Fillable Form 1.: 2019 MICHIGAN Schedule 1 Additions and (Michigan)

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Form 1.: 2019 MICHIGAN Schedule 1 Additions and (Michigan)

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Michigan Department of Treasury
3423 (Rev. 05-19), Page 1 of 2
2019 MICHIGAN Schedule 1 Additions and Subtractions
Issued under authority of Public Act 281 of 1967, as amended.
Attachment 01
Include with Form MI-1040. Type or print in blue or black ink.
Filer’s First Name M.I. Last Name
Filer’s Full Social Security No. (Example: 123-45-6789)
Additions to Income (all entries must be positive numbers)
1.
Gross interest and dividends from obligations issued by states
(other than Michigan) or their political subdivisions..................................................................... 1.
2.
Deduction for taxes on, or measured by, income including self-employment tax taken on
your federal return (see instructions)........................................................................................... 2.
3. Gains from Michigan column of MI-1040D and MI-4797............................................................ 3.
4. Losses attributable to other states (see instructions) ................................................................. 4.
5. Net loss from federal column of your Michigan MI-1040D or MI-4797 ....................................... 5.
6.
Oil, gas, and nonferrous metallic mineral expenses (Michigan sourced) deducted to arrive at
Adjusted Gross Income (AGI)..................................................................................................... 6.
7. Federal Net Operating Loss deduction included in AGI.............................................................. 7.
8. Other (see instructions). Describe: ___________________________________________ 8.
9. Total additions. Add lines 1 through 8. Enter here and on MI-1040, line 11........................ 9.
00
00
00
00
00
00
00
00
00
Continue on page 2.
If subtractions do not apply, only submit
page 1 of the Schedule 1 with your
return.
+ 0000 2019 09 01 27 3
Reset Form
2019 Form 3423, Page 2 of 2
2019 MICHIGAN Schedule 1 Additions and Subtractions
Filer’s First Name M.I. Last Name
Filer’s Full Social Security No. (Example: 123-45-6789)
Subtractions from Income (all entries must be positive numbers)
10.
Income from U.S. government bonds and other U.S. obligations included in MI-1040, line 10.
Include U.S. Schedule B if over $5,000....................................................................................... 10.
11.
Amount included in MI-1040, line 10, from military retirement benets due to service in the
U.S. Armed Forces or Michigan National Guard, or taxable railroad retirement benets
............. 11.
12. Gains from federal column of Michigan MI-1040D and MI-4797.............................................. 12.
13. Income attributable to another state. Explain type and source:________________________ 13.
14. Taxable Social Security benets or military pay (not retirement) included on MI-1040, line 10 .. 14.
15. Income earned while a resident of a Renaissance Zone (see instructions). ............................... 15.
16.
Michigan state and local income tax refunds received in 2019 and included
on MI-1040, line 10...................................................................................................................... 16.
17.
Michigan Education Savings Program, MI 529 Advisor Plan, and Michigan Achieving a Better
Life Experience Program............................................................................................................ 17.
18. Michigan Education Trust . ......................................................................................................... 18.
19. Oil, gas, and nonferrous metallic minerals income (Michigan sourced) included in AGI............ 19.
20.
Resident Tribal Member income exempted under a State/Tribal tax agreement or
pursuant to Revenue Administrative Bulletin 1988-47................................................................ 20.
21. Miscellaneous subtractions (see instructions). Describe:______________________________ 21.
Deduction Based on Year of Birth
00
00
00
00
00
00
00
00
00
00
00
00
Complete 22A through 22F if claiming the Michigan Standard Deduction, the retirement benets deduction or the senior investment income
deduction on lines 23, 24 or 25. Check box(es) 22C and/or 22F only if you or your spouse received retirement benets from employment with
a governmental agency not covered by the federal Social Security Act (SSA exempt employment). See instructions before continuing.
22.
23.
Michigan Standard Deduction. Complete this line ONLY if the older of you or your spouse
(if married) was born during the period January 1, 1946 through December 31, 1952, and
reached age 67 on or before December 31, 2019. Do not complete lines 24 and 25.............
24.
Retirement benets. Enter amount from line 16, 27, 28 or 29 of Form 4884, Michigan
Pension Schedule. Include Form 4884.....................................................................................
25.
Dividend/interest/capital gains deduction for taxpayers 74 years and older. Deduction is
limited to $11,771 for single or married ling separately lers and $23,542 for joint lers, less
FILER
A.
Year of Birth
(19xx)
B.
Age
(as of 12-31-2019)
C.
Check if ler received
benets from SSA exempt
employment
SPOUSE
D.
Year of Birth
(19xx)
E.
Age
(as of 12-31-2019)
F.
Check if spouse received
benets from SSA exempt
employment
23.
24.
25.
00
00
00
Check this box if you are the unremarried surviving spouse claiming a dividend, interest or capital
gains deduction for someone born before 1946 who was at least age 65 at the time of death.
26. Subtotal. Add lines 10 through 25 ............................................................................................. 26.
27.
2019 Michigan NOL Deduction. Enter amount from line 11 or 12 of Form 5674, Michigan Net
Operating Loss Deduction. Include Form 5674 ........................................................................ 27.
28. Total Subtractions. Add lines 26 and 27. Enter here and on MI-1040, line 13......................... 28.
If additions do not apply, only submit page 2 of the Schedule 1 with your return.
any deduction for retirement benets (see instructions)..............................................................
00
00
00
+ 0000 2019 09 02 27 1
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Form 1.: 2019 MICHIGAN Schedule 1 Additions and (Michigan)

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Completed 6 October 2020

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