Income Tax Summary Return For Partnerships Or Corporations Form - 2004

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Attach Federal Form 1065, 1120, 1120A, or 1120S
City of Big Rapids
Income Tax Summary Return For
Partnerships or Corporations
2004
or other taxable year beginning_______________2004 ENDING_____________
Name of Partnership or Corporation
This return is paying tax for all partners or officers.
Address
Principal Business Activity
Federal I.D.#
BIG RAPIDS RESIDENT
NAME AND ADDRESS OF EACH PARTNER OR OFFICER
SOCIAL SECURITY NUMBER
YES
NO
(a)
(b)
(c)
Attach sheet of paper for additional information
$
1)
Income carried over from Federal Form 1065, 1120, 1120A, or 1120S
00
2)
Add: Big Rapids Income Tax Paid
00
Other - Submit Schedule
00
+
Total
00
00
3)
Subtract:
Interest from Government Obligations
00
Dividends Received Deductions
00
Foreign Tax Credit
00
Other - Submit Schedule
00
-
Total
00
00
4)
Subtotal
00
5)
Percentage of Business Attributable to City of Big Rapids (Use formula on back)
00
6)
Multiply Line 4 by Line 5
00
7)
Carry over loss from prior percentage allocations of Big Rapids tax years.
00
8)
Taxable income
00
9)
City of Big Rapids Tax - Multiply Line 8 by 1% (Corporations, Sub S Corporations, & Resident Partnerships)
00
(Non-Resident Partnerships - Line 8 by 1/2%)
00
10)
Voluntary Contribution to Big Rapids Community Pool and/or Community Library
00
(Please circle)
11)
Total of Lines 9 and 10
00
PAYMENTS AND CREDITS
12)
a.
Credit from prior year
00
b.
Payment made on 2004 Declaration of Estimated Big Rapids Income Tax
00
c.
Tax paid with the tentative return or payments made with extension
00
13)
TOTAL
00
PAYMENTS AND CREDITS
14)
Penalty and interest (Penalty - 1% of the amount of the unpaid tax for each month or a fraction thereof not to exceed
a total penalty of 25% of the unpaid tax. Interest - .0001428 per day. Minimum penalty and interest of $2.00
00
15)
If your tax (Line 11) is larger than payments (Line 13) enter AMOUNT YOU OWE and PAY IN FULL WITH THIS
RETURN. Write Federal ID No. on remittance and make payable to: "TREASURER, CITY OF BIG RAPIDS"
Mail to: City of Big Rapids, Treasurer's Office, 226 N. Michigan Avenue, Big Rapids, MI 49307
00
16)
If your payments (Line 13) are larger than your tax (Line 11) enter amount OVERPAID. Mail to City of Big Rapids,
Income Tax Division, 226 N. Michigan Avenue, Big Rapids, MI 49307
00
17)
Amount of Line 16 is to be:
(check one box only)
A
Credited to 2005
B
Refunded to you
I declare, under penalty of perjury, that this return
I declare, under penalty of perjury, that the information on this return and attachments is true and complete.
is based on all information of which I have knowledge.
I authorize the CITY to discuss my
DO NOT discuss my
PREPARER'S SIGNATURE & ADDRESS
claim and attachments with my
claim with my preparer.
preparer
Filer's Signature
Date
Title
Phone (
)

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