Fillable Form 5121 City of Detroit Withholding Tax Schedule 2018

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Form 5121 City of Detroit Withholding Tax Schedule 2018

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Michigan Department of Treasury - City Tax Administration
5121 (Rev. 05-18) Page 1 of 2
City Schedule W
City of Detroit Withholding Tax Schedule - 2018
Issued under authority of Public Act 284 of 1964, as amended.
Type or print in blue or black ink. Print numbers like this: 0123456789 - NOT like this: 1 4
INSTRUCTIONS: If you had city income tax withheld in 2018, you must complete a Withholding Tax Schedule (City Schedule W) to claim the
withholding on your City Income Tax Return. Do not attach your W-2s. Include your completed City Schedule W with Form 5118, Form 5119, or
Form 5120. If you need additional space, complete the City of Detroit Withholding Tax Continuation Schedule (Form 5253).
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)
4. Return for the city of: City Code
DETROIT 170
PART 1: CITY TAX WITHHELD
A
B — Employer’s federal
C
D —
Wages, tips and other E
identication number
compensation from City income tax withheld
Enter “X” for:
Filer or Spouse
(Example: 38-1234567) Employer’s name
Box 1 of W-2 (see instructions) from Box 19 of W-2
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
5.
otal City Tax Withheld. Enter here and carry to Form 5118, line 17, Form 5119, line 20 or Form 5120, line 36.T
00
PART 2: CITY TAX PAID FOR YOU BY A PARTNERSHIP
A B C
Name of Partnership Federal Identication Number Tax Paid
00
00
00
6. Total. Enter here and carry to Form 5118, line 19, Form 5119, line 22 or Form 5120, line 38. ................ 00
Check this box and complete the City of Detroit Withholding Tax Continuation Schedule (Form 5253) if you
have more than eight W-2s to report or had tax paid on your behalf by more than three partnerships.
NOTE:
• All wage income earned by residents is subject to tax. Residents should not complete Part 3 on page 2.
• Nonresidents who performed work both within and outside the city listed on line 4 should complete Part 3 on page 2.
+ Continue on page 2. 0000 2018 104 01 27 4
Reset Form
2018 Form 5121, Page 2 of 2
Filer’s Full Social Security Number
City of Detroit Withholding Tax Schedule
NONRESIDENTS ONLY
PART 3: WAGE ALLOCATION FOR NONRESIDENTS
Part 3 applies only to Nonresidents computing wages earned in Detroit. Do not complete Part 3 if all of your work is performed in Detroit
because all wages are subject to tax. See instructions for additional information and denition of “days worked”.
Residents do not complete Part 3 because all wages are subject to tax.
A separate computation must be made for each W-2. If both ler and spouse have income subject to allocation, gure them separately.
Include only wages allocated to Detroit in column H below on Form 5119, line 9 or Form 5120, line 10, column B. If you need additional
space, include a City of Detroit Withholding Tax Continuation Schedule (Form 5253).
A B C D E
F G H
Enter “X” for:
Filer or Spouse
Number of
days paid
(5 day week x
52 weeks
= 260 days)
Number of
vacation days,
holidays, and
other days not
worked.
Actual number
of days worked
everywhere.
Subtract
C from B.
Actual
number of
days worked in
Detroit
Percentage of
days worked in
Detroit.
Divide E by D.
Total wages shown on W-2
(City Schedule W)
(see instructions)
Wages earned in Detroit.
Multiply G by percentage
in F.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
% 00 00
If column B is not 260 days, enter explanation.
NOTE: If your City of Detroit allocation is less than 100 percent, please obtain a letter from your employer to verify columns B through E
of Form 5121 and retain your work log. Treasury may request a copy of your work log and employer letter.
+ 0000 2018 104 02 27 3
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Form 5121 City of Detroit Withholding Tax Schedule 2018

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Completed 26 January 2020

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