Michigan Department of Treasury (Rev. 10-13), Page 1
Issued under authority of Public Act 281 of 1967.
2013 MICHIGAN Individual Income Tax Return MI-1040
Return is due April 15, 2014.
1 4
0123456789
Type or print in blue or black ink. Print numbers like this:
- NOT like this:
1. Filer’s First Name
M.I.
Last Name
2. Filer’s Social Security No. (Example: 123-45-6789)
If a Joint Return, Spouse’s First Name
M.I.
Last Name
3. Spouse’s Social Security No. (Example: 123-45-6789)
Home Address (Number, Street, or P.O. Box)
City or Town
State
ZIP Code
4. School District Code (5 digits – see page 60)
5. STATE CAMPAIGN FUND
6. FARMERS, FISHERMEN, OR SEAFARERS
a.
Check if you (and/or your spouse, if
Filer
filing a joint return) want $3 of your taxes
Check this box if 2/3 of your income is from farming,
fishing, or seafaring.
to go to this fund. This will not increase
b.
Spouse
your tax or reduce your refund.
7. 2013 FILING STATUS. Check one.
8. 2013 RESIDENCY STATUS. Check all that apply.
a.
Single
a.
Resident
* If you check box “c,” complete
* If you check box “b” or
line 3 and enter spouse’s full name
“c,” you must complete
Married, Filing jointly
below:
b.
b.
Nonresident *
and attach Schedule NR.
c.
Married, Filing separately*
c.
Part-Year Resident *
NOTE: If someone else can claim you as a dependent, check box 9d, enter 0 on line 9a and enter $1,500 on line 9d (see instr.).
EXEMPTIONS.
9.
$3,950
a. Number of exemptions claimed on 2013 federal return........................................
9a.
9a.
x
00
b. Number of individuals who qualify for one of the following special exemptions: deaf,
$2,500
blind, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled
00
9b.
9b.
x
c. Number of qualified disabled veterans .................................................................
$300
00
9c.
9c.
x
d. Claimed as dependent, see line 9 NOTE above ..................................................
00
9d.
9d.
e. Add lines 9a, 9b, 9c and 9d. Enter here and on line 15 ...................................................................................
00
9e.
00
10. Adjusted Gross Income from your U.S. Forms 1040, 1040A, 1040EZ or 1040NR (see p. 9) .................
10.
00
11. Additions from Michigan Schedule 1, line 9. Attach Schedule 1.................................................................
11.
00
12. Total. Add lines 10 and 11 ..........................................................................................................................
12.
00
13. Subtractions from Michigan Schedule 1, line 27. Attach Schedule 1 ........................................................
13.
00
14. Income subject to tax. Subtract line 13 from line 12. If line 13 is greater than line 12, enter “0” ............
14.
00
15. Exemption allowance. Enter amount from line 9e or Schedule NR, line 19.............................................
15.
00
16. Taxable income. Subtract line 15 from line 14. If line 15 is greater than line 14, enter “0” ......................
16.
00
17. Tax. Multiply line 16 by 4.25% (0.0425) .....................................................................................................
17.
NON-REFUNDABLE CREDITS
AMOUNT
CREDIT
18. Income Tax Imposed by government units outside Michigan.
00
00
Attach a copy of the return (see instructions) .........................
18a.
18b.
19. Michigan Historic Preservation Tax Credit carryforward and/or
00
00
Small Business Investment Tax Credit (see instructions) .......
19a.
19b.
20. Income Tax. Subtract the sum of lines 18b and 19b from line 17.
00
If the sum of lines 18b and 19b is greater than line 17, enter “0” ...............................................................
20.
+
0000 2013 05 01 27 3
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