Form 4594 - Michigan Farmland Preservation Tax Credit

4594, Page 2

FEIN or TR Number

21. If lines 13 or 18 are checked, enter taxes from line 19, column D, on land enrolled after December 31,

1977. Otherwise, enter zero .......................................................................................................................

21.

22. Taxes from line 19, column D, on land enrolled before January 1, 1978 ..............................................

22.

23. Taxes qualifying for credit. Add lines 21 and 22 ...................................................................................

23.

PART 3: TAXES THAT CANNOT BE CLAIMED FOR CREDIT

24. Amount from Form 4567, line 49 (or Business Income Tax Base Worksheet, see instructions) ...........

24.

25. Depletion allowance claimed on your federal income tax return ..........................................................

25.

26. Compensation of shareholders that is not included in the Business Income Tax base .........................

26.

27. Total. Add lines 24 through 26. If less than zero, enter zero .................................................................

27.

28. Taxes that cannot be claimed for credit. Multiply line 27 by 3.5% (0.035) ............................................

28.

PART 4: CREDIT

29. Farmland Preservation Tax Credit. Subtract line 28 from line 23. If line 28 is greater than line 23,

enter zero ...............................................................................................................................................

29.

30. Amount of credit applied to Michigan Business Tax liability. Enter here the lesser of line 29 or the

amount on Form 4567, line 57, or Form 4583, line 21. Enter this amount on Form 4574, line 16 .........

30.

31. Amount of credit to be REFUNDED. Subtract line 30 from line 29.........................................................

31.

PART 5: CERTIFICATION AND SIGNATURE

Taxpayer Certification.

Preparer Certification.

I declare under penalty of perjury that the information in

I declare under penalty of perjury that this

this return and attachments is true and complete to the best of my knowledge.

return is based on all information of which I have any knowledge.

Preparer’s PTIN, FEIN or SSN

By checking this box, I authorize Treasury to discuss my return with my preparer.

Authorized Signature for Tax Matters

Preparer’s Business Name (print or type)

Authorized Signer’s Name (print or type)

Date

Preparer’s Business Address and Telephone Number (print or type)

Title

Telephone Number

If using this credit, or a portion of this credit, to pay the MBT liability, include this form and the MBT Refundable Credits (Form 4574) as

part of the annual return, attaching to either the MBT Simplified Return (Form 4583) or the MBT Annual Return (Form 4567).

If requesting a refund of the entire amount of the credit, mail this form to:

Michigan Department of Treasury

P.O. Box 30783

Lansing, MI 48909

0000 2011 93 02 27 0

Form 4594 - Michigan Farmland Preservation Tax Credit - 2011 Page 2

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