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Michigan Department of Treasury - City Tax Administration 
5118 (Rev. 10-21) Page 1 of 2 
                                                                                                                                                                     Check here if you are
Issued2021underCityauthorityofof PublicDetroitAct 284 ofResident1964, as amended.Income Tax Return                                                                   amending. Indicate reason
                                                                                                                                                                     on page 2.
Return is due April 18, 2022. 
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. CITY RESIDENT. Return for the city of:                 City Code 
                                                                                                                                                               DETROIT                  170 
5.   2021 FILING STATUS. Check one.                                                                  8. EXEMPTIONS.  8a-8c apply to you and your spouse only. 
a.             Single                                   * If you check box “c,” complete 
                                                        line 3 and enter spouse’s full name             Personal Exemption  ......................................  a. 
b.             Married filing jointly                   below: 
                                                                                                        65 and over......................................................  b. 
c.             Married filing separately* 
                                                                                                        Deaf, Disabled or Blind.....................................           c. 
6.   2021 DEPENDENT STATUS 
          Check the box if you or your spouse can be claimed as a                                       Number of dependent children ........................  d.
          dependent on another person’s tax return. 
7a.  Filer’s date of birth (MM-DD-YYYY)                 7b.      Spouse’s date of birth (MM-DD-YYYY)    Number of other dependents ...........................  e.
                                                                                                        TOTAL EXEMPTIONS.   Add lines 8a 
                                                                                                        through 8e.  ......................................................  f. 
PART 1: INCOME 

9.    Adjusted Gross Income from your U.S. Form 1040...................................................................................                        9.                         00 

10.  Additions from line 29 ...................................................................................................................................  10.                      00 

11.   Total. Add lines 9 and 10..............................................................................................................................  11.                        00 

12.  Subtractions from line 37 ..............................................................................................................................  12.                        00 

13.   Income subject to tax. Subtract line 12 from line 11.  If line 12 is greater than line 11, enter “0” ...............  13.                                                           00 

14.   Exemption allowance. Multiply line 8f by $600  .........................................................................................  14.                                       00 

15.   Taxable income. Subtract line 14 from line 13.  If line 14 is greater than line 13, enter “0”  ........................  15.                                                        00 

16.   Tax. Multiply line 15 by 2.4% (0.024) ...........................................................................................................  16.                              00 
PART 2: CREDITS AND PAYMENTS 
17.  Tax withheld from City Schedule W, line 5....................................................................................................  17.                                   00 
18.  City estimated tax, extension payments and 2020 credit forward  ................................................................  18.                                                00 
19.  Tax paid for you by a partnership from City Schedule W, line 6.  ..................................................................  19.                                             00 
20.  Credit for income taxes paid to another city. City of: __________________________________________  20.                                                                               00 
21.   Total Credits and Payments. Add lines 17 through 20.  .............................................................................  21.                                            00 
PART 3: REFUND OR TAX DUE 

22a.  Tax Due. If line 16 is greater than line 21, subtract line 21 from line 16  ......................................................  22a.                                            00 
22b.  Interest if applicable (see instructions)  .........................................................................................................  22b.                          00 
22c.  Penalty if applicable (see instructions)  .........................................................................................................  22c.                           00 
22d.  Underpaid estimate penalty and interest (see instructions)..........................................................................  22d.                                          00 

22e.  Balance Due. Add lines 22a through 22d. ......................................................................... YOU OWE         22e.                                              00 

+ 0000 2021 101 01 27 0                                                          Continue on page 2. This form cannot be processed if page 2 is not completed and included. 

2021 Form 5118, Page 2 of 2 
City of Detroit Resident Income Tax Return                        Filer’s Full Social Security Number 
23.   Overpayment. If line 21 is greater than line 16, subtract line 16 from line 21.  ............................................  23.                        00 
24.   Credit Forward. Amount of line 23 to be credited to your 2022 estimated tax for your 2022 tax return  .....  24.                                          00 

25.   Refund. Subtract line 24 from line 23.  ....................................................................................   REFUND 25.                 00 
PART 4: ADDITIONS TO INCOME (All entries must be positive numbers.) 

26.  Deductible part of self-employment tax.  .......................................................................................................  26.      00 

27.  Self-employment health insurance deduction...............................................................................................  27.             00 
28.  Other additions. 
      Describe: ___________________________________________________________________________  28.                                                                00 

29.   Total Additions. Add lines 26 through 28.  Enter here and on line 10.  .......................................................  29.                       00 
PART 5: SUBTRACTIONS FROM INCOME (Included in AGI on line 9.  All entries must be positive numbers.) 

30.   IRA, pension, annuity or other retirement benefit distribution.......................................................................  30.                00 

31.   Taxable Social Security benefits ...................................................................................................................  31. 00 

32.  Interest on U.S. government obligations and gains on the sale of U.S. obligations (see instructions).  .......  32.                                        00 

33.  State and local income tax refunds.  .............................................................................................................  33.    00 

34.  Unemployment compensation. .....................................................................................................................  34.      00 

35.  Renaissance Zone deduction.  .....................................................................................................................  35.    00 
36.  Other subtractions. 
      Describe: ___________________________________________________________________________  36.                                                                00 

37.   Total Subtractions. Add lines 30 through 36.  Enter here and on line 12...................................................            37.                 00 

PART 6: AMENDED RETURN 
38. Reason for amending: 

PART 7: CERTIFICATION 
Deceased Taxpayer. If Filer and/or Spouse died after December 31, 2020, enter dates below.      Preparer Certification.  I declare under penalty of perjury that 
ENTER DATE OF DEATH ONLY. Example: 04-15-2021 (MM-DD-YYYY)                                      this return is based on all information of which I have any knowledge.
                                                                                                Preparer’s PTIN, FEIN or SSN 
Filer                                      Spouse 
Taxpayer Certification.  I declare under penalty of perjury that the information in this return Preparer’s Name (print or type) 
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 the Michigan Department of Treasury to discuss 
      my return with my preparer. 
Refund or zero returns. Mail your return to:                      Michigan Department of Treasury, Lansing, MI  48956 
Pay amount on line 22e. Mail your check and return to:  Michigan Department of Treasury, Lansing, MI  48929 
Make your check payable to “State of Michigan - Detroit.” Print the last four digits of your Social Security number and “2021 Detroit Income Tax” on 
the front of your check. If paying on behalf of another taxpayer, write the filer’s name and the last four digits of the filer’s Social Security number on 
the check. Do not staple your check to the return. Keep a copy of your return and supporting schedules for six years.  To check your refund status, have a 
copy of your Form 5118 available when you visit www.michigan.gov/citytax. 

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