Form Br 1040 - Individual Return - City Of Big Rapids Income Tax - 1999 Page 2

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BR 1040
Taxpayer Name ________________________
Page 2
Social Security # ______________________
1999
CITY OF BIG RAPIDS INCOME TAX
SCHEDULE 1
This schedule applies to NON-RESIDENTS ONLY on income partially earned in the City of Big Rapids, verifi-
cation MUST be accompanied by statement, based on 261 days per year or explanation for difference,
signed and dated each year by employer only.
If both Husband and Wife have income subject to allocation, figure them separately.
A. Wages subject to allocation from W-2
A. __________________________
B. Percent earned as taxable income in Big Rapids to
non-residents per instructions (Attach statement from employer)
B. __________________________
C. Multiply Line A by Line B
C. __________________________
D. Add all other W-2 income not allocated
D. __________________________
E. Total wages subject to Big Rapids City Tax
E. __________________________
(Add Line C and D). Enter the amount from Line E
on Page 1, Line 1.
SCHEDULE 2
This schedule applies to NON-RESIDENTS ONLY
and is relative to SCHEDULE C, D, OR E.
A. Income from applicable Federal Schedule
A. __________________________
B. Percent earned in Big Rapids
B. __________________________
C. Multiply Line A by Line B
C. __________________________
Enter BR 1040, Line 2
SCHEDULE 3
This schedule applies to both residents and non-residents who file their return after the due date of April 30, 2000
and owe tax liability.
A. Interest - .0002438 per day
A. __________________________
B. Penalty - 1 % of the amount of the unpaid tax for each
month or fraction thereof not to exceed a total penalty of
25% of the unpaid tax.
B. __________________________
C. Total penalty ad interest but must pay a minimum of $2.00
Enter on BR 1040, Line 17
C. __________________________

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