Form Bc 1040 Py - Schedule 3 - Battle Creek City Income Tax

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BC 1040 PY
SCHEDULE 3
Part Year
Battle Creek City Income Tax
Schedule 3 is not a tax return and must be attached to your Battle Creek Income Tax return Form BC-1040.
This schedule is used for the computation of taxable income, for individuals who had income subject to the tax both as a
resident and as a nonresident during the taxable year.
1.
Social Security Number(s): (H)
/
/
(W)
/
/
2.
Name:
3.
Address and City:
4.
Battle Creek resident time period: From:
To:
5.
Previous Adress:
COMPUTATION OF TAXABLE INCOME
COLUMN 1 COLUMN 2
6.
Enter gross income from employers for wages,
BC
NON-
DATES
salaries, commissions, tips,sickpay,
RESIDENT
WITH-
RESIDENT
WORKED FOR
INCOME
etc. - indicate (W) for wife.
HOLDINGS
INCOME
EMPLOYER
EMPLOYER'S NAME (List all W-2's)
a.
b.
c.
d.
e.
7.
W-2'S (Total line 6a - 6e)
7.
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
8.
Taxable Interest Income
8.
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
9.
Dividend Income
9.
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
10.
Alimony received from_____________________________________ 10.
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
11.
Business income or loss (Attach Schedule C)
11.
12.
Capital gain or loss (Attach schedule D)
12.
13.
Capital gain distributions not reported on Line 12
13.
14.
Other gains or losses (Attach Form 4797)
14.
15.
Total IRA distributions
15.
16.
16.
Rents, royalties, partnerships, estates, trusts, etc.(Attach Schedule E)
1
7.
Farm income or losses (Attach Schedule F)
17.
18.
Other income (list type and amount)____________________________18.
19
ADD LINES 7 through 18. Column's 1 & 2
TOTAL INCOME 19.
COMPUTATION OF DEDUCTIONS
20.
(a) IRA deduction (Attach proof of payment)
20a.
(b) Employee business expenses (Attach BC-2106)
b.
(c) Moving expenses (into Battle Creek City only)
c.
(d) Alimony (do not include child support) Paid to_________________ d.
(e) Keogh
e.
(f) ADD LINES 20a through 20e
TOTAL DEDUCTIONS
20f.
COMPUTATION OF TAX
21.
LINE 19 minus LINE 20f
TOTAL INCOME 21.
22.
Exemptions - subtract for exemption______________x $1,500.00
22.
Please do not take exemptions in both columns
23.
Taxable Income - LINE 21 minus LINE 22
23.
24.
Tax- Resident Income: Multiply LINE 23, column 1 by 1% (.01)
24.
25.
Tax - Nonresident Income: Multiply LINE 23, column 2 by 1/2% (.005)
25.
26.
ADD LINES 24 and 25
TOTAL TAX26.
(enter here and on page 1 of the BC 1040 Line 7)

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