Form Mi-1040cr - Homestead Property Tax Credit Claim - 2004 Page 2
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1
22004 MI-1040CR, Page 2
Filer's Social Security Number
PART 1: HOMEOWNERS.
Report on lines 36 and 37 the addresses of the homesteads you are claiming credit on.
36.
Taxable Value
Address of where you lived on December 31, 2004, if different than reported on line 1.
Taxable Value
37.
Address of homestead sold during 2004 (No., street and city).
If you bought or sold your home in 2004, complete lines 38-42.
HOMESTEAD:
A. Bought
B. Sold
38.
Number of days occupied (total cannot be more than 366)
38.
%
%
%
39.
Divide line 38 by 366 and enter percentage here
39.
40.
Property taxes levied in calendar year 2004
40.
41.
Prorated taxes. Multiply line 40 by percentage on line 39
41.
00
42.
42.
Taxes eligible for credit. Add line 41, columns A and B. Enter here and on line 8
PART 2: RENTERS
Address of Homestead You Rented
Total
# Months
Monthly
43.
(No., Street, Apt. #, City)
Rent Paid
Landowner's Name and Address
Rented
Rent
A.
A.
B.
B.
00
.
44.
Total rent paid (not more than 12 months). Add total rent for each period. Enter here and on line 9
44.
PART 3: OCCUPANTS OF HOUSING ON WHICH SERVICE FEES ARE PAID INSTEAD OF TAXES
45.
Name and Address of Housing Project or Landowner
00
46.
46.
Enter the total rent you paid in 2004.
Do not include amounts paid on your behalf by a government agency
00
47.
Multiply line 46 by 10% (.10). Enter here and on line 8
47.
PART 4: OCCUPANTS OF NURSING OR ADULT FOSTER CARE HOMES OR HOMES FOR THE AGED
48.
Name and Address of Care Facility
00
49.
Your share of taxes paid by the landowner (see page 19). Enter here and on line 8
49.
PART 5: ALTERNATE PROPERTY TAX CREDIT FOR RENTERS AGE 65 AND OLDER
00
50.
Enter amount from line 31 or from Worksheet 4 on page 22
50.
00
51.
Enter rent paid from line 44 or line 46. (If you moved during 2004, see instructions, page 19.)
51.
00
52.
Multiply the amount on line 29 by 40% (.40) and enter here
52.
00
53.
Subtract line 52 from line 51. If line 52 is more than line 51, enter "0"
53.
00
54.
Enter the larger of line 50 or line 53 and carry this amount to line 33
54.
b. Account
4
a. Routing
4
DIRECT DEPOSIT
Checking
(1)
(2)
Savings
Type:
Number
Deposit your refund directly into
your bank account! See pg. 14
c. Account
4
and complete a, b and c
Number
Deceased Taxpayers.
If Filer and/or Spouse died after 12-31-2003, enter dates below.
Preparer Certification.
I declare under penalty of perjury that
Enter dates as MM-DD-YYYY. Example: 04-15-2005
this return is based on all information of which I have any knowledge.
4
Preparer's SSN, PTIN or FEIN
4
4
Filer
Spouse
Taxpayer Certification.
I declare under penalty of perjury that the information in this
4
Preparer's Name (print or type)
return and attachments is true and complete to the best of my knowledge.
Filer's Signature
Date
Preparer's Address (print or type)
Spouse's Signature
Date
4
I authorize Treasury to discuss my return with my preparer.
Yes
No
If you are also filing Form MI-1040, attach this form behind it.
+
If not, mail this form to: Michigan Department of Treasury, Lansing, MI 48956
0000 2004 25 02 27 8
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