Attach To Form Mi-1040 - Schedule Ct College Tuition And Fees Credit - Michigan Department Of Treasury - 1998

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Michigan Department of Treasury, 2871 (Rev. 11-98)
Formerly C-4382
Schedule CT
1998
MICHIGAN
College Tuition and Fees Credit
Issued under P.A. 7 of 1995. Filing is voluntary.
Attach to form MI-1040.
Attachment Sequence No. 07
Filer's First Name, Middle Initial and Last Name
Filer's Social Security Number
1.
2.
Office Use
Limitation
s
To be eligible to
claim the credit you
must be a permanent
Michigan
resident and your adjusted gross income must be
$200,000 or less.
.00
Adjusted
gross income from your MI-1040, line 9
4.
4.
5.
Credit Amount (Complete
all columns and round all
amounts to the nearest dollar. )
Col. E
Col. F
Col. G
Col. D
Amount of
Multiply Each
Credit Amount
Col. C
College or
Undergraduate
Amount in
(Amount in Col. F
Col. A
Col. B
Name of Michigan College
University
Tuition and
Col. E by
or $375 Maximum
Student Name
Student Social Security Number
or University Attended
Code Number
Fees Paid
8% (.08)
Per Student)
a
b
c
d
Carry this amount to your MI-1040, line 23.
e
Total Credit Amount
5. $
.00
(Cannot exceed $375 per student. )
Is someone else contributing
to undergraduate
tuition and fees for the student(s)
6.
listed above? If "yes," enter the requested information
on line 7.
6.
YES
NO
Enter the information
below if someone else is contributing
to undergraduate
tuition and fees for
7.
the student(s) listed on line 5. Continue using the
same "a" through
"d" references.
Column A
Student Identification
Column B
From Line 5 Above
Name and Address of Contributor
a
b
c
d
I declare, under penalty of perjury, that the information in this claim and
I declare, under penalty of perjury, that this claim is
attachments is true and complete to the best of my knowledge.
based on all information of which I have knowledge.
I authorize Treasury to discuss my claim
Do not discuss my claim
Preparer's Signature, Address, Phone and ID No.
and attachments with my preparer.
with my preparer.
Filer's Signature
Date
Spouse's Signature
Date
To claim this credit, you must file an original form, a copy of this form,
or a Treasury-approved substitute form.

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