Form S1040 - Individual Income Tax Return 1999 Saginaw Page 2

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ALL TOTALS FROM PAGE 2, GO ON PAGE 1
SCHEDULE A - WORK ALLOCATION and NON-TAXABLE WAGES
WORK ALLOCATION
(DO NOT USE THIS SCHEDULE IF WORKED ALL YEAR IN CITY OF SAGINAW)
1. Wages, etc., earned partly outside the City of Saginaw by Non-residents ONLY
Job 1
Job 2
a. Actual number of days worked, 1999(exclude vacation and sick)
Days
Days
b. Actual number of days worked in the City of Saginaw, 1999
Days
Days
c. Days worked outside the City of Saginaw (Subtract Line b from Line a)
d.
Days
Days
Percentage of days worked outside the City of Saginaw(Line c divided by Line a)
%
%
e. Wages earned from this job (From SW-2 or W-2)
$
$
f. Non-taxable wages, etc., earned outside the City of Saginaw(Line e multiplied by Line d)
$
$
NON-TAXABLE WAGES
2. Non-resident wages, etc., earned entirely outside the City of Saginaw, but included
in INCOME, Line 1, Col I(DO NOT include 1e)
$
3. Military Pay (both Residents and Non-residents)
$
4. Sub Pay(both Residents and Non-residents)
$
5. Total Excludable Wages (Add Lines 1f, 2, 3 and 4). Enter here and in INCOME Line 1, Col. II
$
SCHEDULE B-INTEREST AND DIVIDEND EXCLUSIONS
1. Resident: Interest on Federal, State or City obligations
Total $
$
+ Margin Interest $
=
2. Non-resident: Total Interest
Total
$
$
+ Total Dividends $
=
Totals should agree with Page 1, Line 2, Col. II
SCHEDULE C- Business Income, Business Allocation Formula and Profit(or Loss)
Attach Federal Schedule C, additional computations are to be shown on the City of Saginaw's Schedule I (see below)
SCHEDULE D-SALE OR EXCHANGE OF PROPERTY (ATTACH FEDERAL FORM SCHEDULE D)
$
Resident: Portion of gain which occurred before July 1, 1965
$
Non-resident Sale of Stock
$
Date Acquired
Sale of property located outside City of Saginaw
$
Date Sold
Gain
$
Total Excludable Sale or Exchange of property
ENTER TOTAL ON PAGE 1, LINE 4, COLUMN II
SCHEDULE E-SUPPLEMENTAL INCOME(ATTACH FEDERAL FORM SCHEDULE E)
Location
Amount
$
1. Rents (Excludable by NON-RESIDENTS only on property located outside the City of Saginaw)
$
2. Partnerships (Excludable by NON-RESIDENTS only on partnerships located outside the City of Saginaw)
$
3. Other (Identify)
$
4. Total Supplemental Income (Add Lines 1,2,and 3)
Enter TOTAL on Page 1, Line 5, Col. II
SCHEDULE F
-PENSION AND QUALIFIED RETIREMENT PLAN DISTRIBUTIONS(EXCLUDABLE BY BOTH RESIDENT AND NON-RESIDENT)
$
1. Pensions (100% of amount received) Enter on Page 1, Line 6, Co1. II
$
2. Qualified Retirement Plan Distributions (Based on City of Saginaw non-taxable income) Enter on Page 1, Line 7, Col. II
3. IRA Distribution was a Rollover from Pension.
$
SCHEDULE G – MISCELLANEOUS INCOME
SCHEDULE H- ADDRESSES IN 1999
Please refer to instructions for Residents and Non-residents
Please list ALL addresses where you resided in 1999
(Proceeds from stock savings programs and sick pay are taxable if the wages are taxable.)
ADDRESS
NONTAXABLE INCOME
TAXABLE INCOME
FROM
TO
Unemployment
$
Jury Duty
$
Month
Day
Month
Day
Social Security
$
Farm Income
$
State and City Refunds
$
Gambling Winnings
$
Other ________________
$
Other _____________
$
Other ________________
$
Other _____________
$
SCHEDULE J-EMPLOYERS DURING 1999
SCHEDULE I-
Please list All Employers during 1999 & actual job location(s)
Use this space to explain special tax computation, explanations not shown
elsewhere or in lieu of Schedule S-1040TC. (If additional space is needed, show information on
Employer
Give Actual Address
Dates worked
separate sheet.)
where you worked
From
To

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