FORMS OR INFORMATION
Forms or information may be obtained from the Income Tax Department section of the City of Flint
website, , via telephone by calling (810) 7667015 or from the City of Flint
Income Tax Department, 1101 S. Saginaw St, Flint, MI 48502.
WORKSHEET FOR DECLARATION OF ESTIMATED INCOME TAX
(KEEP FOR YOUR RECORDS)
1. TOTAL FLINT INCOME EXPECTED THIS YEAR OR TOTAL INCOME FROM LAST YEAR
00
2. EXEMPTIONS ($600 FOR EACH EXEMPTION; DOES NOT APPLY TO CORPORATIONS)
00
3. ESTIMATED FLINT TAXABLE INCOME (SUBTRACT LINE 2 FROM LINE1)
00
4. ESTIMATED FLINT INCOME TAX BEFORE CREDITS (NONRESIDENT INDIVIDUALS
MULTIPLY LINE 3 BY 1/2% (.005), ALL OTHER TAXPAYERS MULTIPLY LINE 3 BY 1% (.01)
00
5. AMOUNT OF FLINT INCOME TAX WITHHELD OR OTHER CREDIT EXPECTED
00
6. ESTIMATED INCOME TAX DUE (SUBTRACT LINE 5 FROM LINE 4)DECLARATION AMOUNT
00
7. INSTALLMENT AMOUNT (DIVIDE LINE 6 BY 4)
00
VOUCHER
DATE PAID
CHECK NUMBER
AMOUNT PAID
1
2
3
4
CUT ALONG LINE
CITY OF FLINT INCOME TAX DEPARTMENT
YEAR
DECLARATION OF ESTIMATED INCOME TAX/QUARTERLY
DUE DATE
VOUCHER
STATEMENT OF ACCOUNT FOR CALENDAR YEAR OR FISCAL
YEAR ENDING______________________, 20____
NO. 4
SOCIAL SECURITY NUMBER OR FEDERAL I.D. NUMBER
SPOUSE SOCIAL SECURITY NUMBER
TAXPAYER'S NAME AND ADDRESS
ESTIMATED TAX
PAYMENT AMOUNT
00
.00
$___________.
$___________
MAKE CHECKS PAYABLE AND MAIL TO: TREASURER, CITY OF FLINT 16127 COLLECTION CENTER DR, CHICAGO, IL 60693