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Michigan Department of Treasury (Rev. 05-14), Page 1 of 2
Schedule W
2014 MICHIGAN Withholding Tax Schedule
Issued under authority of Public Act 281 of 1967, as amended.
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Type or print in blue or black ink. Print numbers like this:
- NOT like this:
Attachment 13
INSTRUCTIONS:
If you had Michigan income tax withheld in 2014, you must complete a Withholding Tax Schedule (Schedule W) to claim the
withholding on your Individual Income Tax Return (MI-1040, line 29). Report military pay in Table 1 and military retirement benefits and taxable
railroad retirement benefits in Table 2 even if no Michigan tax was withheld. Attach your completed Schedule W to Form MI-1040 or MI-1040X-12
where applicable. See complete instructions on page 2 of this form. If you need additional space, attach another Schedule W.
1. Filer’s First Name
M.I.
Last Name
2. Filer’s Full Social Security No. (Example: 123-45-6789)
If a Joint Return, Spouse’s First Name
M.I.
Last Name
3. Spouse’s Full Social Security No. (Example: 123-45-6789)
TABLE 1: MICHIGAN TAX WITHHELD OR MILITARY PAY REPORTED ON W-2, W-2G or CORRECTED W-2 FORMS
A
B
C
D
E
Employer’s identification number
Box 1 — Wages, tips,
Box 17 — Michigan
Enter “X” for:
(Example: 38-1234567)
Box c — Employer’s name
other compensation
income tax withheld
Filer or Spouse
00
00
00
00
00
00
00
00
00
00
00
00
Enter Table 1 Subtotal from additional Schedule W forms (if applicable). ......................................................
00
4. SUBTOTAL. Enter total of Table 1, column E. ............................................................................... 4.
00
TABLE 2: MICHIGAN TAX WITHHELD OR MILITARY RETIREMENT BENEFITS AND RAILROAD RETIREMENT
BENEFITS REPORTED ON 1099 FORMS
A
B
C
D
E
Payer’s federal identification
Taxable pension distribution,
Michigan income
Enter “X” for:
number (Example: 38-1234567)
Payer’s name
misc. income, etc. (see inst.)
tax withheld
Filer or Spouse
00
00
00
00
00
00
00
00
00
00
00
00
Enter Table 2 Subtotal from additional Schedule W forms (if applicable). ......................................................
00
5. SUBTOTAL. Enter total of Table 2, column E. .............................................................................
5.
00
+
0000 2014 57 01 27 2
Continue on page 2.