GR-1065
GRAND RAPIDS
2011
For official use only
PARTNERSHIP INCOME TAX RETURN
M
M
D
D
/ 2011 and ending
M
M
D
D
Y
Y
Y
Y
For fiscal year or other taxable period beginning
/
/
/
IDENTIFICATION AND INFORMATION
Name of Partnership
Employer Identification Number
Number and Street
Room or Suite No. Mark all boxes that apply
Information only
Payment on behalf of all partners
Address 2
Initial Grand Rapids Return
Final Grand Rapids Return
Check box if you need a return form mailed to you next year
City, Town or Post Office
State
Zip Code
Number of Partners
Date Business Started
No. of Employees
Telephone Number
SOCIAL SECURITY
COLUMN A
COLUMN B
COLUMN C
COLUMN D
PARTNER INFORMATION
OR EMPLOYER
RESIDENT
NONRESIDENT
PART-YEAR
C = CORP
NAME AND HOME ADDRESS FOR ALL PARTNERS
IDENTIFICATION
INDIVIDUAL
INDIVIDUAL
RESIDENT
O = OTHER
(Also, fill in the Social Security or Federal I.D. number and Column A, B, C or D)
NUMBER
FULL YEAR
FULL YEAR
INDIVIDUAL
P = PTNRS
FROM
(a)
TO
FROM
(b)
TO
FROM
(c)
TO
FROM
(d)
TO
Note 1.
The partnership may pay tax for partners only if it pays for ALL partners subject to the tax. If the partnership elects to use this return as an information return, complete page 2 and fill in
column 1 below; it will not be necessary to fill in columns 2 through 6 since a computation of tax need not be made.
Note 2.
A partner who has other income in addition to the partnership income must file an individual return and show on such return the amounts entered below in columns 1, 2 and 6. A partner
who is claiming an exemption as a member of another partnership is NOT to claim the exemption in this partnership return in column 3.
ALL PARTNERSHIPS
TAX PAYMENT BY PARTNERSHIP (If information return only, disregard this section)
P
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5 (a)
COLUMN 5 (b)
COLUMN 6
TOTAL INCOME
T
ALLOWABLE
EXEMPTIONS
TAXABLE INCOME
TAX AT RESIDENT
TAX AT
PAYMENTS
(From page 2,
N
DEDUCTIONS
(See note 2,
OR CORPORATION
NONRESIDENT
AND CREDITS
Schedule C, column 7)
R
above, and
(Column 1 less
TAX RATE
TAX RATE
(See instructions)
instructions)
columns 2 and 3)
(Column 4 times .015)
(Column 4 times .0075)
(See Instructions)
S
(See note 1 above)
(a)
(b)
(c)
(d)
Totals
1.
Total tax (The sum of column 5a and column 5b)
1
PAYMENTS AND CREDITS
2a. Estimated Income Tax payments, prior year credit forward and extension payment
2a
2b. Other credits (Attach a statement explaining credits claimed)
2b
2c. Total payments and credits (Add lines 2a, b and c)
2c
TAX DUE OR OVERPAYMENT
3. If the tax due (Line 1) is larger than the payments (Line 2c), enter balance due
BALANCE DUE
Enclose check or money order payable to the Grand Rapids City Treasurer. To pay with an electronic
funds withdrawal: mark (X) Pay Tax Due box, line 8 and complete line 8 a, b & c.
3
OVERPAYMENT
4. If payments (Line 2c) are larger than tax (Line 1), enter overpayment
4
CREDIT FORWARD
5. Overpayment to be credited forward and applied to 2012 estimated tax
5
6. Overpayment donation:
6a.
American flags for veterans' graves in Grand Rapids
6a
All or any portion of
6b.
Grand Rapids Children's Fund
6b
overpayment may be
6c.
Grand Rapids Parks' Fund
donated to any fund.
6c
REFUND
7. Refund. For direct deposit refund mark (X) box on line 8 and complete lines 8 a, b & c. (Line 4 less lines 5, 6a, 6b and 6c)
7
8. Mark one:
Refund - Direct Deposit
Pay tax due - Electronic funds withdrawal
ELECTRONIC
REFUND OR
8a. Routing number
PAYMENT DATA
8b. Account number
8c. Account type:
Checking
Savings
9. May the Income Tax Office discuss this return with the preparer shown below?
Yes
No
I declare that I have examined this return (including accompanying schedules) and to the best of my knowledge and belief, it is true, correct and complete.
If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge.
-
(
)
(Date)
(Signature of partner or member)
(Title)
(Phone number)
-
(
)
(Date)
(Preparer's signature)
(Firm name and address)
(Phone number)
MAIL TO: GRAND RAPIDS INCOME TAX DEPARTMENT, PO BOX 109, GRAND RAPIDS, MICHIGAN 49501-0109
2011 GR-1065 Page 1 Revised: 02/24/2012