Form Mi-1040cr-7 - Michigan Home Heating Credit Claim - 2013 Page 2
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22013 MI-1040CR-7, Page 2
Filer’s Social Security No.
TOTAL HOUSEHOLD RESOURCES. If filing a joint return, include income from both spouses. If married, filing
separately, see Form 5049 at
23. Social Security, SSI, and/or
16. Wages, salaries, tips, sick, strike
and SUB pay, etc. ........................... 16.
00
railroad retirement benefits .... 23.
00
24. Child support and foster
17. All interest and dividend income
(including nontaxable interest)........ 17.
00
parent payments .................... 24.
00
18.
25. Unemployment
Net business income (including net
18.
00
compensation ........................ 25.
00
farm income). If negative, enter “0” ..
19. Net royalty or rent income. If
26. Gifts or expenses paid on
negative, enter “0” ........................
19.
00
your behalf ............................. 26.
00
27. Other nontaxable income.
20. Retirement pension, annuity, and
IRA benefits. ................................... 20.
00
Describe:_______________
27.
00
28.
21. Capital gains less capital losses
Workers’/veterans’ disability
(see p. 8) ........................................ 21.
00
28.
00
compensation/pension benefits ...
29. FIP and other DHS benefits
22. Alimony and other taxable income.
(Do not include food assistance)
Describe:____________________ 22.
00
29.
00
30. Add lines 16 through 29.....................................................................................................SUBTOTAL 30.
00
31. Other adjustments. Describe:_______________________________
31.
00
32. Medical insurance or HMO premiums paid ..........................................
32.
00
33. Add lines 31 and 32 .............................................................................................................................
33.
00
TOTAL HOUSEHOLD RESOURCES.
34. Subtract line 33 from line 30. .............................................
34.
00
Standard and Alternate Home Heating Credit Computations
35. STANDARD CREDIT. Standard allowance from Table A, p.19 .............. 35.
00
36. Multiply line 34 by 3.5% (0.035) (if negative, enter “0”) ............................ 36.
00
37. Subtract line 36 from line 35 for standard credit amount. If line 36 is
greater than line 35, enter “0” .................................................................. 37.
00
38. If you checked the box on line 7, multiply the amount on line 37 by 50% (0.50). Enter here
and on line 43. (If approved, the final amount as shown on line 44 is issued as a check.) ................
38.
00
39. ALTERNATE CREDIT. Total heating costs from
line 11 or $2,642 (whichever is less) .................................................
39.
00
40. Multiply line 34 by 11% (0.11) (if negative, enter “0”) .........................
40.
00
41. Subtract line 40 from line 39. If line 40 is greater than line 39, enter “0” . 41.
00
42. Multiply line 41 by 70% (0.70) for alternate credit amount ...................... 42.
00
43. If you completed line 38 enter that amount here. Otherwise enter the larger of lines 37 or 42 here ..
43.
00
44. HOME HEATING CREDIT. Multiply line 43 by 49% (0.49) ..............................................................
44.
00
Deceased Taxpayers.
Preparer Certification.
I declare under penalty of perjury that this
If Filer and/or Spouse died after 12-31-2012, enter dates below.
return is based on all information of which I have any knowledge.
ENTER DATE OF DEATH ONLY.
Example: 04-15-2013 (MM-DD-YYYY).
Preparer’s PTIN, FEIN or SSN
Filer
Spouse
Preparer’s Business Name (print or type)
Taxpayer Certification.
I declare under penalty of perjury that the information in this return
and attachments is true and complete to the best of my knowledge.
Filer’s Signature
Date
Preparer’s Business Address (print or type)
Spouse’s Signature
Date
By checking this box, I authorize Treasury to discuss my return with my preparer.
September 30, 2014
. Mail your claim to: Michigan Department of Treasury
File (postmark) your claim by
Lansing, MI 48956
+
0000 2013 37 02 27 4
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