F-1040                               FLINT                                                                              2020                                            19MI        -FLT1
                                 INDIVIDUAL RETURN DUE APRIL 30, 2021
Taxpayer's SSN                                       Taxpayer's first name                   Initial      Last name                                    RESIDENCE STATUS
                                                                                                                                                          Resident      Nonresident           Part-year
                                                                                                                                                                                              resident
Spouse's SSN                                         If joint return spouse's first name     Initial      Last name                                  Part-year resident - dates of residency (mm/dd/yyyy)
                                                                                                                                                     From
Mark (X) box if  deceased                            Present home address (Number and street)                                        Apt. no.        To
Taxpayer                  Spouse                                                                                                                       FILING STATUS
Enter date of death on page 2, right                 Address line 2 (P.O. Box address for mailing use only)                                               Single        Married filing jointly
side of the signature area
                                                                                                                                                          Married filing separately. Enter spouse's 
Mark box (X) below if form attached                  City, town or post office                                    State     Zip code                      SSN in Spouse's SSN box and Spouse's full 
Federal Form 1310                                                                                                                                         name here.   
                                                     Foreign country name                  Foreign province/county          Foreign postal code
Supporting Notes and                                                                                                                                   Spouse's full name if married filing separately
Statements (Attachment 22)
                          ROUND ALL FIGURES TO NEAREST DOLLAR
          INCOME                                     (Drop amounts under $0.50 and increase                       Column A                        Column B              Column C
                                     amounts from $.50 to $0.99 to next dollar)                            Federal Return Data        Exclusions/Adjustments            Taxable Income
          1.   Wages, salaries, tips, etc. ( W-2 forms must be attached)                                1                      .00                                .00                                 .00
ATTACH 
COPY OF   2.   Taxable interest                                                                         2                      .00                                .00                                 .00
PAGE 1 OF 3.   Ordinary dividends                                                                       3                      .00                                .00                                 .00
FEDERAL   4.   Taxable refunds, credits or offsets of state and local income taxes                      4                      .00                                .00   NOT TAXABLE
RETURN
          5.   Alimony received                                                                         5                      .00                                .00                                 .00
          6.   Business income or (loss) (Attach copy of federal Schedule C)                            6                      .00                                .00                                 .00
          7.   Capital gain or (loss)
               (Attach copy of fed. Sch. D)          7a.                      Mark if federal           7                      .00                                .00                                 .00
                                                                              Sch. D not required
          8.   Other gains or (losses) (Attach copy of federal Form 4797)                               8                      .00                                .00                                 .00
          9.   Taxable IRA distributions (Attach copy of Form(s) 1099-R)                                9                      .00                                .00                                 .00
          10. Taxable pensions and annuities (Attach copy of Form(s) 1099-R) 10                                                .00                                .00                                 .00
          11.  Rental real estate, royalties, partnerships, S corporations, 
               trusts, etc. (Attach copy of federal Schedule E)                                  11                            .00                                .00                                 .00
          12. Reserved                                                                           12 
ATTACH    13. Farm income or (loss) (Attach copy of federal Schedule F)                          13                            .00                                .00                                 .00
W-2       14. Unemployment compensation                                                          14                            .00                                .00   NOT TAXABLE
FORMS     15. Social security benefits                                                           15                            .00                                .00   NOT TAXABLE
HERE
          16. Other income (Attach statement listing type and amount)                            16                            .00                                .00                                 .00
          17.     Total additions (Add lines 2 through 16)                                       17                            .00                                .00                                 .00
          18.     Total income (Add lines 1 through 16)                                          18                            .00                                .00                                 .00
          19.     Total deductions (Subtractions) (Total from page 2, Deductions schedule, line 7)                                                                  19                                .00
          20.     Total income after deductions (Subtract line 19 from line 18)                                                                                     20                                .00
          21. Exemptions             (Enter the total exemptions, from Form F-1040, page 2, box 1h, in line 21a and multiply this 
                                     number by $600 and enter on line 21b)                                                                       21a                21b                               .00
          22.     Total income subject to tax (Subtract line 21b from line 20)                                                                                      22                                .00
                                     (Multiply line 22 by Flint resident tax rate of 1.% (0.01) or nonresident tax rate of 0.5% (0.005) and 
          23. Tax at {tax rate}      enter tax on line 23b, or if using Schedule TC to compute tax, check box 23a and enter tax from 
                                     Schedule TC, line 23d)                                                                                      23a                23b                               .00
               Payments                               Flint tax withheld       Other tax payments (est, extension,            Credit for tax paid
          24. and                                                              cr fwd, partnership & tax option corp)          to another city         Total 
                                                                                                                                                       payments  
               credits    24a                                            .00   24b                                .00   24c                      .00   & credits    24d                               .00
          25.  Interest and penalty for: failure to make                                          Interest                            Penalty          Total   
               estimated tax payments; underpayment of                                                                                                 interest & 
               estimated tax; or late payment of tax                           25a                                .00   25b                      .00   penalty      25c                               .00
ENCLOSE                          Amount you owe (Add lines 23b and 25c, and subtract line 24d)                                                       PAY WITH
CHECK OR  TAX DUE         26. MAKE CHECK OR MONEY ORDER PAYABLE TO: CITY OF FLINT.  
MONEY                                                                                                                                                RETURN         26                                .00
ORDER     OVERPAYMENT                                27.  Tax overpayment (Subtract lines 23b and 25c from line 24d; choose overpayment options on lines 28 - 30)   27                                .00
               Amount of                             Flint Indigent Water Fund
          28. overpayment                                                                                                                              Total     
               donated    28a                                            .00   28b                                      28c                            donations    28d                               .00
          29. Amount of overpayment credited forward to 2021                                                                          Amount of credit to 2021 >>  29                                 .00
          30.  Amount of overpayment refunded (Line 27 less lines 28d and 29) (For refund to be directly deposited to
               your bank account, mark refund box, line 31a, and complete line 31 c, d & e)                                                      Refund amount >>  30                                 .00
               Direct deposit refund                 31a                 Refund               31c         Routing 
               (Mark (X) box 31a  or                                     (direct deposit)                 number
                                                                         (direct withdrawal)              number
          31. 31b            and complete lines 31c, 31b                 Pay tax due         31d          Account 
               31d and 31e)                                                                  31e          Account Type:      Checking             Savings
          MAIL TAX DUE RETURNS TO: FLINT INCOME TAX DEPARTMENT, PO BOX 2055, FLINT, MI  48501-2055                                                                      Revised: 08/28/2014
          MAIL REFUND & ALL OTHER  RETURNS TO: FLINT INCOME TAX DEPARTMENT, PO BOX 1800, FLINT, MI  48501-1800

F-1040, PAGE 2                                                 Taxpayer's name                                                                  Taxpayer's SSN
                                                                                                                                                                                                           19MI-FLT2
                                                                                                                                                                                                 c
EXEMPTIONS                                                                Date of birth (mm/dd/yyyy)                 Regular   65 or over       Blind         Deaf  Disabled
SCHEDULE                                       1a. You                                                                                                                                           1e. Enter the number of  
                                                                                                                                                                                                  boxes checked on  
                                               1b. Spouse                                                                                                                                         lines 1a and 1b
1d.                       List Dependents      1c.           Check box if you can be claimed as a dependent on another person's tax return
#                                   First Name                    Last Name                          Social Security Number              Relationship               Date of Birth                1f. Enter number of 
                                                                                                                                                                                                  dependent children 
1.                                                                                                                                                                                                listed on line 1d 
2.                                                                      `
3.                                                                                                                                                                                               1g. Enter number of other 
                                                                                                                                                                                                  dependents listed on     
4.                                                                                                                                                                                                line 1d 
5.
6.                                                                                                                                                                                               1h. Total exemptions (Add 
                                                                                                                                                                                                  lines 1e, 1f and 1g; 
7.                                                                                                                                                                                                enter here and also on 
8.                                                                                                                                                                                                page 1, line 21a)            
EXCLUDED WAGES AND TAX WITHHELD SCHEDULE (See instructions. Resident wages generally not excluded)  
W-2                       Col. A                COLUMN B                        COLUMN C                            COLUMN D                                               COLUMN E                        LOCALITYCOLUMNNAMEF
#                         T or S    SOCIAL(FormSECURITYW-2, boxNUMBERa) EMPLOYER'S ID NUMBER           (AttachEXCLUDEDExcludedWAGESWages Sch)       FAILURE TO            FLINT(FormTAXW-2,WITHHELDbox 19) (Form W-2, box 20)
                                                                         (Form W-2, box b)                                                          ATTACH W-2 
 1.                                                                                                                                      .00    FORMS TO PAGE                                     .00
 2.                                                                                                                                      .00        1 WILL DELAY                                  .00
 3.                                                                                                                                      .00    PROCESSING OF                                     .00
                                                                                                                                                RETURN.  WAGE 
 4.                                                                                                                                      .00        INFORMATION                                   .00
 5.                                                                                                                                      .00        STATEMENTS                                    .00
 6.                                                                                                                                      .00        PRINTED FROM                                  .00
                                                                                                                                                      TAX 
 7.                                                                                                                                      .00        PREPARATION                                   .00
 8.                                                                                                                                      .00    SOFTWARE ARE                                      .00
 9.                                                                                                                                      .00          NOT                                         .00
                                                                                                                                                    ACCEPTABLE.
10.                                                                                                                                      .00                                                      .00
11.                       Totals (Enter here and on page 1; part-yr residents on Sch TC)                                                 .00 << Enter on pg 1,ln 1, col B                         .00      << Enter on pg 1, ln 24a
DEDUCTIONS SCHEDULE (See instructions; deductions allocated on the same basis as related income)                                                                                                    DEDUCTIONS
 1.                       IRA deduction  (Attach copy of page 1 of federal return & evidence of payment)                                                                                 1                                     .00
 2.                       Self-employed SEP, SIMPLE and qualified plans  (Attach copy of page 1 of federal return)                                                                       2                                     .00
 3.                       Employee business expenses  (See instructions and attach copy of federal Form 2106)                                                                            3                                     .00
 4.                       Moving expenses  (Into Flint area only)  (Attach copy of federal Form 3903)                                                                              4                                           .00
 5.                       Alimony paid  (DO NOT INCLUDE CHILD SUPPORT.  Attach copy of page 1 of federal return)                                                                         5                                     .00
 6.                       Renaissance Zone deduction  (Attach Schedule RZ OF 1040)                                                                                                 6                                           .00
 7.                                 Total deductions (Add line 1 through line 6, enter total here and on page 1, line 19)                                                                7                                     .00
ADDRESS SCHEDULE (Where taxpayer (T), spouse (S) or both (B) resided during year and dates of residency)
MARK                                List all residence (domicile) addresses (Include city, state & zip code). Start with address used on last year's return. If the address on page 1 of          FROM                 TO
                                    this return is the same as listed on last year's return, print "Same." If no return filed last year, list reason. Continue listing this tax year's residence 
T, S, B                             addresses. If address listed on page 1 of this return is in care of another person, enter current residence (domicile) address.                              MONTH     DAY MONTH           DAY

