Form W-1040r - City Of Walker Resident Individual Income Tax Return - 2001
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1
2RESIDENT INDIVIDUAL INCOME TAX RETURN
WALKER
2001
W-1040R
DUE APRIL 30, 2002
Use the
Your first name & initial
Last name
Your Social Security Number--REQUIRED
WALKER
Mailing label
If joint, spouse's first name & initial
Last name
Otherwise
Spouse's Social Security Number
Please print
Home address (Number and street or rural route)
SEE
City, town or post office
State
Zip code
Day phone
Evening phone
INSTRUCTIONS
Taxpayer only
Part Year Resident from _____/_____/_____ to _____/_____/_____
If married, is spouse filing
Yes
No
Spouse only
Former Address:
a separate return?
Both
Schedule 1
Exemption Amount
1.
Check boxes that apply:
Regular
65 or over
Blind
1.
Number of boxes checked
Yourself
2.
Number of dependent children and/or other dependents for
2.
which you claimed an exemption on your federal return
Spouse
**
3.
Total number of exemptions--add lines 1 and 2
3.
**If this box is checked, you must enter spouse's social
Multiply number of exemptions in line 3 by $750
security number above and spouse must sign return
and enter on line 5 of return summary below.
Schedule 2
Wage Detail
Column A
Column B
Walker tax
Total wages from
Employer's name
Street address of actual work location(s)
withheld
Box 1 of W-2
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
Totals 1a.
.00 1b.
.00
Schedule 3
Payments
1.
Tax withheld by your employer from line 1a. of Schedule 2
1.
.00
2.
2001 estimated payments, credit from 2000 W-1040R, payment with extension
2.
.00
3.
Credit for tax paid to another city--from Page 2, Worksheet 1
3.
.00 Attach copy of other return
4.
Total payments--enter here and on line 8 of return summary below
4.
.00
Return Summary
.00
Income
1. Total wages, salaries and tips from Schedule 2, line 1b.
Attach your W-2 form(s)
1.
.00
Attach
2. Other income/loss from Page 2, Schedule 4, line 11
2.
Walker copy
.00
of your
3. Deductions from Page 2, Schedule 5, Line 5
3.
W-2 form(s)
.00
here
4. Combine lines 1, 2 and 3. This is your total Walker income
4.
Exemption
.00
Amount
5. Multiply number of exemptions from Schedule 1, line 3 by $750 and enter here
5.
Taxable
.00
Income
6. Subtract line 5 from line 4. This is your taxable income
6.
.00
Tax
7. Multiply line 6 by one percent (.01) This is your Walker tax
Tax >>>
7.
.00
Payments
8. Total of Walker payments from Schedule 3, line 4
Payments >>>
8.
If line 7 is larger than line 8, subtract line 8 from line 7.
.00
Tax Due
9. This is the amount you owe. Make check payable to: City Treasurer.
Tax due >>>
9.
If line 8 is larger than line 7, subtract line7 from line 8.
.00
Overpayment
10. This is your overpayment. Complete line 11 and/or line 12.
Overpayment >>>
10.
See page 2 to contribute
.00
Refund
11. Amount of overpayment to be mailed to you
to an Education Foundation
Refund >>>
11.
Held and
.00
Applied
12. Amount of overpayment to be held and applied to your 2002 estimated tax
Credit to 2002 >>>
12.
I have read this return. Under the penalties of perjury, I declare that to the best of my knowledge and belief the return is true, correct and accurately lists all amounts and sources
of Walker income I received during the tax year. If prepared by a person other than the taxpayer, his/her declaration is based on all information of which he/she has any knowledge.
Your signature
Spouse's signature if joint return
Paid preparer's signature
PLEASE
SIGN HERE
Date
Your occupation
Date
Spouse's occupation
Address
YOU MUST ATTACH A COPY OF PAGE ONE OF YOUR 2001 FEDERAL 1040
Mail return to: Income Tax Dept., PO Box 153, Grand Rapids, MI 49501-0153
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