2014 MI-1040CR-5, Page 2 of 2
Filer’s Full Social Security Number
PART 2: SIGNED DISTRIBUTION STATEMENT FOR JOINT OWNERS
Complete only if you are a joint owner with someone other than your spouse. Part 2 must be signed by all joint owners.
A
B
C
D
E
Agreement Number
Partner’s or
Partner’s or
County
Partner’s or
Joint Owner’s
Joint Owner’s
Expiration Date
Signatures are required of all partners
Joint Owner’s
Percentage
Percentage
Code
Contract Number
(Enter as MM-DD-YY)
Social Security Number
of Income
of Ownership
or joint owners other than your spouse.
(2 digits)
%
%
%
%
%
%
%
%
%
%
PART 3: NET BUSINESS/FARM LOSS
Taxpayers that had a net loss from business or farm on MI-1040CR line 16, MI-1040CR-2 line 15, MI-1040CR-7 line 18
21. Business income or (loss) from U.S. Form 1040 ................................................................................ 21.
00
22. Farm income or (loss) from U.S. Form 1040 ...................................................................................... 22.
00
23. Net business income/farm loss, combine lines 21 and 22 (must be less than zero) .......................... 23.
00
PART 4: NET ROYALTY/RENT LOSS
Taxpayers that had a net loss from royalty or rent on MI-1040CR line 17, MI-1040CR-2 line 16, MI-1040CR-7 line 19
24. Rental, Real Estate, Royalty Loss from U.S. Form 1040 (must be less than zero) ............................ 24.
00
PART 5: NET OPERATING LOSS
25. Enter the lesser of your federal net operating loss deduction or federal modified taxable income
(as a negative number)....................................................................................................................... 25.
00
26. Total Loss Adjustment. Combine lines 23, 24, and 25.
Carry to line 9, page 1 (must be less than zero)................................................................................. 26.
00
+
0000 2014 17 02 27 4
.