Form 807 - Michigan Composite Individual Income Tax Return - 2016
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Michigan Department of Treasury, 807 (Rev. 02-17), Page 1 of 5
2016 MICHIGAN Composite Individual Income Tax Return
Issued under authority of Public Act 281 of 1967 as amended.
This return is due April 18, 2017. Type or print clearly in blue or black ink.
(MM-DD-YYYY)
(MM-DD-2016)
and ending:
- 2016
Return is for calendar year 2016 or for tax year beginning:
Filers whose tax year ends in 2016 should use this form. Do not use this form if the tax year ends in a year other than 2016.
1. Name of Partnership, S Corporation or Other Flow-Through Entity
2. Federal Employer Identification Number (FEIN)
3. Mailing Address (Number, Street or P.O. Box)
4. City or Town
State
ZIP Code
NOTE: Pages 1 - 4 of the U.S. Forms 1065 or 1120S, Form MI-1040H and a completed schedule(s) of participants
and nonparticipants must be attached to this return. See instructions.
5. Ordinary income (loss) from U.S. Form 1065, line 22, or U.S. Form 1120S, line 21 .......................... 45.
00
6. Additions from line 35, page 2 ............................................................................................................ 46.
00
7. Subtotal. Add lines 5 and 6 .................................................................................................................
7.
00
8. Subtractions from line 38, page 2 ....................................................................................................... 48.
00
9. Total income subject to apportionment. Subtract line 8 from line 7 ....................................................
9.
00
10. Apportionment percentage from MI-1040H (see instructions) ............................................................ 410.
%
11. Total Michigan apportioned income. Multiply line 9 by the percentage on line 10 ..............................
11.
00
12. Michigan allocated income or (loss) from line 43, page 2 ..................................................................
12.
00
13. Total Michigan income. Add lines 11 and 12 .......................................................................................
13.
00
14. Michigan income attributable to Michigan residents (see instructions for Schedule C)......................
14.
00
15. Michigan income attributable to nonparticipating members (see instructions for Schedule B) ..........
15.
00
16. Michigan income attributable to participants (see instructions for Schedule A)..................................
16.
00
17. Exemption allowance from line 49, page 2 .........................................
17.
00
18. SEP, SIMPLE or qualified plan deductions from line 52, page 2 ........
18.
00
19. Add lines 17 and 18 ............................................................................................................................
19.
00
20. Taxable income. Subtract line 19 from line 16 ....................................................................................
20.
00
21. Tax due. Multiply line 20 by 4.25% (0.0425) ....................................................................................... 421.
00
22. Michigan extension payments and estimated tax payments .............................................................. 422.
00
23. Withholding tax payments attributable to participants from Schedule A,
Column 3b
......................... 423.
00
24. If line 22 plus line 23 is less than line 21, enter TAX DUE.
PAY
Include interest ______________ and penalty _____________ , if applicable .........................
24.
00
25. If line 22 plus line 23 is more than line 21, enter overpayment ..........................................................
25.
00
26. Credit Forward. Amount of line 25 to apply to 2017 estimated tax ...................................................
26.
00
REFUND
27. Subtract line 26 from line 25 ..............................................................................................
27.
00
PREPARER CERTIFICATION.
TAXPAYER CERTIFICATION.
I declare under penalty of perjury that the information in this
I declare under penalty of
return and attachments is true and complete to the best of my knowledge. I have obtained the required
perjury that this return is based on all information of which I have
power of attorney from each of the members of this composite return and the entity will resolve the issue
any knowledge.
of any tax liability.
Filer’s Signature
Date
Preparer’s PTIN, FEIN or SSN
Preparer’s Name (print or type)
By checking this box, I authorize Treasury to discuss my return with my preparer.
Preparer’s Business Name, Address and Telephone Number
Mailing: Make check payable to “State of Michigan.”
Write the entity’s FEIN, “Composite Return” and tax year on the check.
Mail completed returns to:
Michigan Department of Treasury
P.O. Box 30058
Lansing, MI 48909
Continued on Page 2.
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