Form 5119 - Nonresident Income Tax Return - City Of Detroit - 2016 Page 2

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2016 Form 5119, Page 2
Filer’s Full Social Security Number
City of Detroit Nonresident Income Tax Return
PART 2: PAYMENTS AND CREDITS
00
20. Tax withheld from City Schedule W
, line 5....................................................................................................
20.
00
21. City estimated tax, extension payments and 2015 credit forward ................................................................
21.
00
22. Tax paid for you by a partnership from City Schedule W, line 6. ..................................................................
22.
00
23. Total Payments and Credits. Add lines 20 through 22 ..............................................................................
23.
PART 3: REFUND OR TAX DUE
24. If line 19 is greater than line 23, subtract line 23 from line 19.
YOU OWE
00
Include interest
and penalty
if applicable........................
24.
00
25. Overpayment. If line 23 is greater than line 19, subtract line 19 from line 23. ............................................
25.
00
26. Credit Forward. Amount of line 25 to be credited to your 2017 estimated tax for your 2017 tax return .....
26.
REFUND
00
27. Subtract line 26 from line 25.
....................................................................................................
27.
PART 4: SUBTRACTIONS FROM INCOME (All entries must be positive numbers.)
00
28. Employee business expenses (see instructions). Attach copy of U.S. Form 2106.......................................
28.
00
29. Individual Retirement Account (IRA) contribution (see instructions).............................................................
29.
00
30. Alimony paid. Do not include child support (see instructions). ....................................................................
30.
00
31. Work-related moving expenses (see instructions). Attach a copy of U.S. Form 3903. .................................
31.
00
32. Net profits received from a financial institution or an insurance company. ...................................................
32.
00
33. Capital gains (before July 1, 1962). ..............................................................................................................
33.
00
34. Total Subtractions. Add lines 28 through 33. Enter here and on line 15. ...................................................
34.
PART 5: BUSINESS INCOME APPORTIONMENT
Name of Business Entity
Federal Employer Identification No. (FEIN)
A. Located
B. Located in
C. Percentage
Everywhere
Detroit
(B divided by A)
XXXX
35. Average net book value of real and
00
00
tangible personal property ..........................
XXXX
36. Gross annual rent paid for real property
00
00
multiplied by 8.............................................
37. CITY SHARE OF PROPERTY: Add lines 35
and 36. Divide column B by column A and
00
00
%
enter as a percentage in column C. ..............
38. Total wages, salaries, commissions and
00
00
%
other compensation of all employees .........
39. Gross receipts from sales made or
00
00
%
services rendered .......................................
%
40. TOTAL: Add lines 37, 38 and 39, column C. . ......................................................................................................................
41. Average.* Divide line 40 by 3. If any of lines 37, 38, or 39 are zero or not used, divide line 40 by the number of factors
%
actually used. If all business was conducted in the city listed on line 4, enter 100%. ..........................................................
* In the case of a taxpayer authorized by the Finance Director to use a special formula, attach a copy of the approval letter.
+
0000 2016 102 02 27 9
Continue on page 3. This form cannot be processed if pages 2 and 3 are not completed and attached.

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