Form 807 - Michigan Composite Individual Income Tax Return - 2002

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Michigan Department of Treasury
807 (Rev. 10-02)
This form is issued under authority of P.A. 281 of 1967, as
amended. Filing of this form is mandatory. Failure to file
may result in the assessment of penalty and interest and
2002 MICHIGAN
could result in the revocation of filing agreement.
Composite Individual Income Tax Return
For 2002, or taxable year beginning
, ending
.
4
4
1. Name of partnership, S corporation or other flow through entity
2. Federal Employer Identification or TR Number
4
3. Mailing Address (Street, P.O. Box or Rural Route No.)
4
4. City, Village or Township, State, ZIP
NOTE: Pages 1, 2 and 3 of the U.S. 1065 or 1120S, the MI-1040H, a list of participants and a list
of nonparticipants must be attached to this return. See Table 1 in the instructions.
4
.00
5.
Ordinary income (loss) from line 22 of U.S. 1065 or line 21 of U.S. 1120S
5.
4
.00
6.
Additions (from line 34, page 2)
6.
.00
7.
Subtotal. Add lines 5 and 6
7.
4
.00
8.
Subtractions (from line 37, page 2)
8.
.00
9.
Total income subject to apportionment. Subtract line 8 from line 7
9.
4
%
10.
Apportionment percentage from MI-1040H. (Caution! See instructions.)
10.
.00
11.
Total Michigan apportioned income. Multiply line 9 by the percentage on line 10
11.
4
.00
12.
Michigan allocated income or (loss) (from line 42, page 2)
12.
.00
13.
Total Michigan income. Add lines 11 and 12
13.
4
.00
14.
Enter Michigan income that is attributable to Michigan residents
14.
4
.00
15.
Enter Michigan income that is attributable to nonparticipating nonresidents
15.
.00
16.
Enter Michigan income that is attributable to participants
16.
.00
17.
Exemption allowance (from line 48, page 2)
4
17.
.00
18.
Keogh or HR-10 deductions (from line 51, page 2)
4
18.
.00
19.
Add lines 17 and 18
19.
.00
20.
Taxable income. Subtract line 19 from line 16
20.
.00
21.
Tax due. Multiply line 20 by 4.1% (.041)
21.
.00
22.
Michigan estimated tax, extension payments and credit forward
4
22.
23.
If line 22 is less than line 21, enter TAX DUE
.00
Include interest
and penalty
, if applicable
PAY
4
23.
.00
24.
If line 22 is more than line 21, enter overpayment
24.
4
.00
25.
Amount of line 24 to be credited to your 2003 estimated tax
25.
.00
26.
Subtract line 25 from line 24
REFUND
4
26.
CERTIFICATION
This return is due annually on the 15th day of the fourth month after the close of the firm's tax year.
I declare under penalty of perjury that the information in this return and attachments is true and
I declare under penalty of perjury that this return is based on all
complete to the best of my knowledge.
information of which I have any knowledge.
Yes
No
I authorize Treasury to discuss my return with my preparer.
Preparer's Name, Address, PTIN and/or FEIN
Filer's Signature
Date
Spouse's Signature
Date
Mailing: Make check payable to "State of Michigan." Write the firm's federal employer ID number, "Composite Return" and Tax Year on the
check. Mail return with payment (if applicable) to: Composite Return, Michigan Department of Treasury, Lansing, MI 48922.
Continued on Page 2

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