Michigan Dept. of Treasury, 165, (Rev. 7-06)
Annual Return for Sales, Use and Withholding Taxes
Reset Form
Account Number
Place Label From Your Coupon Book Here or Enter Taxpayer Name
File this return
Return Year
Date Due
by February 28.
Do not use this form to replace a monthly or quarterly return.
A. Use Tax: Sales & Rentals
B. Sales Tax
6%
4%
6%
4%
Sales and Use Tax
1.
Gross sales (including sales by out-of-state
vendors subject to use tax) ......................................
1.
1.
2.
Rentals of tangible property and accommodations
2.
2.
3.
Communication services .........................................
3.
3.
4.
Add lines 1, 2 and 3 ..................................................
4.
4.
ALLOWABLE DEDUCTIONS
5a.
Resale ......................................................................
5a.
5a.
b.
Industrial processing or agricultural producing ......
b.
b.
c.
Interstate commerce ................................................
c.
c.
d.
Exempt services .......................................................
d.
d.
e.
Sales on which tax was paid to Secretary of State ...
e.
e.
f.
Food for human/home consumption .......................
f.
f.
g.
Bad debts .................................................................
g.
g.
h.
Michigan motor fuel or diesel fuel tax ......................
h.
h.
i.
Other. Identify: ____________________________
i.
i.
j.
Tax included in gross sales (line 1) .........................
j.
j.
k.
Total allowable deductions. Add lines 5a - 5j ..........
k.
k.
6.
Taxable balance. Subtract line 5k from line 4 ..........
6.
6.
x .06
x .04
x .06
x .04
7.
Tax Rate ....................................................................
7.
7.
8.
Gross tax due. Multiply line 6 by line 7 .....................
8.
8.
9.
Tax collected in excess of line 8 ...............................
9.
9.
10.
Add lines 8 and 9 ......................................................
10.
10.
11.
TOTAL discount allowed (see instructions) ..........
11.
11.
12.
Total tax due. Subtract line 11 from line 10 ..............
12.
12.
13.
Tax payments in current year (after discounts) ........
13.
13.
Use Tax on Items Purchased for Business or Personal Use (see back)*
14.
Enter your purchases taxable at the 6% rate ............................................
14a.
x .06=
14b.
15.
Tax payments made in the current year ..................................................................................................................
.
15.
Withholding Tax
16.
Gross Michigan payroll and other taxable compensation for the year ...................................................................
16.
17.
Number of W-2s, 1099s, and/or MI-NRK1s enclosed ..............................
17.
18.
Total Michigan income tax withheld per W-2s, 1099s and MI-NR-K1s ..................................................................
18.
19.
Total Michigan income tax withholding paid during current tax year ......................................................................
19.
Summary
20.
Total sales, use and withholding taxes due. Add lines 12A and B (both rate columns), 14b and 18 ....................
20.
21.
Total sales, use and withholding taxes paid. Add lines 13A and B (both rate columns), 15 and 19 .....................
21.
22.
If line 21 is greater than line 20, enter overpayment ..............................
22.
23.
Amount of line 22 to be credited to your account.
We will notify you when your credit is verified and available .................
23.
24.
Amount of line 22 to be refunded to you ...................................................
24.
25.
If line 21 is less than line 20, enter balance due ....................................................................................................
25.
26.
If this return is filed late, enter penalty and interest. (See instructions.) ................................................................
26.
27.
TOTAL PAYMENT DUE. Add lines 25 and 26. Make check payable to "State of Michigan." .................................
27.
Complete and sign the back of this return.