Form Mi-1040cr - Homestead Property Tax Credit Claim - 2004
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Michigan Department of Treasury (Rev. 10-04), Page 1
2004 MICHIGAN Homestead Property Tax Credit Claim MI-1040CR
Issued under authority of P.A. 281 of 1967. Type or print in blue or black ink.
0 1 4 7
Print numbers like this:
0123456789 -
NOT like this:
Attachment Sequence No. 05
4
4
2.
M.I.
Last Name
Filer's Social Security Number (Example: 123-45-6789)
1.
Filer's First Name
If a Joint Return, Spouse's First Name
M.I.
Last Name
4
3.
Spouse's Social Security Number (Example: 123-45-6789)
Home Address (No., Street, P.O. Box or Rural Route)
4
City or Town
State
ZIP Code
4.
School District Code (5 digits - see pg. 45)
4
5. Residency Status in 2004:
*Complete Dates of Residency in 2004
46. Check the box(es) for which you qualify:
Enter dates as MM-DD-YYYY (Example: 04-15-2004)
Age 65 or older; or an unremarried spouse of a
a.
Resident
a.
YOU
SPOUSE
person who was 65 or older at the time of death
b.
FROM
2004
2004
Nonresident
Deaf, blind, hemiplegic, paraplegic, quadriplegic,
b.
TO
c.
2004
2004
or totally and permanently disabled
Part-Year Resident*
00
4
7.
Homeowners: Enter the 2004 taxable value of your homestead
7.
00
4
8.
Property Taxes levied on your home in 2004 (see page 18) or amount from line 42, 47 and 49
8.
00
9.
Renters: Enter rent paid in 2004 from line 44
49.
00
10.
10.
Multiply line 9 by 20% (.20)
00
11.
11.
Total. Add lines 8 and 10
HOUSEHOLD INCOME. Include income from both spouses. If your
household income is more than $82,650, you are not eligible for a credit.
12.
Wages, salaries, tips, sick, strike and SUB pay, etc.
00
12.
13.
All interest and dividend income (including nontaxable interest)
00
13.
14.
Net rent, business or royalty income (including self-employment)
00
4
14.
15.
Retirement pension, annuity, and IRA benefits. Name of payer:
00
15.
16.
Net farm income
00
16.
17.
Capital gains less capital losses (see page 21)
00
17.
18.
Alimony and other taxable income (see page 21). Describe:
00
18.
19.
Social Security, SSI and/or railroad retirement benefits
00
4
19.
20.
Child support (see page 21)
00
20.
21.
Unemployment compensation
4
00
21.
22.
Other nontaxable income (see page 21). Describe:
00
22.
23.
Workers' compensation, veterans' disability compensation and pension benefits
00
23.
24.
FIP and other FIA benefits
4
00
24.
25.
SUBTOTAL. Add lines 12-24
00
SUBTOTAL
25.
00
26.
Other adjustments (see page 21). Describe:
26.
00
27.
Medical insurance or HMO premiums you paid for you and your family
27.
00
28.
Add lines 26 and 27
28.
00
4
29.
HOUSEHOLD INCOME. Subtract line 28 from line 25
29.
00
30.
Multiply line 29 by 3.5% (.035) or by the percent in Table 3 (see page 22)
30.
00
31.
Subtract line 30 from line 11. If line 30 is more than line 11, enter "0" and STOP; you are not eligible
31.
If you checked a box on line 6, complete line 33 or 34. FIP/FIA recipients, complete line 33.
All others must complete line 32.
00
32.
Multiply line 31 by 60% (.60) (maximum $1,200). Go to line 35
32.
33.
FIP/FIA recipients, enter amount from Worksheet 4 on page 22. Seniors who pay rent,
00
complete lines 50-54 and enter amount from line 54 here (maximum $1,200). Go to line 35
33.
34.
If you checked a box on line 6 (if you completed line 33, skip this line), enter the amount from
00
line 31 (maximum $1,200). Go to line 35
34.
35.
CREDIT. If your household income (line 29) is less than $73,650, enter the amount that applies
to you from line 32, 33 or 34 here. If it is more than $73,650, you must reduce your credit (see
00
4
instructions on page 22). If you file an MI-1040, carry this amount to your MI-1040, line 31
35.
+
0000 2004 25 01 27 0
Continue and sign on page 2.
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