4594, Page 2
FEIN or TR Number
21. Taxes from line 19, column D, on land enrolled after December 31, 1977. Enter zero unless you
00
checked the box on line 13 or line 18 ...................................................................................................
21.
00
22. Taxes from line 19, column D, on land enrolled before January 1, 1978 ..............................................
22.
00
23. Taxes qualifying for credit. Add lines 21 and 22 ...................................................................................
23.
PART 3: TAXES THAT CANNOT BE CLAIMED FOR CREDIT
24. Business Income Tax base from Form 4567, line 30c (or Business Income Tax Base Worksheet,
00
see instructions). ...................................................................................................................................
24.
00
25. Depletion allowance claimed on your federal income tax return ..........................................................
25.
26. Compensation of shareholders that is not included in the Business Income Tax base .........................
26.
00
00
27. Total. Add lines 24 through 26. If less than zero, enter zero .................................................................
27.
00
28. Taxes that cannot be claimed for credit. Multiply line 27 by 3.5% (0.035) ............................................
28.
PART 4: CREDIT
29. Farmland Preservation Tax Credit. Subtract line 28 from line 23. If line 28 is greater than line 23,
00
enter zero ...............................................................................................................................................
29.
30. Amount of credit applied to Michigan Business Tax liability. Enter here the lesser of line 29
00
or the amount on Form 4567, line 38. Enter this amount on Form 4574, line 17 ...................................
30.
00
31. Amount of credit to be REFUNDED. Subtract line 30 from line 29.........................................................
31.
PART 5: CERTIFICATION AND SIGNATURE
Taxpayer Certification.
Preparer Certification.
I declare under penalty of perjury that the information in
I declare under penalty of perjury that this
this return and attachments is true and complete to the best of my knowledge.
return is based on all information of which I have any knowledge.
Preparer’s PTIN, FEIN or SSN
By checking this box, I authorize Treasury to discuss my return with my preparer.
Taxpayer Signature
Preparer’s Business Name (print or type)
Taxpayer Name (print or type)
Date
Preparer’s Business Address and Telephone Number (print or type)
Title
Telephone Number
If using this credit, or a portion of this credit, to pay the MBT liability, attach this form to the MBT Refundable Credits (Form 4574) as
part of the annual tax filing along with the MBT annual return (either the MBT Simplified Return (Form 4583) or the MBT Annual Return
(Form 4567)).
If requesting a refund of the entire amount of the credit, mail this form to:
Michigan Department of Treasury
P.O. Box 30783
Lansing, MI 48909
For assistance, visit Michigan Department of Treasury’s Web site at or call toll-free 1-800-827-4000 for
questions about Michigan income tax and credit forms. Persons who have hearing or speech impairments may call 517-636-4999 (TTY).
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