Declaration Of Estimated Income Tax/quarterly Statement - City Of Flint

Declaration Of Estimated Income Tax/quarterly Statement - City Of Flint - 2010 Page 2

FORMS OR INFORMATION

Forms or information may be obtained from the Income Tax Department section of the City of

Flint website, , via telephone by calling (810) 7667015 or from the City of

Flint Income Tax Department, 1101 S. Saginaw St, Flint, MI 48502.

WORKSHEET FOR 2010 DECLARATION OF ESTIMATED INCOME TAX

(KEEP FOR YOUR RECORDS)

1. TOTAL FLINT INCOME EXPECTED IN 2010 OR TOTAL INCOME FROM 2009

2. EXEMPTIONS ($600 FOR EACH EXEMPTION; DOES NOT APPLY TO CORPORATIONS)

3. ESTIMATED FLINT TAXABLE INCOME (SUBTRACT LINE 2 FROM LINE1)

4. ESTIMATED FLINT INCOME TAX BEFORE CREDITS (NONRESIDENT INDIVIDUALS

MULTIPLY LINE 3 BY 1/2% (.005), ALL OTHER TAXPAYERS MULTIPLY LINE 3 BY 1% (.01)

5. AMOUNT OF FLINT INCOME TAX WITHHELD OR OTHER CREDIT EXPECTED IN 2010

6. ESTIMATED INCOME TAX DUE (SUBTRACT LINE 5 FROM LINE 4)DECLARATION AMOUNT

7. INSTALLMENT AMOUNT (DIVIDE LINE 6 BY 4)

VOUCHER

DATE PAID

CHECK NUMBER

AMOUNT PAID

CUT ALONG LINE

CITY OF FLINT INCOME TAX DEPARTMENT

DECLARATION OF ESTIMATED INCOME TAX/QUARTERLY

DUE DATE

VOUCHER

2010

STATEMENT OF ACCOUNT FOR CALENDAR YEAR OR

JANUARY 31,

FISCAL YEAR ENDING______________________, 20____

2011

NO. 4

SOCIAL SECURITY NUMBER OR FEDERAL I.D. NUMBER

SPOUSE SOCIAL SECURITY NUMBER

TAXPAYER'S NAME AND ADDRESS

ESTIMATED TAX

PAYMENT AMOUNT

.00

$___________.

$___________

MAKE CHECKS PAYABLE AND MAIL TO: TREASURER, CITY OF FLINT – P.O. BOX 99, FLINT, MI 48501

Declaration Of Estimated Income Tax/quarterly Statement - City Of Flint - 2010 Page 2