Form Mi-1040x - Amended Michigan Income Tax Return
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Amended Michigan Income Tax Return
MI-1040X
Issued under authority of P.A. 281 of 1967. Type or print in blue or black ink.
(Rev. 10-03)
1. Enter calendar year or ending date of fiscal year (mo./day/yr.) of this return......................... ___________________
IDENTIFICATION
4
Filer's First Name, Middle Initial and Last Name
4
Filer's Social Security Number
2.
3.
If a Joint Return, Spouse's First Name, Middle Initial and Last Name
4
Spouse's Social Security Number
4.
Home Address (No., Street, P.O. Box or Rural Route)
Office Use
City or Town
ZIP Code
State
RESIDENCY STATUS
Resident
Nonresident
Part-year Resident
Enter Dates:
5.
On Original Return
FROM: _______________ TO: _______________
6.
On This Return
FROM: _______________ TO: _______________
FILING STATUS
Single
Married - filing jointly
Married - filing separately
Enter Spouse's Name:
7.
On Original Return
8.
On This Return
EXEMPTIONS
Federal exemptions
Michigan Special Exemptions
(Explain on
9.
On Original Return
lines 42-45)
10.
On This Return
A. On Original Return B. Net Change
C. Correct Amount
INCOME, ADDITIONS and DEDUCTIONS
11.
Adjusted gross income. Explain changes on line 46
11.
12.
Additions to adjusted gross income
12.
13.
Total income. Add lines 11 and 12
13.
14.
Subtractions from adjusted gross income
14.
15.
Balance. Subtract line 14 from line 13
15.
16.
Exemption allowance. Multiply number of exemptions by
applicable amount (see instructions)
16.
17.
Taxable income. Subtract line 16 from line 15
17.
18.
Tax. Multiply line 17 by tax rate (see instructions)
18.
19.
Contributions to CTF/Nongame Wildlife 1999 and before
19.
20.
Use Tax Due (tax year 1999 and after)
20.
21.
Add lines 18, 19 and 20
21.
NONREFUNDABLE CREDITS
22.
Income tax paid to Michigan cities credit
22.
23.
Public contributions credit
23.
24.
Community foundations credit
24.
25.
Homeless/food bank credit
25.
26.
Income tax paid to another state credit
26.
27.
Historic Preservation Tax Credit (tax year 1999 and after)
27.
28.
College tuition and fees credit
28.
29.
Total nonrefundable credits. Add lines 22 through 28
29.
30.
Balance. Subtract line 29 from line 21.
(If line 29 is greater than line 21, enter "NONE.")
30.
REFUNDABLE CREDITS and PAYMENTS
4
Homestead Property Tax Credit (attach MI-1040CR or MI-1040CR-2)
31.
31.
31.
4
Farmland Preservation Tax Credit (attach MI-1040CR-5)
32.
32.
32.
4
Qualified Adoption Expense (tax year 2001 and after)
33.
33.
33.
34.
Michigan income tax withheld (if amending, attach W-2 or Schedule W)
34.
35.
Michigan estimated tax, credit forward and extension payments
35.
36.
.00
36.
Amount paid with original return, plus additional tax paid after filing
37.
.00
37.
Total credits and payments. Add lines 31 through 36 of column C
REFUND or BALANCE DUE
38.
.00
38.
Overpayment, if any, shown on original return
39.
.00
39.
Enter the difference between lines 37 and 38. (If a negative amount, see instructions.)
If line 30, column C, is greater than line 39, enter BALANCE DUE
40.
.00
Include interest ____________ and penalty ______________ (if applicable; see instructions)
4
40.
.00
If line 30, column C, is less than line 39, enter REFUND to be received
4
41.
41.
Continue and sign on page 2.
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