Form Gr-1040 - Grand Rapids Individual Return - 2010
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6GR-1040
GRAND RAPIDS
2010
INDIVIDUAL RETURN
For official
DUE MAY 2, 2011
use only
Your social security number
Your first name
Initial Last name
Spouse's soc sec number
If joint return, spouse's first name
Initial Last name
Your occupation
Present home address (Number and street)
Apt. no.
Spouse's occupation
Address line 2 (P.O. Box address form mailing use only)
Enter name and address used on 2009 return. If same
as this year, print "Same." (If none filed, give reason.)
City, town or post office, state and zip code
Check box if you need a return
Resident
Nonresident
Part-year resident
From
to
RESIDENCY STATUS
form mailed to you next year.
Single
Married filing jointly
Married filing separately
FILING STATUS
EXEMPTIONS
Enter spouse's SSN and
Enter number of exemptions
full name here. >>>
from page 2, box 3
Column B
Column A
Column C
Exclusions and
INCOME
ROUND ALL FIGURES TO NEAREST DOLLAR
Federal Return Data
Taxable Income
Adjustments
1.
Wages, salaries, tips, etc.
1
2.
Taxable interest
2
ATTACH
COPY OF 3.
Ordinary dividends
3
NOT TAXABLE
PAGE 1 OF 4.
Taxable refunds, credits or offsets
4
FEDERAL 5.
Alimony received
5
6.
Business income (Attach copy of federal Schedule C.)
6
RETURN
7.
Capital gains or losses (Attach copy of federal Schedule D.)
Federal Schedule D not required.
7
8.
Other gains or losses (Attach copy of federal Form 4797.)
8
9.
Taxable IRA distributions
9
10. Taxable pension distributions (Attach copy of Form 1099-R.)
10
11. Rental real estate, royalties, partnerships, S corporations, trusts, etc. (Attach copy of fed. Sch. E.)
11
12. Reserved
12
13. Farm income or loss (Attach copy of federal Schedule F.)
13
ATTACH
14. Unemployment compensation
14
NOT TAXABLE
W-2
NOT TAXABLE
15. Social security benefits
15
FORMS
16. Other income (Attach statement listing type and amount.)
16
HERE
17.
Total income (Add lines 1 through 16.)
17
See instructions. Deductions must be allocated on the same basis as related income.
DEDUCTIONS
18. IRA deduction (Attach copy of page 1 of federal return & evidence of payment.)
18
19. Self Employed SEP, SIMPLE and qualified plans (Attach copy of page 1 of federal return.)
19
20. Employee business expenses (See instructions and attach copy of federal Form 2106.)
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21. Moving expenses (Into City area only) (Attach copy of federal Form 3903.)
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22. Alimony paid (DO NOT INCLUDE CHILD SUPPORT. Attach copy of page 1 of federal return.)
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23. Renaissance Zone deduction (Attach Schedule RZ OF 1040.)
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24.
Total deductions (Subtractions) (Add lines 18 through 23.)
24
25.
Total income after deductions (Subtract line 24 from line 17.)
25
26. Amount for exemptions (Number of exemptions (_____) times exemption amount, $675.)
26
27.
Total income subject to tax (Subtract line 26 from line 25.)
27
28. Tax
(Multiply line 27 by 1.4% (0.014) for residents, 0.7% (0.007) for nonresidents or check following box and attach Schedule TC)
28
(If line 33 exceeds $100 see instructions for making estimated tax payments.)
PAYMENTS AND CREDITS
29. Tax withheld by your employer (Attach W-2 Forms showing tax withheld.)
29
30. Payments on 2010 Declaration of Estimated Income Tax, payments with an extension and credits forward from 2009
30
31. Credit for tax paid to another city and for tax paid by a partnership (Attach copy of other city's return.)
31
32.
Total payments and credits (Add lines 29 through 31.)
32
33. If tax (line 28) is larger than payments (line 32) you owe tax (Enter tax due.)
PAY WITH RETURN. >>>
ENCLOSE
MAKE CHECK OR MONEY ORDER PAYABLE TO: GRAND RAPIDS CITY TREASURER OR PAY WITH A
CHECK OR
TAX DUE
MONEY
DIRECT ELECTRONIC WITHDRAWAL (Mark pay tax due on line 38, enter effective date and complete line 38 a, b & c.)
ORDER
Check box to opt out from electronic check conversion. See signature block area on page 2 for additional information.
33
OVERPAYMENT
34. If total payments and credits (line 32) are larger than tax (line 28) enter overpayment
34
a.
American flags for veterans'
b.
Grand Rapids
c.
Grand Rapids
Total
35. Donations to :
35
graves in Grand Rapids >
Children's Fund >
Parks' Fund >
donations >
36. Amount of Overpayment to be credited forward to 2011
Amount of credit to 2011 >> 36
37. Amount of Overpayment to be refunded (For direct deposit mark refund box on line 38 and complete line 38 a, b & c.)
Refund check amount >> 37
38. Direct deposit refund or direct withdrawal payment
Mark one:
Refund - Direct deposit
Pay tax due - Direct withdrawal
(Default is date processed)
/
/
a. Routing number
Direct withdrawal effective date:
b. Account number
c. Type of account:
Checking
Savings
MAIL TO: Grand Rapids Income Tax Office, PO Box 2528, Grand Rapids, MI 49501
Form GR-1040 (2010), page 1
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