Form W-1040r - City Of Walker Resident Individual Income Tax Return - 2011 Page 2

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CITY OF WALKER RESIDENT INDIVIDUAL INCOME TAX RETURN
Page 2
W-1040R
2011
Schedule 4
Other Income/Loss
PART YEAR RESIDENTS INCLUDE ONLY INCOME/LOSS ATTRIBUTABLE TO PERIOD OF RESIDENCY
1. Interest income from Federal return
1a.
.00
U.S. interest
1b.
.00
1c.
.00
2. Dividend income from Federal return
2a.
.00
U.S. dividends 2b.
.00
2c.
.00
3. Income/loss from business--Federal Schedule C
3a.
.00
Keogh deduction
3b.
.00
3c.
.00
4. Income/loss from rents/royalties--Federal Schedule E, page 1
4.
.00
5. Income/loss from partnerships--Federal Schedule E, page 2
5.
.00
6. Income/loss from sale or exchange of property (Capital gains)--Federal Schedule D
6.
.00
7. Distributions from Subchapter S corporations--Federal Schedule K-1
7.
.00
8. Income from estates/trusts--Federal Schedule E, page 2
8.
.00
9. Premature distributions from profit sharing plans, pension plans and/or IRAs
9.
.00
10. Other income (alimony received, gambling winnings, taxable scholarships, etc.)
10.
.00
11. Total--combine lines 1c. through 10--enter here and on page 1, line 2 of return summary
11.
.00
Schedule 5
Deductions
PART YEAR RESIDENTS ALLOCATE DEDUCTIONS FOR PERIOD OF RESIDENCY
1. IRA deduction--attach page 1 of Federal 1040
(No deduction is allowed for contributions to a ROTH IRA)
1.
.00
2. Employee business expenses--attach Federal 2106 or list
2.
.00
3. Moving expenses--attach Federal 3903 or list
3.
.00
4. Alimony paid--attach page 1 of Federal 1040
4.
.00
5. Total--add lines 1 through 4--enter here and on page 1, line 3 of return summary
5.
.00
Worksheet 1
Credit for Tax Paid to Another City
1. Total income after deductions (before exemptions) from 2011 non-resident city return
1.
.00
2. Less: exemption amount from Walker return--page 1, line 5
2.
.00
3. Subtract line 2 from line 1
3.
.00
.005
4. Rate
4.
5. Multiply line 4 by line 3--enter here and on page 1, schedule 3, line 3
5.
.00
(Credit is limited to actual tax liability from other city's return)
Part year residents:
Include income on line 1 of this worksheet only to the extent that it is taxable by Walker as a resident
and taxable by another city that imposes an income tax as a non-resident
Note:
You must complete a separate Worksheet 1 for each city in which you filed a non-resident return
YOU MUST ATTACH A COPY OF PAGE ONE OF THE OTHER CITY'S RETURN
Summary of Required Attachments
All Filers:
If Applicable:
u
u
All form W-2's
Federal Form 2106
u
u
Page 1 of Federal Form 1040
Federal Form 3903
u
Federal Schedule C
u
Filers Taking a Credit for Tax Paid to Another City:
Federal Schedule D, Form 4797, and Form 6252
u
u
Copy of page one of the other city(ies) return
Federal Schedule E including Federal Schedule K-1
for all S corporations shown on Schedule E, if any
u
Copies of all forms 1099-R for taxpayers under age 65
Contribution to Education Foundation
You may contribute your overpayment from Page 1, line 10 to one of the Education Foundations listed by checking the appropriate box.
If you check a box, the full amount of your overpayment will be sent to the Education Foundation you have chosen. Skip lines 11 and 13.
Comstock Park Education Foundation
The Grandville Education Foundation
Kenowa Hills Education Foundation
Third Party Designee
Do you want to allow another person to discuss this return with the Income Tax Department?
Yes--Complete the following:
No
Designee's Name:
Phone No.
(
)

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