Form Gr-1040 - City Of Grayling Individual Income Tax Return - 2003
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1
22003
GR-1040 CITY OF GRAYLING INDIVIDUAL INCOME TAX RETURN
For calendar year 2003 or tax year ending_______________________
Issued under authority of P.A. 284 of 1964. Filing is mandatory.
1. Filers First Name, Middle Initial and Last Name
2. Filers Social Security Number
If a Joint Return, Spouse’s First Name, Middle Initial and Last Name
3. Spouse’s Social Security Number
4. Residency
Home Address (No., Street, P.O. Box or Rural Route)
a.
Resident
address
City or Town
State
Zip Code
b.
Nonresident
Did you file a 2002 Grayling city return?
Yes
No
address
Indicate employer’s name or source of income for the year 2003 (attach list if necessary).
c.
Part-Year Resident
see schedule 3
5. Exemptions (check a box for all that apply).
You
Spouse
Personal –––––––––––––––––––––––––––––––––– A
B
Age 65 or older –––––––––––––––––––––––––––– C
D
G.____
How many boxes
Blind–––––––––––––––––––––––––––––––––––––– E
F
did you check?
Complete the information below for the dependents you are claiming.
Check if
# Months Lived in
Number of allowable
H.____
Dependents Name
Relationship to you
Social Security Number
Under Age 1
Your Home
federal dependents
Add lines
I._____
G through I
Visit us on the web:
6. Filing Status
a.
single
c.
Married, filing separately. Complete item 3
b.
Married, filing jointly and enter your spouses name here
7. Total Income. (See Instructions)
a. Resident enter total income from 2003 U.S. 1040, line 22; 1040A, line 15 or 1040EZ, line 4
b. Nonresident enter gross wages from W-2, Schedule 1 on the back, or a federal schedule
7. ________________.00
(If you have no additions or subtractions, carry this amount to line 11).
8. Additions. (See Instructions). Explain:____________________________________________
8. ________________.00
9. Total. Add lines 7 and 8
9. ________________.00
10. Subtractions. (See Instructions). Explain:__________________________________________
10. ________________.00
11. Adjusted income. Subtract line 10 from line 9
11. ________________.00
12. Multiply the number of exemptions claimed on line 5I by $3,000
12. ________________.00
13. Taxable income. Subtract line 12 from line 11
13. ________________.00
14. Tax. Multiply the amount on line 13 by one of the following
Resident only - 1% (.01), Nonresident only - 1/2% (.005) or if a
Part-year resident - enter the amount from Schedule 3, line 9
14. ________________.00
NONREFUNDABLE CREDIT (City of Grayling Residents only).
15. Income taxed by other Michigan cities. (Attach copy of returns).
15a. _______________.00
15b. ________________.00
16. Subtotal. Subtract line 15b. from line 14
16. ________________.00
PAYMENTS AND CREDITS
17. City of Grayling tax withheld. (Attach W-2)
17. ________________.00
18. City estimated tax, extension payments and 2002 credit forward
18. ________________.00
19. Credit for partnership income tax paid
FE number of partnership:__________________
19. ________________.00
20. Total payments and credits. Add lines 17 thru 19
20.________________.00
21. If line 16 is larger than line 20, subtract line 20 from line 16.
Include interest__________and penalty __________if applicable
FOR OFFICE USE ONLY
Enter TAX DUE here
PAY 21. ________________.00
Make your check payable to: City Treasurer
22. If line 20 is larger than line 16, subtract line 16 from line 20. You overpaid this amount
22. ________________.00
23 Amount of line 22 to be credited to 2004 City of Grayling estimated tax 23. _______________.00
24. Subtract line 23 from line 22. Enter refund amount
REFUND 24. ________________.00
If applicable, complete the schedules and sign the back on this return
GRAYLING GR-1040
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Parent category: Financial