Fillable Form 4884 - Michigan Pension Schedule

2012 Form 4884, Page 2

Filer’s Social Security Number

Table A: Maximum Allowable Pension Deduction

Filing Status

Single or Married, filing separately as of

Year of birth

Married filing jointly as of 12/31/2012

12/31/2012

Prior to 1/1/1946

$47,309

$94,618

Between 1/1/1946-12/31/1952

$20,000

$40,000

On or after 1/1/1953

PART 3: RETIREMENT AND PENSION BENEFITS RECEIVED FROM DECEASED SPOUSE

If deceased spouse was born after December 31, 1952 STOP; you may not deduct benefits from the deceased spouse.

13a. Deceased Spouse Name

13b. Deceased Spouse Social Security Number

13c. Deceased Spouse Year of Birth (ex. 19xx)

14. Retirement and pension benefits received from deceased spouse; list all that apply.

B – Payer FEIN

Enter “X” for:

(from 1099-R) (Example: 38-1234567)

Name of Payer

Pension Amount

Private or Public

15. Total Surviving Spouse Retirement or Pension Benefits received from a deceased spouse ...........

15.

16. Maximum allowable pension deduction based on the deceased spouse year of birth from

Table A: Maximum Allowable Pension Deduction above. If decedent was born prior to

1/1/1946 and has public pension benefits, complete worksheet on p. 17 of the MI-1040 Instruction

Book and enter that amount here. ....................................................................................................

16.

17. Enter the smaller amount of line 15 or 16. Carry this amount to line 9.

Complete lines 6 through 12.............................................................................................................

17.

INSTRUCTIONS

Important Points for the Retirement and Pension Benefits Deduction

•Amounts received from a deferred compensation plan that let the employee determine the amount to be put aside and do not set retirement age or

requirements for years of service do not qualify for a subtraction. See instructions on page 16 for additional items that do not qualify for a retirement or

pension subtraction.

•Military retirement benefits are deducted on line 9 of Schedule 1 and not on Form 4884.

•Social Security and railroad retirement benefits are deducted on line 14 of Schedule 1 and not on Form 4884.

• Use Form 4884 to calculate your deduction for retirement and pension benefits other than military retirement, Social Security, and railroad retirement

benefits.

• If you, and your spouse if filing a joint return, were 59 or younger as of December 31, 2012, do not complete Form 4884. Retirement and pension

benefits other than military, railroad retirement, and Social Security benefits are taxable for those born after 1952.

•A married couple filing a joint return should complete Part 2 of this form based on the year of birth of the older spouse.

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