Form Mi-1040x-12 - Michigan Amended Income Tax Return Page 4

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MI-1040X-12, Page 4
Lines 23 through 26: Enter changes in your property tax
Deaf, Blind or Disabled: You qualify for the deaf exemption if
credit, farmland preservation credit, earned income tax credit,
the primary way you receive messages is through a sense other
and/or historic preservation tax credit. Attach the appropriate
than hearing, for example: lip reading or sign language. You
amended claim documentation: Forms MI-1040CR,
qualify for the blind or disabled exemption if you are blind,
MI-1040CR-2, MI-1040CR-5, or 3581.
hemiplegic, paraplegic, quadriplegic or totally and permanently
disabled. Blind means your better eye permanently has 20/200
Line 27: Enter the amended tax withheld by your employer.
vision or less with corrective lenses, or your peripheral field of
Attach a corrected Schedule W and provide an explanation
vision is 20 degrees or less. Totally and permanently disabled
to support your claim, including the circumstances that
means disabled as defined under Social Security Guidelines 42
created the corrected Schedule W if it was corrected.
USC 416. Individuals 66 or older may not claim an exemption as
If you are claiming a repayment credit for tax paid on income
totally and permanently disabled.
reported in a previous year, add the amount of the credit to
A taxpayer may claim an
the Michigan tax withheld. Write the words “Claim of Right/
Qualified Disabled Veteran:
exemption in addition to the taxpayer’s other exemptions if
Repayments” next to line 27. Attach a schedule showing the
(a) the taxpayer or spouse is a qualified disabled veteran, or
computation of the credit, proof of the repayment, and pages 1
(b) a dependent of the taxpayer is a qualified disabled veteran.
and 2 of your U.S. Form 1040 and Schedule A if applicable.
To be eligible for the additional exemption an individual must
Line 28: Enter total Michigan estimated tax payments, amounts
be a veteran of the active military, naval, marine, coast guard,
credited forward from prior years, and any payment made with a
or air service who received an honorable or general discharge
request for extension.
and has a disability incurred or aggravated in the line of duty as
Line 29: Enter the amount paid with your original return and
described in 38 USC 101(16). This additional exemption may
any additional tax paid after you filed your original return. Do not
not be claimed on more than one tax return. See the instructions
for line 12 on page 3.
include interest or penalty payments.
Line 39: Enter the line reference from page 1 for each line
Line 31: Enter the amount of refund you received from your
where a change is reported and give a detailed explanation of
original return. If you received more than one refund from
the reasons for the change. If an explanation is not provided, the
the original return, include the total amount of refunds on this
processing of your return will be delayed.
line, also include the amount to be credited to next year. Do not
include interest received on your refunds.
When You Are Finished
Lines 32 and 33: If line 32 is negative, treat it as a positive
Refund, Credit or Zero Return. Mail your return to:
amount and add it to the amount on line 22, column C. Enter the
result on line 33. This is the amount you owe. Include interest
Michigan Department of Treasury
with your payment. (See “Interest and Penalty” on page 3.)
Lansing, MI 48956
Make check payable to “State of Michigan” and write the last
Pay amount on line 33. Mail your check and return to:
four digits of your Social Security number, the tax year being
amended, and the words “MI-1040X-12” on the check. If paying
Michigan Department of Treasury
on behalf of another taxpayer, write the filer’s name and last four
Lansing, MI 48929
digits of the filer’s Social Security number on the check. Payment
Do not staple multiple prior year returns together. However,
is not required if the tax due is less than $1. To ensure accurate
you can mail multiple prior year returns in the same envelope.
processing of your return, send one check for each return you are
amending.
Line 34, REFUND: If line 32 is greater than line 22,
column C, subtract line 22, column C, from line 32 and enter this
amount as your refund.
Exemptions
Line 37: Enter the number of federal exemptions and Michigan
special exemptions claimed on your original return and claimed
on this return.
Review the instruction booklet for tax year being amended if you
need definitions or more information.
Complete lines 37 through 38 if you are changing the number
of exemptions or exemption allowance you originally claimed.
On line 37, enter the number of exemptions you claimed on your
original return and the number of exemptions you are claiming
on this amended return.

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