, including inventories

a. Gross rentals areal property, multiplied by 8

b. TOTAL (Lines I

-I-

la)

2. Total wages, salaries and other compensation of all employees

u% a

3. Gross receipts from sales made or services rendered

4. Total percentages (Column III, Lines lb + 2 -l- 3)

5. Average percentage (one-third of Line 4). Enter here & on Line 4, Income Section

u% o

See instructions when a facto r does not exist in the taxpayer's operation

In the case of taxpayer authorized by the Administr ator to use one of the special formula, use lines provided below

a. Numerator

c. Percentage (a + b)

Enter here and on Line 4, Income Section above

b. Denominator

d. Date of Administrator's approval letter

I declare I have examined this return (including all schedules and accompanying statements) and to the best of my knowledge and belief, it is true, correct

and complete. If prepared by a person other than the taxpayer, his/her declaration is based on all information of which he/she has any knowledge.

Signature of Fiduciary or Officer Representing Fiduciary

Date

Signature of Prepares other than Fiduciary

Address

Date

SIGN

H ERE

Please provide email address if you would like

us to contact you via email: