Form Mi-1045 - Application For Michigan Net Operating Loss Refund Page 2
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32015 MI-1045, Page 2
Filer’s Full Social Security Number
Application for Refund From Carryback of Net Operating Loss
A
B
C
PART 2: REDETERMINING MICHIGAN INCOME TAX
23. Year to which NOL is being carried back .......................................
24. Reported federal AGI for the year indicated on line 23 .................
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25. Additions from MI-1040, Schedule 1 and DPAD. Explain: ______
___________________________________________________
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26. Balance. Add lines 24 and 25 ........................................................
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27. Subtractions from MI-1040, Schedule 1. Explain: ____________
___________________________________________________
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28. Balance. Subtract line 27 from line 26 ...........................................
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29. Enter Net Operating Loss from line 22 ..........................................
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30. Balance. Subtract line 29 from line 28 ...........................................
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31. Michigan exemption allowance......................................................
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32. Taxable balance. Subtract line 31 from line 30 .............................
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33. Tax. Multiply line 32 by tax rate of carryback year.
If less than zero, enter “0”..............................................................
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34. Nonrefundable tax credits..............................................................
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35. Tax due. Subtract line 34 from line 33.
If less than zero, enter “0”..............................................................
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36. a. Refundable tax credits ...............................................................
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b. Tax withheld ...............................................................................
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c. Tax paid with prior returns ..........................................................
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d. Estimated tax payments ............................................................
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37. Total of items 36a through 36d ......................................................
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38. Tax previously refunded or carried to next year.............................
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39. Balance of tax paid. Subtract line 38 from line 37 .........................
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40. Overpayment. Subtract line 35 from line 39 ..................................
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Taxpayer Certification.
Preparer Certification.
I declare under penalty of perjury that this
I declare under penalty of perjury that the information in this
return is based on all information of which I have any knowledge.
return and attachments is true and complete to the best of my knowledge.
Filer’s Signature
Date
Preparer’s PTIN, FEIN or SSN
Spouse’s Signature
Date
Preparer’s Name (print or type)
Preparer’s Business Name, Address and Telephone Number
By checking this box, I authorize Treasury to discuss my return with my preparer.
Line-by-Line Instructions for Parts 1 and 2
Line 20: Enter as a positive number the domestic production activities
Part 1: Computing Net Operating Loss
deduction (DPAD) as calculated on line 12e.
To complete Part 1, use the entries on your U.S. Form 1040 for the year the loss
Part 2: Redetermining Your Michigan Income Tax
occurred. Do not include income and losses sourced to other states, income and
Line 25: Include any additions from Michigan Schedule 1. Also include
losses from oil and gas production and nonferrous metallic minerals extraction
DPAD attributable to Michigan.
that are subject to Michigan severance tax, a federal net operating loss deduction
(NOLD), or net operating loss deductions (NOLD) from other years.
Line 27: Include any subtractions from Michigan Schedule 1.
Line 10: Include all state and local refunds, alimony, taxable Social Security,
Line 30: If line 30 is less than zero, carry amount to line 29 in the next
unemployment compensation, and other income in your federal adjusted gross
column. This amount cannot exceed line 29 of the preceding column.
income sourced to Michigan.
Line 34: Enter the total of nonrefundable credits claimed on your original
Line 14: Subtract line 13 from line 11. This amount will equal your federal
return.
AGI, less any federal NOLD, unless you have income or losses sourced to other
Line 36a: Enter the total of refundable credits for homestead property tax,
states, income or losses subject to Michigan severance tax, or NOLDs from
farmland preservation and any other refundable credits claimed for the tax
other years.
year(s) to which you are carrying the loss. Any credit entered here must be
Line 19: The excess capital loss deduction must be calculated on a U.S. Form
adjusted for the NOLD adjustment to household income, if applicable. Be
1045 Schedule A, line 21 or 22, then entered on this line. An excess capital loss
sure to attach your amended credit form.
includes a U.S. Form 1040 Schedule D loss that is limited to $3,000. The capital
Line 36c: For the year listed on line 23, enter total tax paid with Form MI-
loss may be greater than $3,000 if non-business capital losses were offset by
1040 plus any additional tax paid after original return was filed.
business gains that are also reported on U.S. Form 1040 Schedule D.
Mail your completed form to: Michigan Department of Treasury
+
Lansing, MI 48956
0000 2015 73 02 27 4
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