Form Al-1040x - Amended Albion Income Tax Return Page 3
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3AL-1040X
Name:___________________________________ SS #_____________________ Tax Year _________
NONRESIDENTS
PART YEAR RESIDENTS
SUBJECT TO INCOME ALLOCATION
Complete Schedule 3 below and enter the amount from
Complete Schedule 1 or 2 below, whichever applies. If you
Schedule 3, line 9 on AL-1040X, line 19.
completed Schedule 1, enter the amount from Schedule 1, line 5
on AL-1040X, line 12. If you completed Schedule 2, enter the
amount from Schedule 2, line 3 on AL-1040X, line 13.
SCHEDULE 1 – COMPUTATION OF WAGES EARNED IN ALBION (NONRESIDENTS ONLY)
When both spouses have income subject to allocation, figure them separately. Also, a separate computation must be made for each W-2.
1. a. Number of days paid (5 days /week x 52 weeks = 260 days)
(If other than 260 days attach an explanation.)
1 .a. ___________
b. Vacation, holidays, sick, and other days not worked
1. b. ___________
c. Actual number of days worked everywhere (1.a. minus 1.b.)……………………………………..………………1.c._________days
2. Actual number of days worked in Albion…………………………………………………………………….……………2._________days
(You must include a statement from your employer in order to receive credit.)
3. Percentage of days worked in Albion (line 2 divided by line 1.c.)……………………………………………………...3.___________%
4. Total wages shown on W-2…………………………………………………………………………………………………4._____________
5. Wages earned in Albion (line 4 X percentage on line 3). (Enter here and on AL-1040X, line 12.)………. .……….5._____________
SCHEDULE 2 –BUSINESS ALLOCATION (NONRESIDENTS ONLY)
If you are self-employed and have income earned from your business both inside and outside the city, you must complete this schedule. This schedule
must be accompanied by a copy of your U.S. 1040, Schedule C and your worksheet (see AL-1040 booklet, page 6) used to show allocation.
1. Net income from business or profession…………………………………………………………………………1.
.00
2. Percent earned in Albion. (Attach Schedule C and worksheet.) …………………………………………….. 2.
%
3. Business income subject to Albion income tax (line 1 X percentage on line 2.)
(Enter here and on AL-1040X, line 13) ………………………………………………………………………….. 3.
.00
SCHEDULE 3 - COMPUTATION OF WAGES FOR
Column A
Column B
PART-YEAR RESIDENTS
Portion of Income Earned in
This schedule applies only if you had income during the year as a resident and
All Income While a
City of Albion While a
nonresident. (See AL-1040 booklet page 5.)
City of Albion Resident
Nonresident
1.
>1.
.00
.00
Gross wages. (Attach W-2)
2.
>2.
.00
.00
Additions (See instructions)
3.
>3.
(
.00)
(
.00)
Subtractions (See instructions)
4.
>4.
.00
.00
Total income
5.
>5.
(
.00)
(
.00)
Less exemptions. ($600 for each exemption claimed.)
(The sum of lines 5A and 5B may not exceed amount on AL-1040, line 12.)
6.
>6.
.00
.00
Taxable income. Subtract line 5 from line 4
7.
>7.
.00
Tax. Resident income: Multiply line 6, Column A by 1% (.01)
8.
>8.
.00
Tax Nonresident income: Multiply line 6, Column B by 1/2% (.005)
9.
>9.
.00
Total tax. Add lines 7 and 8. Enter here and on AL-1040, line 14
10.
Previous Address
Resident of City of Albion. Enter dates below.
From:
To:
Attach this page to your completed AL-1040X.
AL-1040X Page 3 (rev 6/06)
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