Form D-1040 (L) - City Of Detroit Income Tax Individual Return - Part Year Resident - 2001

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2001
D-1040 (L)
City of Detroit Income Tax
STAMP DLN HERE
Individual Return — Part Year Resident
or Fiscal Year Beginning
M M D D
2001, Ending
M M D D Y Y Y Y
$
,
,
.
Social Security Number
Spouse’s Social Security Number
Check here if this return is
for a deceased taxpayer
Y
First Name
MI
Last Name
Spouse’s First Name
MI
Spouse’s Last Name
Home Address (Number and Street or Rural Route)
City or Town
State
Zip Code
A. FILING STATUS
EXEMPTIONS:
E. Number of Dependent Children
REGULAR
65 or OVER
BLIND
DEAF
DISABLED
1
Single
List all dependents on page 2, part 4.
C. YOURSELF
F. Number of Other Dependents
Married Filing Jointly
2
List all dependents on page 2, part 4.
Check if you can be
G. TOTAL Number of Exemptions
D. SPOUSE
claimed as a dependent
B.
Add lines C, D, E and F.
on another person’s tax
return.
Y
Y
M M D D Y Y Y Y
H. Amended return?
I. Is this amended return as a result of a federal audit?
J. If Yes, enter the federal determination date
See instructions
Residency:
Number of Months you were a Resident
Number of Months your spouse was a Resident
Residency Effective Date
Residency Effective Date
Residency Ending Date
Residency Ending Date
All Income While Resident
Detroit Income While a
INCOME AND ADJUSTMENTS
of Detroit - Col I
Non-Resident Col II
1
1.
Total Income from W-2 (Work location: __________________________________________)
2
2.
Other Income (or losses) (from page 2, part 1)
3
3.
Subtotal (add lines 1 and 2)
4
4.
Deductions from Income (from page 2, part 2)
5
5.
Subtotal (line 3 less line 4)
6
6.
Exemption Amount (see instructions for computation)
7
7.
Net income (line 5 less line 6)
8
8.
Renaissance Zone Deduction (attach Renaissance Zone Deduction Schedule)
9
9.
Less: Loss transfered from column I or II
1 0
10.
Total Income Subject to Tax (line 7 less line 8 and 9)
11
11.
Tax (multiply line 10 column 1 x .0275 (2.75%) / multiply line 10 column 2 x .01375 (1.375%))
1 2
12.
Total tax — Add line 11 column I + column II
1 3
13.
Credit tax paid to other cities (attach copy of other city returns)
1 4
14.
Total Tax (line 12 less line 13)
PAYMENTS AND CREDITS
1 5
15.
Tax withheld
1 6
16.
2001 estimated payments, credits and other payments (see instructions)
1 7
17.
Detroit tax paid for you by a partnership (from page 2, part 3)
1 8
18.
Total payments and credits (add lines 15 through 17)
REFUND OR TAX DUE
1 9
19.
If line 18 is larger than line 14 enter the amount of Overpayment
2 0
20.
Amount to be Refunded (if amended see instructions)
2 1
21.
Amount to be Credited on 2002 Estimated Tax (if amended see instructions)
2 2
22.
If line 14 is larger than line 18 enter the amount of Tax due: (make check payable to: Treasurer, City of Detroit)
DOCID 102 1999

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