Form Bc-1065 - Battle Creek Income Tax Partnership Return - 2004

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BATTLE CREEK INCOME TAX
2004
BC-1065
EXTENSION NUMBER
PARTNERSHIP RETURN
Do Not Write In This Space
CITY OF
for the calendar year 2004
BATTLE CREEK
or other taxable period beginning ______________, 2004 ending _______________, _________
Name of Partnership
Date business Commenced: ___________________________________
PLEASE
Number of employees on December 31, 2004: ____________________
Number of Partners: ____________________________________________
TYPE
Number and Street
Type of Return - Check One:
OR
Information only
Payment on behalf of All Partners
City or Town
State
Postal Zip Code
PRINT
Federal Employer
Identification Number:
B
A
C
RESIDENT
NON-
IF RESIDENT
CHECK COL. A OR B
NAME, SOCIAL SECURITY NUMBER AND HOME ADDRESS OF EACH PARTNER
FULL
RESIDENT
PART OF YEAR
OR FILL IN COL. C
YEAR
FULL YEAR
INDICATE TIME PERIOD
(a) ......................................................................................................................... S.S. #________________
(b) ......................................................................................................................... S.S. #________________
(c) ......................................................................................................................... S.S. #________________
(d) ......................................................................................................................... S.S. #________________
(e) ......................................................................................................................... S.S. #________________
COL. 2
COL. 4
COL. 1
COL. 3
COL. 5 (a)
COL. 5 (b)
COL.6
OTHER
EXEMPTIONS
TAXABLE
RESIDENT
CREDITS
NON-RESIDENT
DEDUCTIONS
INCOME
TOTAL INCOME
(SEE NOTE 1 BELOW
TOTAL TAX
TOTAL TAX
(SEE
(EXPLAIN IN
(COL. 1 LESS COLS.
(FROM P . 3, SCH. E. COL. 7)
AND INSTRUCTIONS)
(MULTIPLY COL. 4
(MULTIPLY COL. 4
INSTRUCTIONS)
STATEMENT)
2 AND 3)
BY 1%)
(SEE NOTES 1 AND 2 BELOW)
BY 1/2%)
1. (a)...$ ................................................ $.............................. $............................. $........................... $............................. $.......................... $........................
2. (b)...$ ................................................. ...............................
.............................. ............................. .............................. ...........................
.........................
3. (c)...$ ................................................. ................................ ............................... ............................. ............................... ............................ .........................
4. (d)...$ ................................................. ...............................
.............................. ............................. .............................. ........................... ..........................
5. (e)
_________________________________________________________________________________________________________________________________
6. Totals
Do Not Write in Space Below
7. Total Tax - column 5 (a) plus column 5 (b)............................................................................................. $....................................
File
Items
PAYMENTS AND CREDITS
8. a. Tax paid with tentative return ......................................................................................................
$ ...............................
Code
b. Payments and Credits on 2004 Declaration of Estimated Battle Creek Income .....................
.................................
AUDIT RESULTS
c. Other credits - explain in attached statement ............................................................................
_________________
9.
Total - add lines 8a, b, and c. (This total must agree with the total of Col. 6 above ...........
$ ...............................
TAX DUE OR REFUND
10. If your payments (line 9) are larger than your tax (line 7) enter O O O O O VERP
VERP
VERP
VERPA A A A A YMENT
VERP
YMENT
YMENT
YMENT.................................... $.....................................
YMENT
11. If your tax (line 7) is larger than your payments (line 9), enter BALANCE DUE
BALANCE DUE
BALANCE DUE
BALANCE DUE
BALANCE DUE ..................................... $.....................................
- PAY IN FULL WITH THIS RETURN TO "CITY TREASURER" - AND MAIL TO:
BATTLE CREEK CITY TREASURER, P .O. BOX 1982, BATTLE CREEK, MI 49016-198
Auditor
CITY INCOME TAX DEPARTMENT, P .O. BOX 1982, BATTLE CREEK, MICHIGAN 49016-1982
12. Amount on line 10 is to be:
(A)
Credited on 2005 Estimated Tax
(B)
Refunded
Approval
NOTE 1 - A partner who has other income in addition to the partnership income must file an individual return and show on such return the amounts entered above in columns 1, 2, and
6. A partner who is claiming his exemption as a member of another partnership is NOT to claim his exemption in this partnership return in column 3.
NOTE 2 - The partnership may pay tax for partners only if it pays for ALL partners subject to the tax. If the partnership elects to use this return as an information return, complete
pages 2, 3 and 4, and fill in column 1 above; it will not be necessary to fill in columns 2 through 6 since a computation of the tax need not be made.
I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct, and complete. If
prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.
SIGN HERE........................................................................................................................................................................................................................................................
(Signature of partner or member)
(Date)
SIGN HERE.........................................................................................................................................................................................................................................................
(Signature of preparer other than partner or member)
(Address)
(Date)
MAIL TO: City Income Tax Department, P .O. Box 1982, Battle Creek, Michigan 49016

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