Form Mi-1045 - Application For Michigan Net Operating Loss Refund - 2002

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Application for Michigan Net Operating Loss Refund
MI-1045
Note: If the MI-1040 for the loss year was filed before January 1, 1998, see pages 2 and 3.
(Rev. 10/02)
Issued under authority of P.A. 281 of 1967. Filing is voluntary.
4
For loss year __________ or for loss year beginning __________, __________ and ending __________, __________.
4
Filer's Social Security Number
4
Filer's First Name, Middle Initial and Last Name
4
If a Joint Return, Spouse's First Name, Middle Initial and Last Name
Spouse's Social Security Number
Home Address (No., Street, P.O. Box or Rural Route)
City or Town
State
ZIP Code
IMPORTANT: Use your U.S. 1040 to complete this form. Do not consider net operating losses from other years, income and losses
from other states, or income and losses from oil and gas production that is subject to Michigan Severance Tax.
PART 1 -- Computing the Net Operating Loss (see instructions, page 3).
.00
1.
Wages, salaries, tips, etc.
1.
.00
2.
Interest income
2.
.00
3.
Dividends _______________ Less exclusions _______________ Balance _______________
3.
.00
4.
Business income or loss (attach U.S. Schedules C and F)
4.
.00
5.
Capital gain or loss (attach Schedule D)
5.
.00
6.
Other gains or losses (attach U.S. 4797)
6.
.00
7.
Pension, IRA and annuity (included in AGI)
7.
.00
8.
Net rent or royalty income
8.
.00
9.
Income or losses from partnerships, estates, trusts and S corporations (attach U.S. Schedule E)
9.
.00
10.
Miscellaneous income (e.g. state and local refunds) -- Explain (see instr., pg. 3)
10.
.00
11.
Total income
11.
12.
ADJUSTMENTS: Only list adjustments to Michigan source income
.00
a. Payments to a retirement plan as an individual or a self-employed person
12a.
.00
b. Deduction for self-employment tax
12b.
.00
c. Self-employed health insurance deduction
12c.
.00
d. Alimony paid and/or penalty for early withdrawal of savings
12d.
.00
e. Moving expenses
12e.
.00
f. Other adjustments to income including medical savings account deduction
12f.
.00
13.
Total adjustments (Add lines 12a - f.)
13.
.00
14.
Michigan adjusted gross income (subtract line 13 from line 11)
14.
(If greater than 0, you do not have an NOL.)
15.
Nonbusiness deductions: Enter total adjustments from
.00
line 13 less amount listed on line 12b and 12e
15.
16.
Nonbusiness income included in line 11
.00
a. Interest income
16a.
.00
b. Dividend income
16b.
c. Net gains from sale of assets not used in trade or
.00
business (before the 50 or 60 percent exclusion)
16c.
.00
d. Pension and annuities
16d.
.00
e. Alimony received
16e.
.00
f. Other income
16f.
.00
17.
Total nonbusiness income, add lines 16a - f
17.
18.
Excess of nonbusiness deductions over nonbusiness income, subtract
.00
line 17 from line 15, enter here. If zero or less, enter -0-
18.
.00
19.
Excess capital loss deduction (see instr., pg. 3)
19.
.00
20.
Add lines 18 and 19
20.
4
.00
21.
Net operating loss (combine lines 14 and 20)
21.
(If greater than 0, you do not have an NOL)
:
MICHIGAN NET OPERATING LOSS
This Michigan NOL amount may be carried back two years (see instructions for exceptions that
apply to 2001 and 2002 NOLs). Any unused balance may be carried forward 20 years. An election to forego the carryback period must
be filed in the same manner as required by the Internal Revenue Code. (Attach a statement to your return for the NOL year.) Any loss
in excess of income subject to Michigan tax may be carried forward to the next year.

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