Schedule Cr-5 (Form 3820) - Michigan Schedule Of Taxes And Allocation To Each Agreement - 2013

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Michigan Department of Treasury
Schedule CR-5
3820 (Rev. 04-13)
2013 MICHIGAN Schedule of Taxes and Allocation to Each Agreement
Issued under authority of Public Act 281 of 1967.
1 4
0123456789
Type or print in blue or black ink. Print numbers like this:
- NOT like this:
Attach to Form MI-1040.
Attachment 04
1. Filer’s First Name
M.I.
Last Name
2. Filer’s Social Security No. (Example: 123-45-6789)
If a Joint Return, Spouse’s First Name
M.I.
Last Name
Spouse’s Social Security No. (Example: 123-45-6789)
INSTRUCTIONS: Complete Columns A through H.
A
B
C
D
E
F
G
H
Allocated Tax
See Instructions
Agreement Number
Check if
Divide Each
Credit. Multiply
2012 or
Amount in
MI-1040CR-5
2013
2013
Column F by
Line 15 or 20
County
Total
Paid Tax
Type of
Percent of
Total Tax
Total on
by Percent
Code
Expiration Date
Taxable
Receipts
Owner-
Income or
for Each
Line 3,
Computed in
(2 digits)
Contract Number
(Enter as MM-DD-YY)
Value
Attached
ship
Ownership
Agreement
Column F
Column G
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
Check here if additional page(s) used. Enter total from additional page(s), if applicable.
%
3.
Enter total of columns F through H (total of column G must equal 100%). Carry total from
column F to your MI -1040CR-5, line 4.
%
+
0000 2013 21 01 27 9

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