THIRD PARTY DESIGNEE
Do you want to allow another person to discuss this return with the Income Tax Office?                                         Yes, complete the following           No
Designee's                                                                                                                                      Phone                      Personal identification 
name                                                                                                                                            No.                        number (PIN)
                                    Under the penalty of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief it is 
                                    true, correct and complete.  If prepared by a person other than taxpayer, the preparer's declaration is based on all information of which preparer has any knowledge.
SIGN                                TAXPAYER'S SIGNATURE - If joint return, both spouses must sign Date (MM/DD/YY)        Taxpayer's occupation                 Daytime phone number                       If deceased, date of death 
HERE 
===>
                                    SPOUSE'S SIGNATURE                                             Date (MM/DD/YY)        Spouse's occupation                                                              If deceased, date of death 

                                    SIGNATURE OF PREPARER OTHER THAN TAXPAYER                                                                   Date (MM/DD/YY)           PTIN, EIN or SSN
                                                                                                                                                                          Preparer's phone no.
                                    FIRM'S NAME (or yours if self-employed), ADDRESS AND ZIP CODE                                                                          NACTP    
             PREPARER'S   SIGNATURE                                                                                                                                        software                           FLT19
                                                                                                                                                                           number 
                                                                                                                                                                                                               Revised: 08/28/2014

Taxpayer's name                                                     Taxpayer's SSN
                                                                                                                   2020 FLINT
SCHEDULE TC, PART-YEAR RESIDENT TAX CALCULATION -  F-1040, PAGE 1, LINES 23a AND 23b                                                                    Attachment 1
A part-year resident is required to complete and attach this schedule to the Flint return:                                                              Revised 07/23/2014
1. Box A to report dates of residency of the taxpayer and spouse during the tax year 
2. Box B to report the former address of the taxpayer and spouse 
3. Column A to report all income from their federal income tax return 
4. Column B to report all income taxable on their federal return that is not taxable to Flint 
5. Column C to report income taxable as a resident and compute tax due on this income at the resident tax rate
6. Column D to report income taxable as a nonresident and compute tax due on this income at the nonresident tax rate
A. PART-YEAR RESIDENCY PERIOD                              From             To                 B. PART-YEAR RESIDENT'S FORMER ADDRESS
Taxpayer                                                                                       Taxpayer
Spouse                                                                                         Spouse
                                                                    Column A                   Column B                           Column C              Column D       
INCOME                                                          Federal Return Data       Exclusions and Adjustments              Taxable               Taxable
                                                                                                                                  Resident Income       Nonresident Income       
1. Wages, salaries, tips, etc. (Attach Form(s) W-2)     1                           .00                            .00                           .00                   .00
2. Taxable interest                                     2                           .00                            .00                           .00    NOT TAXABLE
3. Ordinary dividends                                   3                           .00                            .00                           .00    NOT TAXABLE
4. Taxable refunds, credits or offsets                  4                           .00                            .00            NOT APPLICABLE        NOT TAXABLE
5. Alimony received                                     5                                                          .00                           .00                   .00
6. Business income or (loss) (Att. copy of fed. Sch. C) 6                           .00                            .00                           .00                   .00
Capital gain or (loss)        Mark if Sch. 
7. (Att. copy of Sch. D)   7a D not                     7b                          .00                            .00                           .00                   .00
                              required
8. Other gains or (losses)  (Att. copy of Form 4797)    8                           .00                            .00                           .00                   .00
9. Taxable IRA distributions                            9                           .00                            .00                           .00                   .00
10. Taxable pensions and annuities  (Att. Form 1099-R) 10                           .00                            .00                           .00                   .00
Rental real estate, royalties, partnerships, S corps., 
11. trusts, etc. (Attach copy of fed. Sch. E)           11                          .00                            .00                           .00                   .00

12. Reserved                                            12                                                         .00                           .00                   .00
13. Farm income or (loss)  (Att. copy of fed. Sch. F)   13                          .00                            .00                           .00                   .00
14. Unemployment compensation                           14                          .00                            .00            NOT APPLICABLE        NOT TAXABLE
15. Social security benefits                            15                          .00                            .00            NOT APPLICABLE        NOT TAXABLE
16. Other income (Att. statement listing type and amt)  16                          .00                            .00                           .00                   .00
17.   Total additions  (Add lines 2 through 16)         17                          .00                            .00                           .00                   .00
18.   Total income (Add lines 1 through 16)             18                          .00                            .00                           .00                   .00
DEDUCTIONS SCHEDULE                           See instructions.  Deductions must be allocated on the same basis as related income.
      IRA deduction (Attach copy of page 1 of 
      1. federal return & evidence of payment)          1                           .00                            .00                           .00                   .00
      Self-employed SEP, SIMPLE and qualified 
      2. plans (Attach copy of page 1 of fed. return)   2                           .00                            .00                           .00                   .00
      Employee business expenses (See 
      3. instructions & att. copy of fed. Form 2106)    3                                                                                        .00                   .00
      Moving expenses  (Into Flint area only)  
      4. (Attach copy of federal Form 3903)             4                           .00                            .00                           .00                   .00
      Alimony paid  (DO NOT INCLUDE CHILD 
      5. SUPPORT. (Att. copy of page 1 of fed.          5                           .00                            .00                           .00                   .00
      return)
      6. Renaissance Zone deduction (Att. Sch. RZ)      6                                                                                        .00                   .00
19.   Total deductions (Add lines 1 through 6)                                                                     19                            .00                   .00
 20a. Total income after deductions (Subtract line 19 from line 18)                                                20a                           .00                   .00
 20b. Losses transferred between columns C and D (If line 20a is a loss in either column C or D, see instructions) 20b                           .00                   .00
 20c. Total income after adjustment (Line 20a less line 20b)                                                       20c                           .00                   .00
21. Exemptions  (Enter the number of exemptions from Form F-1040, page 2, box 1h, on line 21a; 21a                 21b                           .00
                multiply line 21a by $600; and enter the result on line 21b)
                (If the amount on line 21b exceeds the amount of resident income on line 20c, 
                enter unused portion (line 21b less line 20c) on line 21c)                                         21c                                                 .00
 22a. Total income subject to tax as a resident (Subtract line 21b from line 20c; if zero or less,enter zero)      22a                           .00
 22b. Total income subject to tax as a nonresident (Subtract line 21c from line 20c; if zero or less,enter zero)   22b                                                 .00
 23a. Tax at resident rate              (MULTIPLY LINE 22a BY 1.% (0.01), THE RESIDENT TAX RATE)                   23a                           .00
 23b. Tax at nonresident rate           (MULTIPLY LINE 22b BY 0.5% (0.005), THE NONRESIDENT TAX RATE)              23b                                                 .00
                                        (ENTER HERE AND ON FORM F-1040, PAGE 1, LINE 23b, AND 
 23c. Total tax (Add lines 23a and 23b) PLACE A MARK (X) IN BOX 23a OF FORM F-1040)                                23c                           .00

Taxpayer's name                                                Taxpayer's SSN
                                                                                                                     2020 FLINT
WAGES AND EXCLUDIBLE WAGES SCHEDULE - F-1040, PAGE 1, LINE 1, COLUMN B                                                                                                          Attachment 2-1
All W-2 forms must be attached to page 1 of the return                                                                                                                          Revised 04/29/2015
Use this form to provide details for all Forms W-2 and all other wage income reported on federal Forms 1040 (line 7),1040A (line 7), or 1040EZ (line 1) such as: wages received as a household 
employee for which you did not receive a W-2; tips reported on federal Form 4137; taxable dependent care benefits; employer-provided adoption benefits; scholarship and fellowship grants not 
reported on Form W-2; disability pensions shown on Form 1099-R if the taxpayer has not reached the minimum retirement age set by the employer; corrective distributions from a retirement plan
shown on Form 1099-R from excess salary deferrals and/or excess contributions (plus earnings); wages from Form 8919, line 6; and other wage items not included in a Form W-2.
Use this form to calculate excludible (nontaxable) wages included in total wages reported on your federal tax return (Forms 1040, line 7; 1040A; line 7; or 1040EZ, line 1). Excludible wages for each 
employer are also reported on Form F-1040, page 2, Excluded Wages and Tax Withheld Schedule and the total amount of excludible wages is reported on Form F-1040, page 1, line 1, column B
WAGES, ETC.                                          Employer (or source) 1               Employer (or source) 2                                             Employer (or source) 3
1. Employer's ID number (W-2, box b) or 
source's ID Number if available
2. Employer's name (Form W-2, box c) or 
source's name
3. SSN from Form W-2, box a
4. Enter T for taxpayer or S for spouse 
5. Dates of employment during tax year          From        To                       From                            To        From                          To
6. Mark (X) box If you work at multiple 
locations in and out of the Flint
7. Address of work station (Where you 
actually work, not address on Form W-2 
unless you work there: include street 
number and street name, city, state and 
ZIP code; if line 6 is checked enter     
primary work location)
8. Wages, tips, other compensation           
(Form W-2, Box 1)
9. Wages not included in Form W-2, box 1 
(See instructions)
10. Code for wage type reported on line 9 
NONRESIDENT WAGE ALLOCATION                          Employer (or source) 1               Employer (or source) 2                                             Employer (or source) 3
For use by nonresidents or part-year residents who worked both in and outside of the Flint for the employer while a nonresident. Part-year residents working both in and outside

11. Enter actual number of days or hours on 
job for employer during period (Do not 
include weekends you did not work)
12. Vacation, holiday and sick days or hours 
included in line 11, only if work performed 
in and outside of Flint
13. Actual number of days or hours worked 
(Line 11 less line 12)
14. Enter actual number of days or hours 
worked in Flint
15. Percentage of days or hours 
worked in Flint (Line 14 divided by                                                %                                     %%
line 13; default is 100%)
16. Wages earned in Flint (Total of lines 8 and 
9 multiplied by line 15; part-year residents 
use only the portion of wages earned 
while a nonresident) 
EXCLUDIBLE WAGES                                     Employer (or source) 1               Employer (or source) 2                                             Employer (or source) 3
17. Enter nonresident excludible wages (Total 
of lines 8 & 9 less line 16) 
18. Enter resident excludible wages 
19. Enter reason excludible wages reported 
on lines 17 and/or 18 are not taxable by 
Flint
20. Total excludible wages (Line 17 plus line 
18; Enter here and  on  F-1040, page 2, 
Excluded Wages schedule) 
21. Total taxable wages (Line 8 plus line 9  
less line 20)
22. Total wages (Add lines 8 and 9 for all employers and other sources; must equal 
amount reported on Form F-1040, page 1, line 1, column A; Part-year residents 
must equal amount reported on Schedule TC, line 1, column A)
23. Total excludible wages from all employers and other sources (Add line 20 for all columns; enter here and also on 
Form F-1040, page 1, line 1, column B; part-year residents enter here and on Schedule TC, line 1, column B)
24. Total taxable wages from all employers and other sources (Line 22 less line 23); enter here and also on Form F-1040, page 1, line 1, column C; part-year 
residents enter here and allocate on Schedule TC, line 1, between columns C and D)

FAILURE TO ATTACH ALL FORMS W-2 OR PROPERLY COMPLETE AND ATTACH THIS SCHEDULE WILL DELAY PROCESSING OF RETURN. 

