Form D-1040(L) - City Of Detroit Income Tax Individual Return - Part Year Resident - 2011

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2011
City of Detroit Income Tax
D-1040(L)
Individual Return — Part Year Resident
Social Security Number
Spouse’s Social Security (if filing joint)
Check here if this return is for a deceased taxpayer
First Name
MI
Last Name
Spouse’s First Name (if filing joint)
MI
Spouse’s Last Name (if filing joint)
Home Address (Number and Street or Rural Route)
City or Town
State
Zip Code
A. FILING STATUS
EXEMPTIONS:
E. Number of Dependent Children
Single or Married Filing Separately
REGULAR
65 or OVER
BLIND
DEAF
DISABLED
List all dependents on page 2, part 4.
C. YOURSELF
F. Number of Other Dependents
Married Filing Jointly
List all dependents on page 2, part 4.
B.
Check if you can be claimed as a dependent
G. TOTAL Number of Exemptions
D. SPOUSE
on another person’s tax return.
Add lines C, D, E and F.
H. Amended return
I. Is this amended return as a result of a federal audit?
J. If Yes, enter the federal determination date
See instructions
Number of Months you were a Resident
Number of Months your spouse was a Resident
Residency Effective Date
Residency Effective Date
Residency Ending Date
Residency Ending Date
All Income While Resident
Detroit Income While a
INCOME AND ADJUSTMENTS
of Detroit - Col I
Non-Resident Col II
1.
Total Income from W-2 (Work location: ___________________________)
1
.00
.00
2.
Other Income (or losses) (from page 2, part 1)
2
.00
.00
3.
Subtotal (add lines 1 and 2)
3
.00
.00
4.
Deductions from Income (from page 2, part 2)
4
.00
.00
5.
Subtotal (line 3 less line 4)
5
.00
.00
6.
Exemption Amount (see instructions for computation)
6
.00
.00
7.
Net income (line 5 less line 6)
7
.00
.00
8.
Renaissance Zone Deduction (attach Renaissance Zone Deduction Schedule)
8
.00
.00
9.
Less: Loss transfered from column I or II
9
.00
.00
10.
Total Income Subject to Tax (line 7 less line 8 and 9)
10
.00
.00
11.
Tax (multiply line 10 column 1 x .025 (2.5%) / multiply line 10 column 2 x .0125 (1.25%))
11
.00
.00
12.
Total tax — Add line 11 column I + column II
12
.00
13.
Credit tax paid to other cities (attach copy of other city returns)
13
.00
14.
Total Tax (line 12 less line 13)
14
.00
PAYMENTS AND CREDITS
15.
Tax withheld
15
.00
16.
2011 estimated payments, credits and other payments (see instructions)
16
.00
17.
Detroit tax paid for you by a partnership (from page 2, part 3)
17
.00
18.
Total payments and credits (add lines 15 through 17)
18
.00
REFUND OR TAX DUE
19.
If line 18 is larger than line 14 enter the amount of Overpayment
19
.00
20.
Amount to be Refunded (if amended see instructions)
20
.00
21.
Amount to be Credited on 2012 Estimated Tax (if amended see instructions)
21
.00
22.
If line 14 is larger than line 18 enter the amount of Tax due: (make check payable to: Treasurer, City of Detroit)
22
.00

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