Form Mi-1040x - Amended Michigan Income Tax Return
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1
2(Rev. 11-99)
MI-1040X AMENDED MICHIGAN INCOME TAX RETURN
Issued under authority of P.A. 281 of 1967.
19
1. Enter calendar year or ending date of fiscal year (mo./day/yr.) of this return...............
___________________
IDENTIFICATION
3.
Filer's First Name, Middle Initial and Last Name
Filer's Social Security Number
2.
4.
If a Joint Return, Spouse's First Name, Middle Initial and Last Name
Spouse's Social Security Number
Home Address (No., Street, P.O. Box or Rural Route)
Office Use
City or Town
State
ZIP Code
Resident
Nonresident
Part-year Resident
RESIDENCY STATUS
Enter Dates:
5.
On Original Return
FROM: _______________ TO: _______________
6.
On This Return
FROM: _______________ TO: _______________
Single
Married - filing jointly
Married - filing separately
FILING STATUS
Enter Spouse's Name:
7.
On Original Return
8.
On This Return
EXEMPTIONS
Federal exemptions
Michigan Special Exemptions
(Explain on
9.
On Original Return
lines 43-46)
10.
On This Return
INCOME, ADDITIONS and DEDUCTIONS
A. On Original Return B. Net Change
C. Correct Amount
11.
Adjusted gross income. Explain changes on line 47
11.
12.
Additions to adjusted gross income
12.
13.
Total income. Add lines 11 and 12
13.
14.
Subtractions from adjusted gross income
14.
15.
Balance. Subtract line 14 from line 13
15.
16.
Exemption allowance. Multiply number of exemptions by
applicable amount (see instructions)
16.
17.
Taxable income. Subtract line 16 from line 15
17.
18.
Tax. Multiply line 17 by tax rate (see instructions)
18.
19.
Contributions made to CTF and Nongame Wildlife on original return
19.
20.
Use Tax Due. (Tax year 1999 and after)
20.
21.
Add lines 18, 19 and 20
21.
NONREFUNDABLE CREDITS
22.
Headlee Amendment Refund (for 1995 only)
22.
23.
Income tax paid to Michigan cities credit
23.
24.
Medical care savings account credit (for tax years 1994-1996)
24.
25.
Public contributions credit
25.
26.
Community foundations credit
26.
27.
Homeless/food bank credit
27.
28.
Income tax paid to another state credit
28.
29.
Historic Preservation Tax Credit (Tax year 1999 and after)
29.
30.
College tuition and fees credit
30.
31.
Total nonrefundable credits. Add lines 22 through 30
31.
32.
Balance. Subtract line 31 from line 21.
32.
(If line 31 is greater than line 21, enter "NONE. ")
REFUNDABLE CREDITS and PAYMENTS
. . . .
33.
33.
Homestead Property Tax Credit (attach MI-1040CR or MI-1040CR-2)
33.
. . . .
34.
34.
Farmland Preservation Tax Credit (attach MI-1040CR-5)
34.
35.
35.
Michigan income tax withheld (if amending, attach state copy of W-2)
35.
36.
36.
Michigan estimated tax, credit forward and extension payments
36.
.00
37.
Amount paid with original return, plus additional tax paid after filing
37.
.00
38.
Total credits and payments. Add lines 33 through 37 of column C
38.
REFUND or BALANCE DUE
.00
39.
Refund, if any, shown on original return
39.
.00
40.
Enter the difference between lines 38 and 39. (If a negative amount, see instructions.)
40.
41.
If line 32, column C, is greater than line 40, enter BALANCE DUE
.00
Include interest ____________ and penalty ______________ (if applicable; see instructions)
. . . .
41.
.00
42.
If line 32, column C, is less than line 40, enter REFUND to be received
42.
. . . .
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