Fillable Form 5.: 2019 MICHIGAN Individual Income Tax Return (Michigan)

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Form 5.: 2019 MICHIGAN Individual Income Tax Return (Michigan)

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The Form 5.: 2019 MICHIGAN Individual Income Tax Return (Michigan) form is 2 pages long and contains:

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  • 79 other fields

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Michigan Department of Treasury (Rev. 05-19), Page 1 of 2
Issued under authority of Public Act 281 of 1967, as amended.
2019 MICHIGAN Individual Income Tax Return MI-1040
Amended Return
(Include Schedule AMD)
Return is due April 15, 2020. Type or print in blue or black ink.
1. Filer’s First Name M.I. Last Name
2. Filer’s Full Social Security No. (Example: 123-45-6789)
If a Joint Return, Spouse’s First Name M.I. Last Name
3. Spouse’s Full 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
Check if you (and/or your spouse, if
a.
Filer
ling a joint return) want $3 of your taxes
to go to this fund. This will not increase
b.
Spouse
your tax or reduce your refund.
6.
FARMERS, FISHERMEN, OR SEAFARERS
Check this box if 2/3 of your income is from farming,
shing, or seafaring.
7.
2019 FILING STATUS. Check one.
a. Single
* If you check box “c,” complete
line 3 and enter spouse’s full name
b.
Married ling jointly
below:
c.
Married ling separately*
8.
2019 RESIDENCY STATUS. Check all that apply.
a. Resident
*
If you check box “b” or
“c,” you must complete
b. Nonresident *
and include Schedule
NR.
c. Part-Year Resident *
9.
EXEMPTIONS. NOTE: If someone else can claim you as a dependent, check box 9e, enter 0 on line 9a and enter $1,500 on line 9e (see instr.).
a.
Number of exemptions (see instructions)............................................................. 9a.
x $4,400
b.
Number of individuals who qualify for one of the following special exemptions: deaf,
blind, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled
9b. x $2,700
c.
Number of qualied disabled veterans ................................................................. 9c. x $400
d.
Number of Certicates of Stillbirth from MDHHS (see instructions) ..................... 9d. x $4,400
e.
Claimed as dependent, see line 9 NOTE above .................................................. 9e.
f. Add lines 9a, 9b, 9c, 9d and 9e. Enter here and on line 15 .............................................................................
10. Adjusted Gross Income from your U.S. Forms 1040 or 1040NR (see instructions)................................ 10.
11. Additions from Schedule 1, line 9. Include Schedule 1 ............................................................................ 11.
12. Total. Add lines 10 and 11.......................................................................................................................... 12.
13. Subtractions from Schedule 1, line 28. Include Schedule 1 .................................................................... 13.
14. Income subject to tax. Subtract line 13 from line 12. If line 13 is greater than line 12, enter “0” ............ 14.
15. Exemption allowance. Enter amount from line 9f or Schedule NR, line 19.............................................. 15.
16. Taxable income. Subtract line 15 from line 14. If line 15 is greater than line 14, enter “0” ...................... 16.
17. Tax. Multiply line 16 by 4.25% (0.0425) ..................................................................................................... 17.
NON-REFUNDABLE CREDITS
AMOUNT
18.
Income Tax Imposed by government units outside Michigan.
Include a copy of the return (see instructions)........................ 18a.
00
00
18b.
19.
Michigan Historic Preservation Tax Credit carryforward (see
instructions) ............................................................................ 19a. 19b.
20.
Income Tax. Subtract the sum of lines 18b and 19b from line 17.
If the sum of lines 18b and 19b is greater than line 17, enter “0” ............................................................... 20.
9a.
9b.
9c.
9d.
9e.
9f.
00
00
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00
00
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CREDIT
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+ 0000 2019 05 01 27 1 Continue on page 2. This form cannot be processed if page 2 is not completed and included.
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2019 MI-1040, Page 2 of 2
Filer’s Full Social Security Number
21. Enter amount of Income Tax from line 20................................................................................................... 21.
22. Voluntary Contributions from Form 4642, line 10. Include Form 4642...................................................... 22.
23.
USE TAX. Use tax due on Internet, mail order or other out-of-state purchases from
Worksheet 1 (see instructions)................................................................................................................... 23.
24. Total Tax Liability. Add lines 21, 22 and 23 ................................................................................... 24.
REFUNDABLE CREDITS AND PAYMENTS
25. Property Tax Credit. Include MI-1040CR or MI-1040CR-2 ..................................................................... 25.
26. Farmland Preservation Tax Credit. Include MI-1040CR-5 ..................................................................... 26.
FEDERAL
27.
Earned Income Tax Credit. Multiply line 27a by 6% (0.06) and
enter result on line 27b............................................................ 27a.
00 27b.
28. Michigan Historic Preservation Tax Credit (refundable). Include Form 3581............................................ 28.
29. Michigan tax withheld from Schedule W, line 6. Include Schedule W (do not submit W-2s) ................. 29.
30. Estimated tax, extension payments and 2018 credit forward..................................................................... 30.
31.
2019 AMENDED RETURNS ONLY. Taxpayers completing an original 2019 return should skip to line 32.
Amended returns must include Schedule AMD (see instructions).
If you had a refund and/or credit forward on the original return, check box 31a and enter this amount as a
31a.
negative number on line 31c.
If you paid with the original return, check box 31b and enter the amount paid with the original return, plus
31b.
any additional tax paid after ling, as a positive number on line 31c. Do not include interest or penalty.
32. Total refundable credits and payments. Add lines 25, 26, 27b, 28, 29, 30 and 31c ........................ 32.
REFUND OR TAX DUE
33.
If line 32 is less than line 24, subtract line 32 from line 24. If applicable, see instructions.
00 00Include interest and penalty .........................
YOU OWE
33.
34. Overpayment. If line 32 is greater than line 24, subtract line 24 from line 32 ................................ 34.
35. Credit Forward. Amount of line 34 to be credited to your 2020 estimated tax for your 2020 tax return ...
31c.
MICHIGAN
35.
36. Subtract line 35 from line 34.......................................................................................REFUND 36.
a. Routing Transit Number b. Account Number
DIRECT DEPOSIT
Deposit your refund directly to your nancial
1.
institution! See instructions and complete a, b
and c.
c. Type of Account
Savings
Checking
2.
Deceased Taxpayer. If Filer and/or Spouse died after December 31, 2018, enter dates below.
Preparer Certication. I declare under penalty of perjury that
this return is based on all information of which I have any knowledge.
ENTER DATE OF DEATH ONLY. Example: 04-15-2019 (MM-DD-YYYY)
Preparer’s PTIN, FEIN or SSN
Filer Spouse
Preparer’s Name (print or type)
Taxpayer Certication. I declare under penalty of perjury that the information in this return
and attachments is true and complete to the best of my knowledge.
Filer’s Signature Date Preparer’s Business Name, Address and Telephone Number
Spouse’s Signature Date
By checking this box, I authorize Treasury to discuss my return with my preparer.
Refund, credit, or zero returns. Mail your return to: Michigan Department of Treasury, Lansing, MI 48956
Pay amount on line 33 (see instructions). Mail your check and return to: Michigan Department of Treasury, Lansing, MI 48929
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Form 5.: 2019 MICHIGAN Individual Income Tax Return (Michigan)

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Completed 16 July 2020

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