Form 3423 Draft - Schedule 1 Additions And Subtractions - 2012

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Michigan Department of Treasury, 3423 (Rev. 08-12)
2012 MICHIGAN Schedule 1 Additions and Subtractions
FINAL DRAFT 8/20/12
Issued under authority of Public Act 281 of 1967.
Type or print in blue or black ink.Attach to Form MI-1040.
Attachment 01
Filer’s First Name
M.I.
Last Name
Filer’s Social Security No. (Example: 123-45-6789)
Additions to Income
(all entries must be positive numbers)
1. Gross interest and dividends from obligations issued by states
(other than Michigan) or their political subdivisions. ....................................................................
1.
00
2. Deduction for taxes on, or measured by, income including self-employment tax taken on
your federal return (see p. 13) .....................................................................................................
2.
00
3. Gains from Michigan column of MI-1040D and MI-4797 ............................................................
3.
00
4. Losses attributable to other states (see p. 13) ...........................................................................
4.
00
5. Net loss from federal column of your Michigan MI-1040D or MI-4797 .......................................
5.
00
6. Other (see p. 13). Describe: ___________________________________________________
6.
00
7. Total additions. Add lines 1 through 6. Enter here and on MI-1040, line 11. .......................
7.
00
Continue on page 2.
+
0000 2012 09 01 27 7

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