Form Gr-1120 - City Of Grayling Income Tax Corporation Return - 2004

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2004
GR-1120
CITY OF GRAYLING INCOME TAX - 2004 CORPORATION RETURN
FOR CALENDAR YEAR 2004
OR
other taxable year beginning ______________________2004, Ending_____________20______
FEDERAL EMPLOYER I.D. NUMBER
WHERE INCORPORATED
NAME
PERSON IN CHARGE OF RECORDS
DATE OF INCORPORATION
NUMBER AND STREET
TELEPHONE NUMBER
NATURE OF BUSINESS
CITY OR TOWN
STATE
ZIP CODE
TAXABLE INCOME COMPUTATION
1.
Taxable income from Federal Form 1120 (Attach copy of Federal Form 1120) . . . . . . . . . . . . . . .$ . . . . . . . . . . . . . . . . . . . .00
2.
Enter gain of loss from sale or exchange of property included in Line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
3.
Result after excluding Line 2 from Line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
4.
Enter items not deductible under Grayling Income Tax Ordinance (from P.2, Sch. E, Col. 1, Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
5
Total - add Lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
6.
Enter items not taxable under Grayling Income Tax Ordinance (from P.2, Sch. E, Col. 2, Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
7.
Total - Line 5 less Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
8.
Amount in Line 2 above (after excluding any capital loss carry-over) applicable to taxable period
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
9.
Total income - add Lines 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
10.
Allocation percentage from P.2, Sch. D, Line 5 - if all business was conducted in Grayling or the
“separate accounting” method is used, enter 100% on Line 10 and DO NOT fill in Sch. D, on P.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
11.
Total - multiply Line 9 by % on Line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
12.
Less: Applicable portion of net operating loss carry-over and/or capital loss carry-over
. . . . . . . . . . . . . . . . . . . . . . . . . . .00
(see instructions)
13.
Total income subject to tax - Line 11 less Line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
14.
CITY OF GRAYLING TAX - multiply Line 13 by 1% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
PAYMENTS AND CREDITS
15.
a. Tax paid with tentative return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ . . . . . . . . . . . . . . . . . . . .00
b. Payments and credits on 2004 Declarations of Estimated Grayling Income Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
c. Other Credits - explain in attached statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
16.
Total - add Lines 15a, b and c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
TAX DUE OR REFUNDED
17.
If your tax (Line 14) is larger than your payment (Line 16) Enter BALANCE DUE here . . . . . . . .$ . . . . . . . . . . . . . . . . . . . .00
PAY IN FULL WITH THIS RETURN TO “TREASURER, CITY OF GRAYLING” and mail to
“CITY TREASURER’S OFFICE, P.O. BOX 549, GRAYLING, MICHIGAN 49738
18.
If Line (16) is larger than Line (14) enter OVERPAYMENT here . . . . . . . . . . . . . . . . . . . . . . . . .$ . . . . . . . . . . . . . . . . . . . .00
19.
Check this box if you wish to receive a refund
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
20.
Check this box if you wish the overpayment credited to your 2005 estimated tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00
Do not write in this space
A.
Name and address of resident agent in Michigan_____________________________________
B.
Is this a consolidated return? Yes ____ No ____ If yes, list names and address of included.
File
Subj. to Inv.
Items
Corporations in an attached statement showing percent owned of voting stock of each corporation.
C.
List addresses of Grayling location(s) if different from address used in filing this return.
AUDIT RESULT
______________________________________________________________________________
N.C.
D.
Total amount of dividends paid to all stockholders during the taxable period.__________________
Corr. Tax
E.
List names and addresses of officers who are Grayling residents.
Agent
______________________________________________________________________________
Approval
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.
DATE
SIGNATURE OF OFFICER
TITLE
DATE
INDIVIDUAL OR FIRM SIGNATURE OF PREPARER
ADDRESS
GR-1120
3

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