Form 3861 - Annual Return Worksheet

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Michigan Department of Treasury
Return Year
Account Number
3861 (Rev. 08-12)
Annual Return Worksheet
A. Use Tax on Sales
B. Sales Tax
Sales and Use Tax
and Rentals
1. Gross sales (including sales by out-of-state vendors subject to use tax) .......
1.
2. Rentals of tangible property and/or accommodations ....................................
2.
3. Telecommunications services .........................................................................
3.
4. Add lines 1, 2 and 3. .......................................................................................
4.
Allowable Deductions
5.
a. Resale ............................................................................................................
5a.
b. Industrial processing or agricultural producing ...............................................
b.
c. Interstate commerce .......................................................................................
c.
d. Exempt services .............................................................................................
d.
e. Sales on which tax was paid to Secretary of State.........................................
e.
f. Food for human/home consumption ...............................................................
f.
g. Bad debts .......................................................................................................
g.
h. Michigan motor fuel or diesel fuel tax .............................................................
h.
i. Other. Identify:
i.
j. Tax included in gross sales (line 1).................................................................
j.
k. Total allowable deductions. Add lines 5a - 5j. .................................................
k.
6. Taxable balance. Subtract line 5k from line 4. ................................................
6.
x .06
x .06
7. Tax. Multiply line 6 by the rate given...............................................................
7.
8. Gross tax due before discount........................................................................
8.
9. Tax collected in excess of line 8. ....................................................................
9.
10. Add lines 8 and 9. ...........................................................................................
10.
11. Total discount allowed ....................................................................................
11.
12. Total tax due. Subtract line 11 from line 10. ....................................................
12.
13. Tax payments made in current year (after discounts).....................................
13.
Use Tax on Items Purchased for Business or Personal Use *
x .06 =
x .06 =
.06
14. Enter your taxable purchases..............................................
14a.
14b.
14b.
4b
15. Tax payments made in the current year ..........................................................................................................
................................................
............................................
15.
15
15
Withholding Tax
16. Gross Michigan payroll, pension, and other taxable compensation for the year. ...........................................
ensation for the year.
ensation for the year.
......................
.....................
16.
17. Number of W-2 and/or 1099 forms enclosed with your annual return 17. ________________________
th your annual return
th your annual
17
7
. _______
. ______
18. Total Michigan income tax withheld per W-2s .................................................................................................
er W-2s
er W-2s
..........................................
...........................
18.
19. Total Michigan income tax withholding paid during current tax year ...............................................................
withholding paid during current tax yea
holding paid during current tax ye
19.
Summary
20. Total sales, use and withholding taxes due. Add lines 12A, 12B, 14b and 18. ................................................
es, use and withholding taxes due. Ad
e and withholding taxes due. A
20.
21. Total sales, use and withholding taxes paid during current tax year. Add lines 13A, 13B, 15 and 19 .............
tal sales, use and withholding taxe
tal sales, use and withholding tax
21.
22. If line 21 is greater than line 20, enter overpayment ......................................................................................
e 21 is greater than lin
e 21 is greater than li
22.
23. Amount of line 22 to be credited to your account. Treasury will notify you when your credit is verifi ed and
unt of line 22
unt of line
available.. ........................................................................................................................................................
ble..
ble..
23.
24. Amount of line 22 to be refunded to you ........................................................................................................
24.
25. If line 21 is less than line 20, enter balance due. ...........................................................................................
25.
26. If this return is fi led late, enter penalty and interest (See instructions)
26.
27. TOTAL PAYMENT DUE. Add lines 25 and 26. Enter here and on the return.
27.
IMPORTANT:
This worksheet is your fi le copy and may be subject to audit. DO NOT SEND. Record your account number and your return year in
the upper right corner. Keep this for your records.To check your Sales, Use and Withholding transactions and ask questions about your account, visit
Treasury’s Web site at
* Use Tax on Items Purchased for Business or Personal Use. Use lines 14 and 15 to report purchases made for use in your buiness or for items
removed from your inventory for personal or business use. Do not repeat the amounts from Column A, lines 1 - 4 here.

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