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Michigan Department of Treasury
Issued under authority of Public Act 38 of
4913 (Rev. 11-11)
2011. See instructions for filing guidelines.
2012 Michigan Corporate Income Tax Quarterly Return
Also for use by Michigan Business Tax (MBT) filers.
Taxpayer Name
Tax Year Ending (YYYYMM)
Federal Employer ID Number or TR Number
Address (Street, City, State, ZIP Code)
WRITE PAYMENT
$
AMOUNT HERE
.00
MAIL TO
Make check payable to "State of
Michigan." Write your FEIN or TR
Michigan Department of Treasury
Number, tax year, and "CIT Q" on your
P.O. Box 30774
check. Enclose your check and return.
Do not fold or staple.
Lansing, MI 48909-8274
DO NOT WRITE IN THIS SPACE
Michigan Department of Treasury
Issued under authority of Public Act 38 of
4913 (Rev. 11-11)
2011. See instructions for filing guidelines.
2012 Michigan Corporate Income Tax Quarterly Return
Also for use by Michigan Business Tax (MBT) filers.
Taxpayer Name
Tax Year Ending (YYYYMM)
Federal Employer ID Number or TR Number
Address (Street, City, State, ZIP Code)
WRITE PAYMENT
$
AMOUNT HERE
.00
MAIL TO
Make check payable to "State of
Michigan." Write your FEIN or TR
Michigan Department of Treasury
Number, tax year, and "CIT Q" on your
P.O. Box 30774
check. Enclose your check and return.
Lansing, MI 48909-8274
Do not fold or staple.
DO NOT WRITE IN THIS SPACE
Michigan Department of Treasury
Issued under authority of Public Act 38 of
4913 (Rev. 11-11)
2011. See instructions for filing guidelines.
2012 Michigan Corporate Income Tax Quarterly Return
Also for use by Michigan Business Tax (MBT) filers.
Taxpayer Name
Tax Year Ending (YYYYMM)
Federal Employer ID Number or TR Number
Address (Street, City, State, ZIP Code)
WRITE PAYMENT
$
AMOUNT HERE
.00
MAIL TO
Make check payable to "State of
Michigan." Write your FEIN or TR
Michigan Department of Treasury
Number, tax year, and "CIT Q" on your
P.O. Box 30774
check. Enclose your check and return.
Do not fold or staple.
Lansing, MI 48909-8274
DO NOT WRITE IN THIS SPACE
Michigan Department of Treasury
Issued under authority of Public Act 38 of
4913 (Rev. 11-11)
2011. See instructions for filing guidelines.
2012 Michigan Corporate Income Tax Quarterly Return
Also for use by Michigan Business Tax (MBT) filers.
Taxpayer Name
Tax Year Ending (YYYYMM)
Federal Employer ID Number or TR Number
Address (Street, City, State, ZIP Code)
WRITE PAYMENT
$
AMOUNT HERE
.00
MAIL TO
Make check payable to "State of
Michigan." Write your FEIN or TR
Michigan Department of Treasury
Number, tax year, and "CIT Q" on your
P.O. Box 30774
check. Enclose your check and return.
Lansing, MI 48909-8274
Do not fold or staple.
DO NOT WRITE IN THIS SPACE