Taxpayer's name                                         Taxpayer's SSN                FLINT
                                                                                 2020

WAGES AND EXCLUDIBLE WAGES SCHEDULE - F-1040, PAGE 1, LINE 1, COLUMN B                                                                                                          Attachment 2-2
All W-2 forms must be attached to page 1 of the return                                                                                                                          Revised 04/29/2015
Use this form to provide details for all Forms W-2 and all other wage income reported on federal Forms 1040 (line 7),1040A (line 7), or 1040EZ (line 1) such as: wages received as a household 
employee for which you did not receive a W-2; tips reported on federal Form 4137; taxable dependent care benefits; employer-provided adoption benefits; scholarship and fellowship grants not 
reported on Form W-2; disability pensions shown on Form 1099-R if the taxpayer has not reached the minimum retirement age set by the employer; corrective distributions from a retirement plan
shown on Form 1099-R from excess salary deferrals and/or excess contributions (plus earnings); wages from Form 8919, line 6; and other wage items not included in a Form W-2.
Use this form to calculate excludible (nontaxable) wages included in total wages reported on your federal tax return (Forms 1040, line 7; 1040A; line 7; or 1040EZ, line 1). Excludible wages for each 
employer are also reported on Form F-1040, page 2, Excluded Wages and Tax Withheld Schedule and the total amount of excludible wages is reported on Form F-1040, page 1, line 1, column B
WAGES, ETC.                                          Employer (or source) 4      Employer (or source) 5      Employer (or source) 6
1. Employer's ID number (W-2, box b) or 
source's ID Number if available
2. Employer's name (Form W-2, box c) or 
source's name
3. SSN from Form W-2, box a
4. Enter T for taxpayer or S for spouse 
5. Dates of employment during tax year          From To                     From To                     From To
6. Mark (X) box If you work at multiple 
locations in and out of the Flint
7. Address of work station (Where you 
actually work, not address on Form W-2 
unless you work there: include street 
number and street name, city, state and 
ZIP code; if line 6 is checked enter     
primary work location)
8. Wages, tips, other compensation           
(Form W-2, Box 1)
9. Wages not included in Form W-2, box 1 
(See instructions)
10. Code for wage type reported on line 9 
NONRESIDENT WAGE ALLOCATION                          Employer (or source) 4      Employer (or source) 5      Employer (or source) 6
For use by nonresidents or part-year residents who worked both in and outside of the Flint for the employer while a nonresident. Part-year residents working both in and outside

11. Enter actual number of days or hours on 
job for employer during period (Do not 
include weekends you did not work)
12. Vacation, holiday and sick days or hours 
included in line 11, only if work performed 
in and outside of Flint
13. Actual number of days or hours worked 
(Line 11 less line 12)
14. Enter actual number of days or hours 
worked in Flint
15. Percentage of days or hours 
worked in Flint (Line 14 divided by                                         %%%
line 13; default is 100%)
16. Wages earned in Flint (Total of lines 8 and 
9 multiplied by line 15; part-year residents 
use only the portion of wages earned 
while a nonresident) 
EXCLUDIBLE WAGES                                     Employer (or source) 4      Employer (or source) 5      Employer (or source) 6
17. Enter nonresident excludible wages (Total 
of lines 8 & 9 less line 16) 
18. Enter resident excludible wages 
19. Enter reason excludible wages reported 
on lines 17 and/or 18 are not taxable by 
Flint
20. Total excludible wages (Line 17 plus line 
18; Enter here and  on  F-1040, page 2, 
Excluded Wages schedule) 
21. Total taxable wages (Line 8 plus line 9  
less line 20)

FAILURE TO ATTACH ALL FORMS W-2 OR PROPERLY COMPLETE AND ATTACH THIS SCHEDULE WILL DELAY PROCESSING OF RETURN. 

Taxpayer's name                                         Taxpayer's SSN                  FLINT
                                                                                   2020

WAGES AND EXCLUDIBLE WAGES SCHEDULE - F-1040, PAGE 1, LINE 1, COLUMN B                                                                                                          Attachment 2-3
All W-2 forms must be attached to page 1 of the return                                                                                                                          Revised 04/29/2015
Use this form to provide details for all Forms W-2 and all other wage income reported on federal Forms 1040 (line 7),1040A (line 7), or 1040EZ (line 1) such as: wages received as a household 
employee for which you did not receive a W-2; tips reported on federal Form 4137; taxable dependent care benefits; employer-provided adoption benefits; scholarship and fellowship grants not 
reported on Form W-2; disability pensions shown on Form 1099-R if the taxpayer has not reached the minimum retirement age set by the employer; corrective distributions from a retirement plan
shown on Form 1099-R from excess salary deferrals and/or excess contributions (plus earnings); wages from Form 8919, line 6; and other wage items not included in a Form W-2.
Use this form to calculate excludible (nontaxable) wages included in total wages reported on your federal tax return (Forms 1040, line 7; 1040A; line 7; or 1040EZ, line 1). Excludible wages for each 
employer are also reported on Form F-1040, page 2, Excluded Wages and Tax Withheld Schedule and the total amount of excludible wages is reported on Form F-1040, page 1, line 1, column B
WAGES, ETC.                                          Employer (or source) 7        Employer (or source) 8      Employer (or source) 9
1. Employer's ID number (W-2, box b) or 
source's ID Number if available
2. Employer's name (Form W-2, box c) or 
source's name
3. SSN from Form W-2, box a
4. Enter T for taxpayer or S for spouse 
5. Dates of employment during tax year          From To                       From To                     From To
6. Mark (X) box If you work at multiple 
locations in and out of the Flint
7. Address of work station (Where you 
actually work, not address on Form W-2 
unless you work there: include street 
number and street name, city, state and 
ZIP code; if line 6 is checked enter     
primary work location)
8. Wages, tips, other compensation           
(Form W-2, Box 1)
9. Wages not included in Form W-2, box 1 
(See instructions)
10. Code for wage type reported on line 9 
NONRESIDENT WAGE ALLOCATION                          Employer (or source) 7        Employer (or source) 8      Employer (or source) 9
For use by nonresidents or part-year residents who worked both in and outside of the Flint for the employer while a nonresident. Part-year residents working both in and outside

11. Enter actual number of days or hours on 
job for employer during period (Do not 
include weekends you did not work)
12. Vacation, holiday and sick days or hours 
included in line 11, only if work performed 
in and outside of Flint
13. Actual number of days or hours worked 
(Line 11 less line 12)
14. Enter actual number of days or hours 
worked in Flint
15. Percentage of days or hours 
worked in Flint (Line 14 divided by                                         %                             %%
line 13; default is 100%)
16. Wages earned in Flint (Total of lines 8 and 
9 multiplied by line 15; part-year residents 
use only the portion of wages earned 
while a nonresident) 
EXCLUDIBLE WAGES                                     Employer (or source) 7        Employer (or source) 8      Employer (or source) 9
17. Enter nonresident excludible wages (Total 
of lines 8 & 9 less line 16) 
18. Enter resident excludible wages 
19. Enter reason excludible wages reported 
on lines 17 and/or 18 are not taxable by 
Flint
20. Total excludible wages (Line 17 plus line 
18; Enter here and  on  F-1040, page 2, 
Excluded Wages schedule) 
21. Total taxable wages (Line 8 plus line 9  
less line 20)

FAILURE TO ATTACH ALL FORMS W-2 OR PROPERLY COMPLETE AND ATTACH THIS SCHEDULE WILL DELAY PROCESSING OF RETURN. 

Taxpayer's name                                         Taxpayer's SSN
                                                                                    2020 FLINT
WAGES AND EXCLUDIBLE WAGES SCHEDULE - F-1040, PAGE 1, LINE 1, COLUMN B                                                                                                          Attachment 2-4
All W-2 forms must be attached to page 1 of the return                                                                                                                          Revised 04/29/2015
Use this form to provide details for all Forms W-2 and all other wage income reported on federal Forms 1040 (line 7),1040A (line 7), or 1040EZ (line 1) such as: wages received as a household 
employee for which you did not receive a W-2; tips reported on federal Form 4137; taxable dependent care benefits; employer-provided adoption benefits; scholarship and fellowship grants not 
reported on Form W-2; disability pensions shown on Form 1099-R if the taxpayer has not reached the minimum retirement age set by the employer; corrective distributions from a retirement plan
shown on Form 1099-R from excess salary deferrals and/or excess contributions (plus earnings); wages from Form 8919, line 6; and other wage items not included in a Form W-2.
Use this form to calculate excludible (nontaxable) wages included in total wages reported on your federal tax return (Forms 1040, line 7; 1040A; line 7; or 1040EZ, line 1). Excludible wages for each 
employer are also reported on Form F-1040, page 2, Excluded Wages and Tax Withheld Schedule and the total amount of excludible wages is reported on Form F-1040, page 1, line 1, column B
WAGES, ETC.                                          Employer (or source) 10        Employer (or source) 11      Employer (or source) 12
1. Employer's ID number (W-2, box b) or 
source's ID Number if available
2. Employer's name (Form W-2, box c) or 
source's name
3. SSN from Form W-2, box a
4. Enter T for taxpayer or S for spouse 
5. Dates of employment during tax year          From To                        From To                      From To
6. Mark (X) box If you work at multiple 
locations in and out of the Flint
7. Address of work station (Where you 
actually work, not address on Form W-2 
unless you work there: include street 
number and street name, city, state and 
ZIP code; if line 6 is checked enter     
primary work location)
8. Wages, tips, other compensation           
(Form W-2, Box 1)
9. Wages not included in Form W-2, box 1 
(See instructions)
10. Code for wage type reported on line 9 
NONRESIDENT WAGE ALLOCATION                          Employer (or source) 10        Employer (or source) 11      Employer (or source) 12
For use by nonresidents or part-year residents who worked both in and outside of the Flint for the employer while a nonresident. Part-year residents working both in and outside

11. Enter actual number of days or hours on 
job for employer during period (Do not 
include weekends you did not work)
12. Vacation, holiday and sick days or hours 
included in line 11, only if work performed 
in and outside of Flint
13. Actual number of days or hours worked 
(Line 11 less line 12)
14. Enter actual number of days or hours 
worked in Flint
15. Percentage of days or hours 
worked in Flint (Line 14 divided by                                          %                              %%
line 13; default is 100%)
16. Wages earned in Flint (Total of lines 8 and 
9 multiplied by line 15; part-year residents 
use only the portion of wages earned 
while a nonresident) 
EXCLUDIBLE WAGES                                     Employer (or source) 10        Employer (or source) 11      Employer (or source) 12
17. Enter nonresident excludible wages (Total 
of lines 8 & 9 less line 16) 
18. Enter resident excludible wages 
19. Enter reason excludible wages reported 
on lines 17 and/or 18 are not taxable by 
Flint
20. Total excludible wages (Line 17 plus line 
18; Enter here and  on  F-1040, page 2, 
Excluded Wages schedule) 
21. Total taxable wages (Line 8 plus line 9  
less line 20)

FAILURE TO ATTACH ALL FORMS W-2 OR PROPERLY COMPLETE AND ATTACH THIS SCHEDULE WILL DELAY PROCESSING OF RETURN. 

