Form Mi-1040cr - Michigan Homestead Property Tax Credit Claim - 2013

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Michigan Department of Treasury (Rev. 12-13), Page 1 of 3

Issued under authority of Public Act 281 of 1967.

2013 MICHIGAN Homestead Property Tax Credit Claim MI-1040CR

1 4

0123456789

Print numbers like this:

- NOT like this:

Attachment 05

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

3. Spouse’s Social Security No. (Example: 123-45-6789)

Home Address (Number, Street, P.O. Box) If using a P.O. Box, you must complete line 45 on page 3.

City or Town

State

ZIP Code

4. School District Code (5 digits - see p. 60)

5. Check the box for which you or your spouse qualify (excluding dependents). If you qualify for both boxes, see instructions on page 27.

Age 65 or older; or an unremarried spouse of a person

Deaf, blind, hemiplegic, paraplegic, quadriplegic, or

who was 65 or older at the time of death.

totally and permanently disabled.

6. 2013 FILING STATUS:

7. 2013 RESIDENCY STATUS:

*If you checked box “c,” enter dates of Michigan residency in 2013.

Enter dates as MM-DD-YYYY (Example: 04-15-2013).

Check one.

Check all that apply.

Single

Resident

FILER

SPOUSE

2013

FROM:

Married, Filing jointly

Nonresident

2013

TO:

Married, Filing separately

Part-Year Resident *

8. Homestead Status

Check here if the taxable value of your homestead includes unoccupied farmland classified as agricultural by your assessor.

9. Homeowners: Enter the 2013 taxable value of your homestead (see p. 27). If you did not check

box 8 above and your taxable value is greater than $135,000, STOP; you are not eligible.

Farmers: enter your taxable value including your homestead and unoccupied farmland .....................

10. Property Taxes levied on your home for 2013 (see p. 24) or amount from line 51, 56 and/or 57 .......... 10.

11. Renters: Enter rent you paid for 2013 from line 53 and/or 55 ...............

11.

12. Multiply line 11 by 20% (0.20) ................................................................................................................ 12.

13. Total. Add lines 10 and 12 .................................................................................................................... 13.

TOTAL HOUSEHOLD RESOURCES. Include income from both spouses. If married, filing separately,

see Form 5049 at

14. Wages, salaries, tips, sick, strike

21. Social Security, SSI, and/or

railroad retirement benefits. ..

and SUB pay, etc. .........................

14.

21.

15. All interest and dividend income

22. Child support and foster

(including nontaxable interest)......

15.