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Michigan Department of Treasury - City Tax Administration 
5253 (Rev. 03-20) Page 1 of 2                                                                                  City Schedule W 
                                                                                                               Continuation 
City of Detroit Withholding Tax Continuation Schedule - 2020 
Issued under authority of Public Act 284 of 1964, as amended. 
Type or print in blue or black ink.  
INSTRUCTIONS: Complete this form if you have more than eight (8) withholding statements or more than three (3) partnerships to list. 
This is a continuation of the City of Detroit  Withholding Tax Schedule (Form 5121). 

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 (List all additional withholding). 
  A            B —Employer’s federal                          C               D — Wages, tips and other             E 
Enter “X” for: identification number                                              compensation from            City income tax withheld 
Filer orSpouse (Example: 38-1234567)                          Employer’s name Box 1 of W-2 (see instructions)  from Box 19 of W-2 

                                                                                                            00                          00 

                                                                                                            00                          00 

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PART 2: CITY TAX PAID FOR YOU BY  A PARTNERSHIP 
                                       A                                                B                           C 
                              Name of Partnership                             Federal Identification Number         Tax Paid 

                                                                                                                                        00 

                                                                                                                                        00 

                                                                                                                                        00 

+ 0000 2020 111 01 27 0 

2020 Form 5253, Page 2 of 2 
City of Detroit Withholding Tax Continuation Schedule           Filer’s Full Social Security Number 

                                                                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. 
See instructions for additional information and definition 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 filer and spouse have income subject to allocation, figure 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 another Form 5253. 

   A             B           C                          D            E         F                            G                             H 
               Number of     Number of      Actual number 
                days paid    vacation days, of days worked      Actual         Percentage of 
               (5 day week x holidays, and  everywhere.         number of      days worked in         Total wages shown on W-2 Wages earned in Detroit. 
Enter “X” for:  52 weeks     other days not           Subtract  days worked in Detroit.               (City Schedule W)        Multiply G by percentage 
Filer orSpouse = 260 days)   worked.                  C from B. Detroit        Divide E by D.         (see instructions)                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. 

                                                                                                    %                    00                   00 
               If column B is not 260 days, enter explanation. 

                                                                                                    %                    00                   00 
               If column B is not 260 days, enter explanation. 

+ 0000 2020 111 02 27 9