Taxpayer's name                                                             Taxpayer's SSN
                                                                                                        2020 FLINT
EXCLUDIBLE INTEREST INCOME - F-1040, PAGE 1, LINE 2, COLUMN B                                                                                                        Attachment 3
Nonbusiness interest income of a nonresident individual is totally excluded                                                                                          Revised 10/20/2015
1. Interest from federal obligations                                                                                                                                             .00
2. Reserved
3. Other excludible interest income (Attach detailed explanation)                                                                                                                .00
4. Excludible interest income (Add lines 1, 2 and 3; enter total here and on page 1, line 2, column B; part-year residents see line 5)                                           .00
5. Part-year residents enter total from line 4 plus total interest received while a nonresident on Schedule TC, line 2, column B (Lines 1, 2 and 3 should report only interest received while a resident)

EXCLUDIBLE DIVIDEND INCOME - F-1040, PAGE 1, LINE 3, COLUMN B                                                                                                        Attachment 4
Dividend income of a nonresident individual is totally excluded                                                                                                      Revised 07/17/2013
1. Dividends from federal obligations                                                                                                                                            .00
2. Reserved
3. Other excludible dividend income (Attach detailed explanation)                                                                                                                .00
4. Excludible dividend income (Add lines 1, 2 and 3; enter total here and on page 1, line 3, column B; part-year residents see line 5)                                           .00
5. Part-year residents enter total from line 4 plus total dividends received while a nonresident on Schedule TC, line 2, col. B (Lines 1, 2 and 3 should report only dividends received while a resident)

EXCLUSIONS AND ADJUSTMENTS TO BUSINESS INCOME OR (LOSS) - F-1040, PAGE 1, LINE 6, COLUMN B                                                                           Attachment 5
Nonresidents and part-year residents use this schedule to compute excludible business income reported on federal                                                     Revised 07/17/2013
Schedule C that is from business activity outside of Flint while a nonresident
Attach a copy of each Federal Schedule C.
Attach a separate Business Allocation Formula calculation for each separate federal Schedule C if allocating income of a business.
Note:  In determining the average percentage, if a factor does not exist, you must divide the total of the percentages by the number of factors used.
Note:  If you are authorized to use a special formula, attach a copy of the administrator's approval letter and attach a schedule detailing calculation.
Note:  Net operating loss from prior year is reported on Line 16, Other income.
BUSINESS INCOME                                                                                                                        BUSINESS # 1                  BUSINESS # 2
1. Net profit (or loss) from business or profession                                                                                              .00                             .00
2. Business allocation percentage (For each separate business compute the business allocation percentage using the Business                         %%
   Allocation Formula below and enter it here) 
3. Allocated net profit (loss) (For each column, multiply line 1 by line 2)                                                                      .00                             .00
4. Excludible net profit (loss) (For each column, subtract line 3 from line 1)                                                                   .00                             .00
5. Total excludible net profit (loss) (Add amounts on line 4 of each column; enter here and on Form F-1040, page 1, line 6, column B, or for part-year residents, on 
   Schedule TC, line 6, column B)                                                                                                                                                00

BUSINESS # 1  DBA
                                                                                              COLUMN  1                                COLUMN  2                     COLUMN  3
BUSINESS ALLOCATION FORMULA WORKSHEET 
                                                                                              EVERYWHERE                               IN FLINT                      PERCENTAGE
1. Average net book value of real and tangible personal property                                         .00                                     .00                 (Column 2 divided           
2. Gross rents paid on real property multiplied by 8                                                     .00                                     .00                 by column 1)
3. Total property                                                                                        .00                                     .00                             %
4. Total wages, salaries and other compensation of all employees                                         .00                                     .00                             %
5. Gross receipts from sales made or services rendered                                                   .00                                     .00                             %
6. Total percentages  (Add the percentages computed in column 3)                                                                                                                 %
7. Business allocation percentage (Divide line 6 by the number of apportionment factors used)                                                                                    %

BUSINESS # 2 DBA
                                                                                              COLUMN  1                                COLUMN  2                     COLUMN  3
BUSINESS ALLOCATION FORMULA WORKSHEET 
                                                                                              EVERYWHERE                               IN FLINT                      PERCENTAGE
1. Average net book value of real and tangible personal property                                         .00                                     .00                 (Column 2 divided           
2. Gross rents paid on real property multiplied by 8                                                     .00                                     .00                 by column 1)
3. Total property                                                                                        .00                                     .00                             %
4. Total wages, salaries and other compensation of all employees                                         .00                                     .00                             %
5. Gross receipts from sales made or services rendered                                                   .00                                     .00                             %
6. Total percentages  (Add the percentages computed in column 3)                                                                                                                 %
7. Business allocation percentage (Divide line 6 by the number of apportionment factors used)                                                                                    %

Taxpayer's name                                                          Taxpayer's SSN
                                                                                                                               2020 FLINT
EXCLUSIONS AND ADJUSTMENTS TO CAPITAL GAIN OR (LOSS) - F-1040, PAGE 1, LINE 7, COLUMN B                                                                                 Attachment 6
Residents, nonresidents and part-year residents use this schedule to report exclusions                                                          RESIDENT                NONRESIDENT 
and adjustments to capital gains or (losses)                                                                                                    COLUMN                  COLUMN
1. Capital gain or (loss) on property located outside of Flint                                                                                 NOT EXCLUDIBLE                          .00
2. Capital gain or (loss) on securities issued by U.S. Government                                                                                          .00          EXCLUDIBLE ON LINE 1
3. Portion of capital gain or (loss) from property owned prior to Ordinance inception (For residents on all such property; for                             .00                         .00
   nonresidents only on property located in Flint.) (Attach a schedule that identifies and shows the calculation for each.)

4. Capital gain or (loss) from Sub. S corporations (See instructions; not allowed for residents of Flint.)  (Attach schedule.)                 NOT EXCLUDIBLE                          .00

5. Adjustment for capital loss carryover from period prior to residency (A resident is not allowed to claim a capital loss                                 .00          ALLOWED
                                                                                                                                                                        NO ADJUSTMENT 
   carryover from property sold prior to their date of residency.) 
6. Adjustment for difference between federal and Flint capital loss carryover from prior year (The Flint's capital loss carryover is                       .00                         .00
   usually different from the amount reported on federal return; an adjustment must be made for this difference.)
7. Adjustment to limit capital loss to $3,000 for tax year                                                                                                 .00                         .00
   Total exclusions and adjustments to capital gains or (losses) (Enter total here and on Form F-1040, page 1, line 7, column B, or for 
8. part-year residents, enter on Schedule TC, line 7, column B)                                                                                               00                       00
Attach copy of federal Schedule D and all supporting schedules to return.
Deferred gains from sales of property located in Flint or property sold while a resident of Flint are taxable when reported on federal return.                          Revised 07/17/2013

EXCLUSIONS AND ADJUSTMENTS TO OTHER GAINS OR (LOSSES) - F-1040, PAGE 1, LINE 8, COLUMN B                                                                                Attachment 7
Residents, nonresidents and part-year residents use this schedule to report exclusions                                                          RESIDENT                NONRESIDENT 
and adjustments to other gains or (losses)                                                                                                      COLUMN                  COLUMN
1. Other gains or (losses) on property located outside of Flint                                                                                NOT EXCLUDIBLE                          .00
2. Portion of other gains or (losses) from property owned prior to effective date of tax for Flint (For residents on all such property; for                .00                         .00
   nonresidents only on property located in Flint.) (Attach a schedule that identifies and shows the calculation for each.)
3. Other gains or (losses) from Sub. S corporations (See instructions; not allowed for residents of Flint.)                                    NOT EXCLUDIBLE                          .00
   Total excludible other gains and losses (Enter total here and on Form F-1040, page 1, line 8, column B, or for part-year residents, 
4. enter on Schedule TC, line 8, column B)                                                                                                                    00                       00
Deferred gains from sales of property located in Flint or property sold while a resident of Flint are taxable when reported on federal return.
Attach a copy of federal Form 4797 and all supporting schedules to return to explain.                                                                                   Revised 12./18/2013

EXCLUSIONS AND ADJUSTMENTS TO IRA DISTRIBUTIONS - F-1040, PAGE 1, LINE 9, COLUMN B                                                                                      Attachment 8
List all IRA distributions reported as taxable on federal return                                                                                                        Revised 07/17/2013
Enter T for 
taxpayer    Payer's federal ID                                  Payer's name                                      Federally taxable IRA         Distribution Code       Excludible IRA 
or  S for       Number                                                                                             distributions                (Form 1099-R,           distributions 
spouse                                                                                                                                               box 7)
1.                                                                                                                                          .00                                        .00
2.                                                                                                                                          .00                                        .00
3.                                                                                                                                          .00                                        .00
4.                                                                                                                                          .00                                        .00
5. Total federally taxable IRA distributions (Add lines1 through 4 above for this column; amount should                                     .00
   equal the amount reported on Form F-1040, page 1, line 9, column A)
6. Total excludible IRA distributions (Add lines above for this column; enter here and also on Form F-1040 (for part-year residents, Sch. TC), page 1, line 9, col. B)                 .00

EXCLUSIONS AND ADJUSTMENTS TO PENSIONS AND ANNUITIES - F-1040, PAGE 1, LINE 10, COLUMN B                                                                                Attachment 9
List pension distributions reported as taxable on federal return                                                                                                        Revised 07/17/2013
                                                                                       Kind of pension                                               Distribution 
Enter T for                                                                            distribution 
taxpayer    Payer's federal ID                             Payer's name                (employer's                             Federally taxable     Code               Excludible pension 
or  S for       Number                                                                 pension plan, 401k                  pension distributions     (Form              distributions
spouse                                                                                 plan, 457 plan,                                               1099-R,    
                                                                                                            etc.)                                    box 7)
1.                                                                                                                                              .00                                    .00
2.                                                                                                                                              .00                                    .00
3.                                                                                                                                              .00                                    .00
4.                                                                                                                                              .00                                    .00
5. Total federally taxable pension distributions (Add lines 1 through 4 above for this column; amount should equal                              .00
   the amount reported on Form F-1040, page 1, line 10, column A)
6. Total excludible pension distributions (Add lines above for this column; enter here and also on Form F-1040 (for part-year residents, Sch. TC), p. 1, l. 10, col. B)                .00

Taxpayer's name                                                   Taxpayer's SSN
                                                                                                                            2020 FLINT
EXCLUSIONS AND ADJUSTMENTS TO INCOME FROM RENTAL REAL ESTATE, ROYALTIES,                                                                                             Attachment 10
PARTNERSHIPS, S CORPORATIONS, TRUSTS, ETC. - F-1040, PAGE 1, LINE 11, COLUMN B                                                                                       Revised 10/13/2014
Residents, nonresidents and part-year residents use this schedule to report 
                                                                                                                                      RESIDENT                       NONRESIDENT 
exclusions and adjustments to income from rental real estate, royalties, partnerships,                                                COLUMN                         COLUMN
S corporations, trusts, etc. 
1. Rental income (loss) from real estate located outside the City                                                                     NOT EXCLUDIBLE ON                          .00
                                                                                                                                      RESIDENT RETURN
   Royalties (A resident may exclude only royalty income upon which Michigan severance tax was paid; a nonresident may 
2. exclude royalty income upon which Michigan severance tax was paid and royalty income from sources outside the city)                                           .00             .00

