Form P1040 (Nr) - City Of Pontiac Income Tax, Individual Return - Non Resident - 2004 Page 2
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282942-NUT01
12/16/04
4:47 PM
Page 4
IMPORTANT
- DETAILED SUPPORTING SCHEDULES MUST BE ATTACHED WHERE INDICATED BELOW. FAILURE TO ATTACH SCHEDULES OR
ATTACHING INCOMPLETE SCHEDULES CAN RESULT IN DEDUCTIONS AND LOSSES BEING DISALLOWED OR DELAY THE PROCESSING OF
YOUR RETURN UNTIL ACCEPTABLE SCHEDULES ARE OBTAINED.
WAGE ALLOCATION - EXCLUSION
Computation of Excludable portion of wages in Line 1. Use separate schedule for each W-2 qualifying for allocation.
A) Actual number of days worked everywhere
260
days
A.
B) Actual number of days
WORKED outside of Pontiac, not including holidays, sick or vacation time.
days
B.
List work location(s)
C) Percentage of days worked outside of Pontiac (line B divided by line A)
%
C.
D) Total wages shown in Box 1 of W-2
.00
D.
E) Excludable wages earned outside of Pontiac (Line D multiplied by percentage from Line C) Enter here and
.00
E.
on Page 1, Line 3. List where these wages were earned.
PROFIT OR LOSS FROM BUSINESS OR PROFESSION
IF YOU FILED A SCHEDULE C WITH YOUR FEDERAL RETURN, A COPY MUST BE ATTACHED TO THIS RETURN.
16.
Net profit (or loss)
16.
.00
BUSINESS ALLOCATION FORMULA - use only if all business was not conducted in Pontiac. Otherwise enter amount from Line 16 on Line 24.
All Activity
Activity on Located
Located Everywhere
In Pontiac
Percentage
Column I
Column II
Column II / Column I
17.
Average net book value of real and tangible personal property
17.
.00
.00
18.
Gross rent paid for real property only
18.
.00
.00
19.
TOTAL (add lines 17 and 18)
19.
.00
.00
%
20.
Total Wages, salaries, commissions and other compensation of all employ
20.
.00
.00
%
21.
21.
.00
.00
%
22.
Total percentages - add the three percentages computed for lines 19, 20, and 21 which you entered
22.
%
23.
Average percentage (one-third of line 22)
23.
%
NOTE: In determining the average percentage (line 23), a factor shall be excluded from the computation only when such factor does not exist anywhere
insofar as the taxpayer’s business operation is concerned and, in such cases, the sum of the percentages on line 22, shall
be divided by the number of factors actually used.
In the case of a taxpayer authorized by the Administrator to use one of the special formulae, attach copy of approval letter.
24.
Apportioned income (multiply line 16 by line 23) or if all business conducted in Pontiac, enter amount from line 16.
24.
.00
25.
LESS: Applicable portion of net operating loss carryover.
25.
.00
26.
LESS: Keogh Retirement Plan deduction (attach federal schedule to support deduction)
26.
.00
27.
TOTAL PROFIT (OR LOSS) FROM BUSINESS OR PROFESSION. Enter here and on Page 1 Line 4.
27.
.00
OTHER INCOME
All other Pontiac income is reported here. This includes partnerships, IRA distributions for which a deduction has been taken on a Pontiac return, and other sources.
Received from
Kind of Income
Address
Federal Identification
Number
28.
28.
.00
29.
29.
.00
30.
30.
.00
31.
Total of OTHER INCOME. Add Lines 28 through 30. Enter here and on Line 5, Pag
31.
.00
DEDUCTIONS ALLOWED:
Column 1
Column 2
Column 3
You must attach a copy of your Federal form(s) to support entries on Line 32.
Federal amount
% excludable work above
Column 1 less
from federal forms
times amount in Column 1
Column 2
32.
.00
.00
.00
.00
.00
.00
.00
.00
.00
Alimony (See instructions for deductibility - Attach Page 1 of Federal
.00
.00
.00
32.
.00
I declare that I have examined this return (including accompanying schedule and statements and to the best of my knowledge and belief it is true, correct and complete.
If prepared by a person other than the taxpayer, his declaration is based on all information of which he has any knowledge.
X
X
(
)
Signature
Date
Phone # Work
Signature of preparer other than taxpayer
DATE
X
(
)
Signature
Date
Phone # Home
Firm name and address
MAIL RETURNS WITH PAYMENTS FOR BALANCE
MAIL ALL OTHER RETURNS
DUE (INCLUDE SS# ON CHECK OR MONEY ORDER)
City, State and Zip.
TO:
CITY TREASURER
TO:
INCOME TAX DIVISION
TELEPHONE # (248) 758-3236
CITY OF PONTIAC
CITY OF PONTIAC
If you have any questions regarding
P. O. BOX 430779
47450 WOODWARD AVE
City of Pontiac Income Tax.
PONTIAC, MI 48343-0779
PONTIAC, MI 48342
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