Form 3423 Draft - Schedule 1 Additions And Subtractions

Michigan Department of Treasury, 3423 (Rev. 08-12), Page 2

2012 MICHIGAN Schedule 1 Additions and Subtractions

Filer’s First Name

M.I.

Last Name

Filer’s Social Security No. (Example: 123-45-6789)

Subtractions from Income

(all entries must be positive numbers)

8. Income from U.S. government bonds and other U.S. obligations included in MI-1040, line 10.

Attach U.S. Schedule B if over $5,000 ........................................................................................

9. Military pay (including Military pensions) from U.S. Armed Forces included in MI-1040, line 10.

Attach Schedule W ......................................................................................................................

10. Gains from federal column of Michigan MI-1040D and MI-4797 ..............................................

10.

11. Income attributable to another state. Explain type and source:________________________ 11.

12. Retirement benefits. Enter amount from line 12 of Form 4884, Michigan Pension Schedule.

Attach Form 4884 ...................................................................................................................... 12.

13. Dividend/interest/capital gains deduction for taxpayers 67 years and older. Deduction is

limited to $10,545 for single filer and $21,091 for joint filers, less any deduction for retirement

benefits on line 12. If you enter an amount on this line, complete 13a - 13d below ............. 13.

Check this box if you are the unremarried surviving spouse claiming a dividend/interest/capital

gains deduction for someone born before 1946 who was at least age 65 at the time of death.

PRIMARY FILER

SPOUSE

13a. Year of Birth (19xx)

13b. Age

13c. Year of Birth (19xx) 13d. Age

(as of 12-31-2012)

14. Social Security or railroad retirement taxable benefits included on U.S. Form 1040 or 1040A ... 14.

15. Income earned while a resident of a renaissance zone. See p. 14. ............................................ 15.

16. Michigan state and local income tax refunds received in 2012

and included in MI-1040, line 10.................................................................................................. 16.

17. Michigan Education Savings Program

and

Plan . ....................... 17.

18.

Michigan Education Trust . ....................................................................................... 18.

19. Michigan Net Operating Loss Deduction .................................................................................... 19.

20. Miscellaneous subtractions (see p. 15). Describe: __________________________________ 20.

21. Total subtractions. Add lines 8 through 20. Enter here and on MI-1040, line 13 ................

0000 2012 09 02 27 5

Form 3423 Draft - Schedule 1 Additions And Subtractions - 2012 Page 2