3. Partnership income (loss) from partnership business activity outside the City                                                      NOT EXCLUDIBLE ON                          .00
                                                                                                                                      RESIDENT RETURN
4. Subchapter S corporation income (loss) (See instructions; taxable on Flint resident return.)                                       NOT EXCLUDIBLE ON                          .00
                                                                                                                                      RESIDENT RETURN
5. Estate or trust income or loss (Enter the total maount from federal Schedule E, line 37)                                           NOT EXCLUDIBLE ON                          .00
                                                                                                                                      RESIDENT RETURN

6. Real estate mortgage investment conduits (REMIC's) income or loss and net farm rental income or loss from property                 NOT EXCLUDIBLE ON       
   located outside the city                                                                                                           RESIDENT RETURN
   Total adjustments to income from rental real estate, royalties, partnerships, trusts, etc. (Enter here and on From F-1040, page 1, 
7. line 11, column B, or for part-year residents enter total of resident and nonresident columns on Schedule TC, line 11, column B)                              .00             .00
Attach a schedule detailing the complete address of each piece of rental real estate.
Attach a schedule detailing name and ID number of each partnership and amount of adjustment.
Attach a schedule detailing name and ID number of each Subchapter S Corporation and amount of adjustment.
Attach copy of federal Schedule E.
EXCLUSIONS AND ADJUSTMENTS TO FARM INCOME OR (LOSS) - F-1040, PAGE 1, LINE 13, COLUMN B                                                                              Attachment 12
Nonresidents use this schedule to exclude farm income from outside Flint                                                                                             Revised 07/17/2013
Farm address

FARM INCOME                                                                                                                                                          FARM
1. Net profit (or loss) from farm                                                                                                                                                .00
2. Farm allocation percentage                                                                                                                                                    %
3. Allocated net profit (or loss), multiply line 1 by line 2                                                                                                                     .00
4. Excludible net profit (or loss) ( subtract line 3 from line 1; enter here and on Form F-1040, page 1, line 13, column B)                                                      .00

                                                                                                         COLUMN  1                    COLUMN  2                      COLUMN  3
FARM ALLOCATION FORMULA 
                                                                                                         EVERYWHERE                                     IN Flint     PERCENTAGE
1. Average net book value of real and tangible personal property                                                            .00                                  .00 (Column 2 divided           
2. Gross rents paid on real property multiplied by 8                                                                        .00                                  .00 by column 1)
3. Total property                                                                                                           .00                                  .00             %
4. Total wages, salaries and other compensation of all employees                                                            .00                                  .00             %
5. Gross receipts from sales made or services rendered                                                                      .00                                  .00             %
6. Total percentages (Add the percentages computed in column 3)                                                                                                                  %
7. Business allocation percentage (Divide line 6 by the number of apportionment factors used)                                                                                    %
Note:  In determining the average percentage, if a factor does not exist, you must divide the total of the percentages by the number of factors used.
Note:  If you are authorized to use a special formula, attach a copy of the administrator's approval letter and attach a schedule detailing calculation.
Note:  Net operating loss from prior year is reported on Form F-1040, line 16, Other income.

Taxpayer's name                                              Taxpayer's SSN
                                                                                                                    2020 FLINT
EXCLUSIONS AND ADJUSTMENTS TO OTHER INCOME - F-1040, PAGE 1, LINE 16, COLUMN B                                                                                 Attachment 13
Residents and nonresidents use this schedule to report exclusions and adjustments to other income                                                              Revised 07/17/2013
     SOURCE OF INCOME                     FEDERAL I.D. #                                 NATURE OF INCOME                                    RESIDENT          NONRESIDENT 
                                                                                                                                             COLUMN            COLUMN
  1.                                                                                                                                                     .00                                    .00

  2.                                                                                                                                                     .00                                    .00

  3.                                                                                                                                                     .00                                    .00

     Total adjustments and exclusions to other income (Add lines 1 through 3 and enter totals here and on Form F-1040, page 1, line 
  4. 16, column B. Part-year residents enter totals on Form F-1040TC, line 16, column B)                                                                 .00                                    .00
Attach an explanation of and calculation for any reported federal and Flint Net Operating Loss deduction. 
Attach an explanation for each item reported and excluded on the Other Income line. 
Add lines as needed.

IRA DEDUCTION WORKSHEET - F-1040, PAGE 2, DEDUCTIONS SCHEDULE - LINE 1                                                                                         Attachment 14
RESIDENT: Claim 100% of the federal IRA deduction unless taxpayer or spouse has nontaxable earned income (military pay, etc.). If the taxpayer or spouse 
has nontaxable earned income, compute IRA deduction in the same manner as a nonresident using worksheet below. 
NONRESIDENT: Use worksheet below to compute the Flint IRA deduction.
PART-YEAR RESIDENT: Compute the resident portion of the IRA deduction following the resident instructions and using the amount of earned income 
received while a resident and the portion of the federal IRA deductible contributions made while a resident; compute nonresident portion of the IRA deduction 
using the amount of earned income received while a nonresident and the portion of the federal IRA deductible contributions made while a nonresident; list 
amounts separately on worksheet and enter the resident and nonresident IRA deduction on Schedule TC, Deductions schedule, line 1.  
Nonresidents and part-year residents claiming a Flint IRA deduction must attach this completed worksheet to their Flint return.                                Revised 07/17/2013
                                                TAXPAYER                                                                 SPOUSE
                                          COLUMN A           COLUMN B                                         COLUMN C                       COLUMN D          COLUMN E
                                          EARNED INCOME      EARNED INCOME                                    EARNED INCOME         EARNED INCOME
                                          TAXABLE BY         NOT TAXABLE BY                                   TAXABLE BY            NOT TAXABLE BY             TOTALS
                                          FLINT              FLINT                                            FLINT                          FLINT
  1. Earned income                                   .00                                    .00                          .00                             .00                                    .00
  2a.Federal IRA deduction                           .00                                                                 .00                                                                    .00
     If part-year resident, enter portion 
  2b.of federal IRA deduction                        .00                                                                 .00                                                                    .00
     contributed while a resident
                                          TAXPAYER                                                            SPOUSE                              INSTRUCTIONS
     Percentage that the individual's                                                                                               Divide individual's earned income taxable by Flint (line 1, 
  3. earned income taxable in Flint is to            %%column A) by individual's total earned income (the sum of line 
     the individual's total earned income                                                                                           1, column A plus column B).
  4. Flint IRA deduction based upon                  .00                                                                 .00 multiplied by Flint earned income percentage (line 3).
                                                                                                                                    Taxpayer's or spouse's federal IRA deduction (line 2a) 
     individual's earned income
     Amount individual's federal IRA 
  5. deduction exceeds individual's                  .00                                                                 .00 Taxpayer's or spouse's federal IRA deduction (line 2a) less    
     earned income taxable by Flint                                                                                                 the individual's earned income taxable by Flint (line 1). 
                                                                                                                                    Column A equals spouse's earned income taxable by Flint 
     Amount spouse's earned income                                                                                                  (line 1 of spouse's column C) less spouse's federal IRA 
  6. exceeds spouse's federal IRA                    .00                                                                 .00 deduction (line 2a of spouse's column C). Column C equals 
     deduction (excess earned income)                                                                                               taxpayer's earned income taxable by Flint (line 1 of taxpayer's 
                                                                                                                                    column A) less taxpayer's federal IRA deduction (line 2a of 
                                                                                                                                    taxpayer's column A).
     Flint IRA deduction based upon                                                                                                 If individual's (taxpayer or spouse) federal IRA deduction 
  7. spouse's earned income                          .00                                                                 .00 exceeds individual's earned income and spouse's earned 
                                                                                                                                    income exceeds spouse's federal IRA deduction (line 5), enter 
                                                                                                                                    the lesser of the individual's excess IRA (line 5) or spouse's 
                                                                                                                                    excess earned income multiplied by spouse's Flint earned 
                                                                                                                                    income percentage (line 6), else enter zero.  
                                                                                                                                    Add individual's (taxpayer or spouse) Flint IRA deduction 
                                                                                                                                    based upon their own Flint earned income (line 4) and their 
8. Flint's IRA deduction                             .00                                                                 .00 Flint IRA deduction based upon their spouse's earned income 
                                                                                                                                    (line 7).
     RESIDENT OR PART-YEAR RESIDENT: Enter total resident IRA deduction here. Normally this is 
     the total of the taxpayer's and spouse's Flint IRA deduction, line 2a of columns A and C. If a part-                           PART-YEAR RESIDENT: Enter total federal IRA deduction on 
  9. year resident, normally this is the total of the taxpayer's and spouse's Flint IRA deduction, line 2b of            .00 Schedule TC, Deductions schedule, line 1, column A; enter the 
     columns A and C. If either the taxpayer or spouse has nontaxable earned income while a resident,                               resident Flint IRA deduction in column C; enter the nonresident
     separately compute the resident IRA deduction in the same manner as a nonresident.                                             Flint IRA deduction in column D; and enter in column B the 
     NONRESIDENT: Total Flint nonresident IRA deduction (Enter total of the taxpayer's (line 8, column                              difference of the amount in column A less the amounts in 
10. A) and spouse's (line 8, column C) Flint IRA deduction here and on Form F-1040, page 2,                              .00 column C and column D.
     Deductions schedule, line 1)  PART-YEAR RESIDENT: See instructions on the right.

Taxpayer's name                                                         Taxpayer's SSN
                                                                                                        2020 FLINT
SELF-EMPLOYED, SEP, SIMPLE AND QUALIFIED PLANS DEDUCTION WORKSHEET - F-1040, PAGE 2,                                                                          Attachment 15 
DEDUCTIONS SCHEDULE, LINE 2                                                                                                                                   Revised 08/21/2013
RESIDENT: No schedule required; a full year resident deducts amount reported on federal Form 1040, line 28.
NONRESIDENT: Nonresidents use the nonresident deduction column of this worksheet to calculate their deduction. A nonresident is required to attach a copy 
of this deduction schedule to their Flint return.
PART-YEAR RESIDENT: Part-year residents use a separate line to report the amount of deduction by related source of income as a resident or while a 
nonresident and indicate resident (R) or nonresident (N) relationship in front of the deduction by related source of income. The resident portion of the deduction 
is 100% of the related deduction. The nonresident deduction is related to the income earned in Flint while a nonresident and is computed by entering the 
percentage the related income is taxable in the Percentage Related Income Is Taxable column and entering the product of multiplying the related deduction 
times the percentage and entering it in the Nonresident Deduction column.  
                                                 FEIN (OR SSN) OF       R      FEDERAL DEDUCTION    PERCENTAGE     
     RELATED SOURCE OF INCOME                    RELATED SOURCE         OR   BY RELATED SOURCE      RELATED INCOME    RESIDENT DEDUCTION                      NONRESIDENT             
                                                     OF INCOME          N           OF INCOME        IS TAXABLE       FOR A PART-YEAR                         DEDUCTION
                                                                                                                          RESIDENT
  1.                                                                                          .00               %                 .00                                                               .00
  2.                                                                                          .00               %                 .00                                                               .00
  3.                                                                                          .00               %                 .00                                                               .00
  4.                                                                                          .00               %                 .00                                                               .00
Add lines 1 through 4 of each dollar column (Federal Deduction 
  5. column should total amount reported on federal Form 1040, line 28)                       .00                                 .00                                                               .00

  6. Nonresidents enter total from nonresident deduction column on Form F-1040, page 2, Deductions schedule, line 2. Part-year residents enter total from the part-year resident column on      
Schedule TC, Deductions schedule, line 2, column C and enter total from the nonresident deduction column on Schedule TC, Deductions schedule, line 2, column D

EMPLOYEE BUSINESS EXPENSE DEDUCTION WORKSHEET - F-1040, PAGE 2, DEDUCTIONS                                                                                    Attachment 16
SCHEDULE, LINE 3, Form F-2106                                                                                                                                 Revised 09/30/2014

                                                                  Column 1            Column 2          Column 3          Column 4                            Column 5       
                                                                  As reported on      Employer 1        Employer 2        Employer 3                          Employer 4
                                                                  federal Form 2106
  1. Employer's identification number (FEIN)

  2. Occupation (List for each employer)
  3. Vehicle expenses                                                        .00                    .00               .00                .00                                                        .00
  4. Parking, fees, tolls and local transportation, including                .00                    .00               .00                .00                                                        .00
train, bus, etc.
Travel expenses while away from home overnight, 
  5. including, lodging, airfare, car rental, etc. Do not include            .00                    .00               .00                .00                                                        .00
meals and entertainment
Were you an outside salesperson? (Answer yes or no in 
  6. the column for each employer; see definition of outside 
salesperson below)
Business expenses not included on lines 3, 4 or 5. Do not 
  7. include meals and entertainment (Enter these expenses                   .00                    .00               .00                .00                                                        .00
only if an outside salesperson; see instruction below)
  8. Meals (See meal expenses instruction below)                             .00                    .00               .00                .00                                                        .00
  9. Total business expenses (Add lines 3, 4, 5, 7 and 8)                    .00                    .00               .00                .00                                                        .00
Enter reimbursements received from your employer for 
10. expenses included in line 9 that were not reported to you                .00                    .00               .00                .00                                                        .00
in box 1 of Form W-2
11. Business expense deduction (Line 9 less line 10)                                                .00               .00                .00                                                        .00
Percentage deductible (Same percentage related wages 
12. are taxable)                                                                                    %%%%

Allowable business expense deduction (Line 11 times    
13. line 12)                                                                                        .00               .00                .00                                                        .00
Total business expense deduction (Enter the total of line 
14. 13, columns 2 through 5 here and also on Form F-1040,                                                                                                                                           .00
page 2, Deductions schedule, line 3)
Form F-2106, Column 1,    Line 3 = Fed. Form 2106, line 1, Col. A;  line 4 = Fed. Form 2106, line 2, Col. A;  line 5 = Fed. Form 2106, line 3, Col. A;  line 7 = Fed. Form 2106, line 4, Col. A; line 8 = 
lines to related lines on Fed. Form 2106, line 5, Col. B; line 9 = Fed. Form 2106, line 6, Col. A & B; line 10 = Fed. Form 2106, line 7, Col. A & B; line11 = Fed. Form 2106, line 8, Col. A & B.
federal Form 2106:
Outside salesperson:      An “outside salesperson” is one who solicits business while working away from the employer’s place of business as a full-time salesperson. If the individual is required 
                          to spend a stated period of time selling at the employer’s place of business as part of their job, the individual is not an outside salesperson. If the individual only   
                          performs incidental activities there, such as writing up and handing in orders, the individual qualifies for the expense deduction. A salesperson whose principal activity   
                          is service and delivery is not an “outside salesperson.” An inside salesperson who makes incidental outside calls and sales is not an “outside salesperson.”
Line 7 instructions:      Business expenses reported on line 4 of federal Form 2106 are allowed as an expense on the Flint's return only when the individual employee qualifies as an outside 
                          salesperson when the expenses were incurred.
Meal expenses:            Under the Uniform City Income Tax Ordinance meal expenses are allowed only when incurred while away from home. No deduction is allowed for entertainment    
                          unless incurred by an outside salesperson.

Taxpayer's name                                                               Taxpayer's SSN
                                                                                                                         2020 FLINT
MOVING EXPENSE DEDUCTION WORKSHEET - F-1040, PAGE 2, DEDUCTIONS SCHEDULE, LINE 4                                                                                     Attachment 17
F-3903  No deduction is allowed when moving away from Flint                                                                                                          Revised 07/28/2014
RESIDENT: A resident individual who moved into the Flint may claim the deduction as claimed on federal Form 3903. 
NONRESIDENT: A nonresident  individual who moved into the area of Flint may claim a portion or all of the deduction as claimed on federal Form 3903 based 
upon the percentage the income after moving to the area is taxable by the Flint.
PART-YEAR RESIDENT: An individual who moved to the area of Flint and was temporarily a nonresident working in the Flint and then became a resident 
during the tax year may be entitled to a portion of the deduction as a nonresident and as a resident of the Flint.
DISTANCE TEST WORKSHEET
  1. Number of miles from your old home to your new workplace                        1                    miles
  2. Number of miles from your old home to your old workplace                        2                    miles
  3. Subtract line 2 from line 1.  If zero or less, enter -0-                        3                    miles
     If line 3 is greater than 50 miles continue, otherwise you are not qualified to claim this deduction.
  4. Cost of transportation and storage of household goods and personal effects (See instructions for federal Form 3903)                                         4         .00
  5. Cost of travel (including lodging) from your old home to your new home. (See instructions for federal Form 3903) (Do not include the cost of meals.)        5         .00
  6. Add lines 4 and 5                                                                                                                                           6         .00
  7. Enter the amount your employer paid you for the expenses listed on lines 4 and 5 that is not included in box 1 of your Form W-2 (wages) (This amount should 7         .00
     be shown in box 12 of your Form W-2 with a code P)
                       No          You cannot deduct your moving expenses. (If line 6 is less than line 7, subtract line 6 from line 7 and include the result on 8a        .00
8.   Is line 6 more                Form F-1040, page 1 line 1, column A and report exclusion of this income on the excluded wages schedule) 
     than line 7?
                       Yes         Subtract line 7 from line 6                                                                                                   8b        .00
  9. Enter percentage of income earned as a resident after moving into area                                                           9                          %
10. Enter percentage of income earned as a nonresident in Flint after moving into area                                                                           10              %
     Multiply line 8b by the percentage on line 9 (Moving expense deduction allowed while a resident; enter here and on 
11. Form F-1040, page 2, Deductions schedule, line 4)                                                                                 11                         .00
     Multiply line 8b by the percentage on line 10 (Moving expense deduction allowed while a nonresident; enter here and on Form F-1040, 
12. page 2, Deductions schedule, line 4) (If a part-year resident add amounts on line 11 and 12 and enter on Schedule TC, Deductions                             12        .00
     schedule, line 4) 

ALIMONY PAID DEDUCTION WORKSHEET - F-1040, PAGE 2, DEDUCTIONS SCHEDULE, LINE 5                                                                                       Attachment 18
RESIDENT: Full-year residents claim the entire amount of alimony reported on federal Form 1040, line 31a. A full-year resident is not                                Revised 07/17/2013
required to attach this deduction schedule to their Flint income tax return.
NONRESIDENT: Nonresidents use the nonresident column of this worksheet to calculate their Flint alimony deduction.
PART-YEAR RESIDENT: A part-year resident may need to use both the resident and nonresident columns of this worksheet to calculate their 
alimony deduction. For each line of the worksheet, compute the amount to enter into the resident and/or nonresident columns and follow the 
line by line instructions. A part-year resident with no Flint income while a nonresident ignores the nonresident column of this form.  
Nonresidents and part-year residents use this worksheet to compute the alimony paid deduction                                            RESIDENT                    NONRESIDENT 
                                                                                                                                         COLUMN                      COLUMN
     Enter resident portion of federal adjusted gross income (Form 1040, page 1, line 37) in resident column and/or nonresident 
  1. portion in nonresident column                                                                                                                               .00       .00
     Enter resident portion of federal alimony paid (federal Form 1040, page 1, line 31a) while a resident in the resident column and/or 
  2. nonresident portion of the alimony paid while a nonresident in the nonresident column (Actual amount paid while a resident of                               .00       .00
     Flint and while nonresident)
  3. Federal income for alimony deduction computation (Line 1 plus line 2 of column)                                                                             .00       .00
     Enter resident portion of total income for Flint (Form F-1040, page 1, line 18) in resident column and/or nonresident portion in 
  4. nonresident column. Part-year residents enter total income for Flint as a resident and/or nonresident as reported on Schedule                               .00       .00
     TC, line 18, columns C (resident) and D (nonresident) 
     Enter resident portion of total deductions for Flint other than alimony deduction (Add lines 1, 2, 3, 4 & 6 on Form F-1040, page 2, 
  5. Deductions schedule)  in resident column and/or nonresident portion in nonresident column                                                                   .00       .00
  6. Taxable income for Flint prior to alimony deduction (Line 4 less line 5)                                                                                    .00       .00
  7. Resident column: Enter 100%.
     Nonresident column: Enter alimony deduction percentage (Line 6 divided by line 3)                                                                    100    %%
     Alimony deduction (Line 2 multiplied by line 7) (Residents and nonresidents enter amount from respective column on Form     
  8. F-1040, page 2, Deductions schedule, Line 5. Part-year residents enter amount from each column on Schedule TC,                                              .00       .00
     Deductions schedule, line 5, column C and D) 

                                    INSTRUCTIONS FOR SCHEDULE RZ OF F-1040 
                                                RENAISSANCE ZONE              DEDUCTION 
GENERAL INFORMATION                                                           Line 7.       Enter all lottery winnings included in the other income reported 
Renaissance Zone (RZ) designation  grants tax relief to  a  qualified         on F-1040, lines 1 and/or 16. 
taxpayer. In conjunction with  the  designation of these zones, the City      Line 8.       Enter the total of the deductions claimed on F-1040, page 2, 
Income  Tax  Ordinance  was amended, effective January 1, 1997, to            Deductions Schedule lines 1 through 5. 
include a RZ deduction.                                                       Line 11.     Determine the portion of capital gains (not including capital 
                                                                              losses) from sale or exchange of property reported on F-1040, 
REDUCED  RENAISSANCE ZONE DEDUCTION IN LAST                                   line 7, that occurred after the qualification date listed on line 2 
THREE YEARS OF DESIGNATION                                                    and enter the amount. Attach a schedule  showing  the 
The RZ deduction allowed for a particular RZ is reduced during the last 3     computation. The allowable RZ deduction for capital gains may 
years as a designated RZ. The deduction  is  reduced by 25% in the            be determined by one of the following methods: 
second to the last year, 50% in the year immediately preceding the final      A. Adjust the basis for the property to the fair market value on 
year and 75%th in the last year of designation. No RZ deduction is allowed    the qualification date (the prior day’s closing price for traded 
after the 15  year.                                                           securities) and subtract the basis from the sale proceeds; or 
WHO MAY CLAIM A RENAISSANCE ZONE DEDUCTION                                    B. Divide  the number of months the property was held since 
A qualified resident domiciled in a  RZ for 183 consecutive days, and         the  qualification date by the total number of months the 
qualified resident and nonresident individuals with income  from  rental      property was held and apply this fraction  to  the  gain 
real estate, business,  profession  or other activity located and doing       reported for the property on the federal income tax return. 
business in a RZ.                                                             Line 12.     Enter lottery winnings from instant games or online games won 
                                                                              after the qualification date listed on line 2. 
HOW TO CLAIM A RENAISSANCE ZONE DEDUCTION                                     Line 13.     Enter the total of lines 10, 11 and 12. 
To claim a  RZ deduction, a taxpayer must file a Flint income tax return      Line 14.     Enter the Deduction Allowance Factor percentage on line 14a; 
and attach a completed Schedule RZ.                                           multiply line 13 by line 14a and enter the result  on  line  14b; 
                                                                              also  enter  this  amount on Form F-1040, page 2, Deduction 
RENAISSANCE ZONE DEDUCTION DISQUALIFIERS                                      Schedule, line 6. 
A person is not eligible to claim a RZ deduction if: 
1. The person is delinquent in filing or paying any of the following state    INDIVIDUALS WITH INCOME FROM RENTAL REAL ESTATE, 
or local taxes: Michigan single business tax, Michigan income tax, city       BUSINESS, PROFESSION OR PARTNERSHIP 
income tax, Act 198 industrial abatement tax, commercial abatement            For this section of Schedule RZ residents are to use the resident column 
tax, enterprise zone tax, city utility tax or general property taxes.         and nonresidents are to use the nonresident column. A part-year resident 
2. The  person  owns  residential rental property and did not file an         is to divide each line item and  report the resident and  nonresident 
affidavit with Flint by December 31 of the prior tax year attesting that      portions accordingly. 
the property is in substantial compliance with all applicable state and       Line 15.     List the business name, D.B.A., and the address  of  each 
local zoning, building and housing laws or codes.                             location within a RZ. 
A business owner is subject to the above disqualifiers and not eligible to    Line 16.     Enter the business and farm income reported on F-1040, lines 
claim a Renaissance Zone deduction if the business:                           6 and 13. 
1. Is located within Flint outside of a RZ and moves to a location within a   Line 17.     Enter the net operating loss deduction claimed on F-1040, line 
RZ in Flint without approval of the city.                                     16. 
2. Relocates more than 25 full-time equivalent jobs from one  or  more        Line 18.   Enter the retirement plan deduction claimed on F-1040, page 
non-RZ local governmental units (city, village or township) and any of        2, Deduction Schedule, line 2, related to income on line 16. 
the  government  units  from  which a job was relocated adopts a              Line 20.     The RZ apportionment percentage is used by companies doing 
resolution objecting to the relocation within 60 days of being notified of    business both inside a RZ and outside the RZ. If the business 
the job relocation by the business.                                           income  is  100%  within  the RZ, enter 100% on line 20f and 
                                                                              complete the form from there. 
RESIDENT DOMICILED IN A RENAISSANCE ZONE                                      Line 20a. In column 1 enter the average net book value of all real and 
DOMICILE DEFINED: Domicile is the place where a person has his or             tangible personal property owned and located  in  Flint.  In 
her true, fixed and permanent home and principal  establishment,  to          column 2 enter the average net book value of the real  and 
which, whenever absent therefrom, he or she intends to return.                tangible  personal  property owned and located in a Flint RZ. 
QUALIFICATION DATE: A resident domiciled in a RZ for the  required            The average net book value of real and tangible personal 
183 consecutive days becomes qualified as of the first day of domicile.       property may be determined by adding the net book value at 
                                                                              the beginning of the year to the net book value at the end of 
DEDUCTIBLE INCOME: Income earned or received during the period of             the year and dividing the sum by two, or if the business was 
domicile in a RZ may be deducted except the following:  Lottery winnings      located in the RZ for less than a year, on a monthly average 
from an instant game or on-line game won before becoming a qualified          basis. 
taxpayer; the portion of gains from  the sale or exchange of property         Line 20b. Enter in column 1 the gross annual rent multiplied by 8 for all 
occurring before the qualification date; and income from illegal activities.  rented  real  property located in Flint. In column 2 show the 
INDIVIDUAL WITH INCOME FROM RENTAL REAL ESTATE, A                             gross  annual rent multiplied by 8 for rented real property 
BUSINESS, A PROFESSION OR A PARTNERSHIP LOCATED                               located in a Flint RZ. 
AND DOING BUSINESS IN A RENAISSANCE ZONE                                      Line 20c.  Total  column  1  and  column 2. In column 3 enter the 
                                                                              percentage, column 2 divided by column 1. 
INCOME QUALIFIED FOR RENAISSANCE ZONE DEDUCTION                               Line 20d. Enter in column 1 compensation paid to employees for work or 
1. That portion of business or professional income from business activity     services performed within Flint. In column 2  enter 
in a RZ after adjustment for any  net  operating  loss  deduction  and        compensation  paid to employees for work or services 
retirement plan deduction. The RZ  portion of business activity  is           performed within a Flint RZ. In column 3 enter the percentage, 
determined via a two-factor apportionment  formula,  property  and            column 2 divided by column 1. 
payroll within a Flint RZ to that in the entire city.                         Line 22.     Enter the RZ deduction from a partnership. Be certain to enter 
2. Income from rental of real property located in a RZ.                       the partnership Federal Employer Identification Number 
3. The partner’s share of partnership income from RZ business activity.       (FEIN).  If  a  person  has  a RZ deduction from more than one 
                                                                              partnership, attach a schedule  providing  necessary  data. 
LINE BY LINE INSTRUCTIONS                                                     Adjust for any retirement plan deduction claimed  on  F-1040, 
Before  filling  in  Schedule RZ, complete Form F-1040 through line 22.       page 2, Deduction Schedule, line 2, based on partnership 
Next  enter  taxpayer’s  name  and Social Security number at the top of       income included in Schedule RZ, line 22. 
Schedule RZ as shown on the Flint income tax return form.                     Line 23.     Enter the address for each parcel  of  residential  rental  real 
RESIDENTS DOMICILED IN A RENAISSANCE ZONE                                     estate located in a Flint RZ. 
(Others skip to instructions for line 16)                                     Line 24.     Enter the income from rental real estate located in a Flint RZ. 
Line 1.   Enter address of domicile in the RZ.                                Line 25.     Enter the total of lines 21, 22 and 24. 
Line 2.   Enter date domicile was established at RZ residence.                Line 26.     Enter the Deduction Allowance Factor percentage on line 26a; 
Line 3.   Enter starting and ending dates of domicile in the RZ this year     multiply line 25 by line 26a and enter the result  on  line  26b; 
     and the total number of days domiciled in the RZ.                        also  enter  this  amount on Form F-1040, page 2, Deduction 
Line 4.   Divide  the  number  of  days on line 3 by 365, and enter the       Schedule, line 6. 
     percentage.                                                                                                                   Revised: 09/02/2014 
Line 5.   Enter gross income reported on F-1040, line 18. 
Line 6.   Enter  the  capital  gain  or loss reported for sale or exchange of 
     property on F-1040, line 7. 

Taxpayer's name                                              Taxpayer's SSN
                                                                                                   2020 FLINT
RENAISSANCE ZONE DEDUCTION, SCH RZ - FORM F-1040, PAGE 2, DEDUCTIONS SCHEDULE, LINE 6                                                     Attachment 19
     FOR USE BY A RESIDENT DOMICILED IN A RENAISSANCE ZONE, AN INDIVIDUAL WITH INCOME FROM RENTAL REAL ESTATE 
     LOCATED IN A RENAISSANCE ZONE OR AN INDIVIDUAL PROPRIETORSHIP, PROFESSION OR PARTNERSHIP LOCATED AND 
                CONDUCTING  BUSINESS IN A RENAISSANCE ZONE TO COMPUTE THE RENAISSANCE ZONE DEDUCTION
DISQUALIFICATION CRITERIA                                                                                                                 Revised 07/17/2013
AN INDIVIDUAL IS NOT QUALIFIED TO CLAIM THE RENAISSANCE ZONE DEDUCTION IF ANY OF THE FOLLOWING TAXES ARE DELINQUENT:
City Income Tax           Personal Property Tax                              Commercial Facilities Tax (GRT)         City (Detroit) Utilities Users Tax
Michigan Income Tax       Michigan Single Business Tax                       Enterprise Zone Tax                     Technology Park Development Tax
General Property Tax      Industrial Facilities Tax (IFT)                    Neighborhood Enterprise Zone Tax        Commercial Forest Tax
DEDUCTION ALLOWANCE FACTOR
The Renaissance Zone deduction is phased out during the final three years of a Renaissance Zone’s designation. The Deduction Allowance Factor is: 75% for 
the tax year that is 2 years before the final year of designation; 50% for the tax year immediately preceding the final year of designation; 25% for the final year 
of designation; and 100% for all other years of designation. 
RESIDENT DOMICILED IN A RENAISSANCE ZONE 
Complete this section if you were a resident of Flint domiciled in a Renaissance Zone
A 183 day residence requirement must be completed before qualifying to claim the Renaissance Zone Deduction
1.   Address of domicile in Renaissance Zone

2.   Date domicile established at this residence     //                     If domicile is continuous for at least 183 days, taxpayer is qualified on this date.
3.   Dates of domicile this year:   Starting date    //                    Ending date    //                   Total number of days                             Days
4.   Percentage of year as a qualified resident of a Renaissance Zone  (Line 3 divided by 365)                                   4                              %
5.   Gross income from Form F-1040, page 1, line 18, column C                                                                    5                              .00
6.   Capital gains reported on Form F-1040, page 1, line 7, column C                                                             6                              .00
7.   Lottery winnings included in income reported on Form F-1040, page 1, lines 1 or 16, column C                                7                              .00
8.   Total deductions related to income included in line 5 (Add amounts reported on F-1040, pg. 2, Deductions Sch., Lines 1 - 5) 8                              .00
9.   Base income for Renaissance Zone deduction (Line 5 less lines 6, 7 and 8)                                                   9                              .00
10.  Total qualified ordinary income  (Line 9 multiplied by line 4)                                                              10                             .00
11.  Portion of capital gains from sale or exchange of property occurring after qualification date                               11                             .00
12.  Lottery winnings from an instant lottery game or an online game won after becoming a qualified taxpayer                     12                             .00
 13. Renaissance Zone deduction base  (Add lines 10, 11 and 12)                                                                  13                             .00
     Enter Deduction Allowance Factor on line 14a, 100%, 75%, 50% or 25%; multiply line 13 by 14a; 
14.  enter deduction on line 14b and on Form F-1040, page 2, Deduction schedule, line 6.)                     14a    %           14b                            .00
OTHER INDIVIDUALS WITH INCOME FROM RENTAL REAL ESTATE, BUSINESS, PROFESSION OR PARTNERSHIP LOCATED AND
DOING BUSINESS IN A RENAISSANCE ZONE
Complete this section if you are a resident or nonresident individual with income from rental real estate, a business, profession or partnership
with business activity in a Renaissance Zone
15.  Business name (D.B.A.) and address of each location in a Renaissance Zone                                       RESIDENT         NONRESIDENT 
                                                                                                                     COLUMN           COLUMN
16.  Business and farming income reported on Form F-1040, page 1, line 6 or 13, column C           16                            .00                            .00
17.  Net operating loss deduction claimed on Form F-1040, page 1, line 16, column C                17                            .00                            .00
     Retirement plan deduction claimed on Form F-1040, page 2, Deductions schedule, line 2, 
18.  related to income reported on line 17, column C                                               18                            .00                            .00
19.  Base for Renaissance Zone deduction (Line 16 less lines 17 and 18)                            19                            .00                            .00
                                                                    COLUMN 1    COLUMN 2           COLUMN 3
20.  Renaissance Zone Apportionment Percentage
                                                                    IN FLINT    IN REN. ZONE PERCENTAGE
     20a. Average net book value of real & personal property                                       (Column 2 divided 
     20b. Gross rents paid on real property multiplied by 8                                        by column 1)
     20c. Total property (Add line 20a and 20b)                                                               %
     20d. Total wages, salaries and other compensation                                                        %
     20e. Total percentages  (Add column 3, line 20c and 20d)                                                 %
     20f. Renaissance Zone deduction percentage (Line 20e divided by 2)                             20f                          %%
21.  Renaissance Zone deduction for business (Line 19 multiplied by line 20f)                      21                            .00                            .00
     Renaissance Zone deduction from partnership return; enter 
22.  Partnership FEIN on line 22a and deduction amount on line 22b          22a                     22b                          .00                            .00

23.  Address of each parcel of rental real 
     estate located in a Renaissance Zone
24.  Income from rental real estate located within a Renaissance Zone                              24                            .00                            .00
25.  Renaissance Zone deduction base (Add lines 21, 22b and 24)                                    25                            .00                            .00
     Enter Deduction Allowance Factor on line 26a, 100%, 75%, 50% or 
26.  25%; multiply line 25 by 26a; enter result on line 26b and on F-1040, 
     pg. 2, Deduction schedule, line 6.)                                          26a     %          26b                         .00                            .00

Taxpayer's name                                                         Taxpayer's SSN
                                                                                                                             2020 FLINT
OTHER TAX PAYMENTS - F-1040, PAGE 1,  LINE 24b, PAYMENTS AND CREDITS (ESTIMATED TAX                                                                                Attachment 20
PAYMENTS, EXTENSION PAYMENTS, CREDIT FORWARD, TAX PAID BY A PARTNERSHIP AND CREDIT                                                                                 Revised 12/18/2013
FOR TAX PAID BY A TAX OPTION CORPORATION)
A resident of Flint may claim a credit for tax paid by a tax option corporation based on income taxable to the resident and also taxed by a city to the corporation 
(see instructions as this credit is not allowed by any other city).
                                                                        OTHER TAX PAYMENTS                                                                         OTHER TAX 
                                                                                                                                                                   PAYMENTS
1. Estimated tax payments                                                                                                                                                  .00
2. Tax paid with an extension                                                                                                                                              .00
3. Credit forward from last tax year                                                                                                                                       .00
4. Tax paid by a partnership           Partnership FEIN                                                     Partnership name                                               .00
5. Tax paid by a partnership           Partnership FEIN                                                     Partnership name                                               .00
6. Credit for tax paid by a tax option corporation Corporation FEIN                                         Corporation name                                               .00
7. Credit for tax paid by a tax option corporation Corporation FEIN                                         Corporation name                                               .00
8. Total credit for estimated tax, extension and partnership tax payments and credit forward (Add lines 1 through 7; enter here and on F-1040, Page1, Payments and         .00
   Credits schedule, line 24b)

CREDIT FOR TAX PAID TO ANOTHER CITY - F-1040, PAGE 1, PAYMENTS AND CREDITS SCHEDULE,                                                                               Attachment 21
LINE 24c                                                                                                                                                           Revised 08/28/2014
Credit for tax paid to another city may be claimed by a resident who paid tax on the same income to another city.
Part-year residents may claim the credit for tax paid to another city based on income as a resident that is also taxable by another city.
                                                               OTHER CITY'S NAME                                                                                   TAX CREDIT
1. Tax paid to another city            City name                                                                                                                           .00
2. Tax paid to another city            City name                                                                                                                           .00
3. Total credit for tax paid to another city (Add lines 1 and 2; enter here and on F-1040, Page 1, Payments and Credits schedule, line 24c)                                .00

CALCULATION OF CREDIT FOR TAX PAID TO ANOTHER CITY (Residents only)                                                                         RESIDENT CITY          OTHER CITY
Use a separate calculation worksheet for each city                                                                                          FLINT
1. Income taxable in the nonresident city that is also taxable in Flint (Same amount for both cities)                                            .00                       .00
2. Exemptions amount per city's return                                                                                                           .00                       .00
3. Taxable income for credit                                                                                                                     .00                       .00
4. Tax for credit purposes at each city's nonresident tax rate                                                                                   .00                       .00
5. Credit allowed for tax paid to another city (Enter the smaller of Flint or other city's tax from line 4)                                      .00

CALCULATION OF CREDIT FOR TAX PAID BY TAX OPTION CORPORATION (S CORPORATION)
(Residents of Flint only)                                                                                                                                          Revised 12/18/2013
The city of Flint taxes the flow through income of a resident from a tax option corporation (S corporation, REIT, etc.) and allows a credit for the taxpayer's 
proportionate share of city income tax paid by the tax option corporation. Use separate calculation worksheet for each corporation.
                                                                                               RESIDENT CITY                 OTHER CITY     OTHER CITY             OTHER CITY
CALCULATION OF CREDIT FOR TAX PAID BY A TAX OPTION 
CORPORATION (S-CORPORATION)                                                                    FLINT
1. Corporation income tax paid to city by tax option corporation                                            .00                  .00             .00                       .00
2. Corporation income tax rate for Flint and other cities where tax option corporation                      %                    %%%
   paid corporation income tax
   If the corporate tax rate of the other city is less than the Flint corporation tax rate, 
   enter the tax paid by the tax option corporation to the other city, otherwise enter the 
3. total tax that would have been paid to the other city if their corporation tax rate was                                       .00             .00                       .00
   the same as the Flint corporation tax rate (Computation if other city's corporate tax 
   rate is higher than the city's corporation tax rate: [City's corporation tax rate] / [other 
   city's corporation tax rate] * [corporation tax paid to other city]) 
4. Taxpayer's percentage of ownership of tax option corporation (from federal Schedule                      %
   K-1 (Form 1120s), line H, or other federal schedule)
   Enter the taxpayer's proportionate share of the corporation tax paid to Flint and the 
5. taxpayer's proportionate share of the lesser of the corporation tax paid to the other                    .00                  .00             .00                       .00
   city or the tax that would have been paid if the other city's corporation income    tax 
   rate was the same as the Flint corporation tax rate
   Credit allowed for tax paid by tax option corporation (Add amounts on line 5 of each
6. column; enter total here; and list corporation FEIN, name and credit claimed in                          .00
   section above for Other Tax Paymnets, Attachment 20)

Taxpayer's name                 Taxpayer's SSN
                                              2020 FLINT
SUPPORTING NOTES AND STATEMENTS                         Attachment 22
                                                        Revised 07/23/2014

                                                                                                   Revised 09/30/2014 
                                                 City of Flint 
                                               Income Tax Department 

            INSTRUCTIONS FOR POWER OF ATTORNEY AUTHORIZATION 

Complete and file a Power of Attorney Authorization if you wish to appoint an individual, firm or organization as 
your representative in income tax matters before the Income Tax Department of the City of Flint. Failure to 
complete this form will prohibit the Income Tax Department from discussing or releasing your tax return and/or 
tax return information with or to another person including your spouse. 

PART 1: TAXPAYER INFORMATION                               3.  Check this box if your representative is authorized to
Enter the taxpayer’s name, address, telephone number,          sign tax returns.
fax number  and  e-mail address  (if applicable). If the   4.  Check this box if your representative is authorized to
taxpayer is a business operating  under another name,          enter into agreements (such as payment plans).
enter the DBA, trade or assumed name. Enter the Social     5.  Check this box if your representative is authorized to
Security number(s), federal employer  identification           receive mail.
number (FEIN) or other  account  number, whichever 
applies. If spouses  are designating the  same             PART 4: CHANGE IN POWER OF ATTORNEY 
representative, enter the spouse’s name, address  (if      REPRESENTATION OR REVOCATION 
different) and Social Security number.                     Unless otherwise specified, this Power of Attorney 
                                                           Authorization replaces and revokes any previous power 
PART 2: REPRESENTATIVE INFORMATION                         of attorney  authorizations on file  with the Income Tax 
AND AUTHORIZATION DATES                                    Department of the city noted above for the same tax 
You must  send a  separate Power of  Attorney form for     matters identified on this form.  
each different representative. Enter the authorized 
representative’s name firm’s name, address, telephone      You must identify any previous authorizations that are to 
number, fax number, and e-mail address (if applicable).    remain in effect, and attach a copy of the authorizations 
If your representative is  not an individual, designate a  to this form when filed.  
contact person. Indicate the beginning and ending dates 
of authorization.                                          PART 5: TAXPAYER SIGNATURE 
                                                           You, and if  a joint return, your spouse must sign  and 
PART 3: TYPE OF AUTHORIZATION                              date the form.  
Check the  General Authorization  box to allow your 
representative to act on  your behalf to do all of the     FILING 
following:                                                 Mail this form to: 
1. Inspect and receive confidential information;               City of Flint Income Tax Department 
2. Represent  you and  make oral or  written                   PO Box 529 
   presentations of fact and argument;                         Eaton Rapids MI  48827-0529 
3. Sign returns;
4. Enter into agreements; and
5. Receive all mail including forms, billings and
   payment notices.

This authorization applies to all income tax matters 
for all years and tax periods. 

You may restrict your representative’s authorization  to 
act on your behalf  by checking the              Limited 
Authorization box, and checking the appropriate boxes. 
To limit the authorization to specific income tax matters, 
check the appropriate “Only as Specified Below” boxes, 
and indicate the type of income tax, type of income tax 
form, and tax years or periods for which you are granting 
authorization in the space provided. 
1. Check this box if your representative is authorized to
   inspect or receive confidential information.
2. Check this box if your representative is authorized to
   represent you and make oral or written presentation
   of fact and argument.

F-2848                                                  CITY OF FLINT INCOME TAX DEPARTMENT
                                                             Power of Attorney Authorization
Issued under Authority of the Uniform City Income Tax Ordinance (MCL 141.601 et seq.)  Filing is voluntary.
Complete this form if you wish to appoint someone to represent you to the Income Tax Department on income tax matters, or if you wish to revoke or change 
your current power of attorney authorization. Read the instructions on page 2 before completing this form.
                                                                                                                                       Revised: 05/01/2013
PART 1:  TAXPAYER INFORMATION
Taxpayer's (first name, initial, last name or business name)               Taxpayer SSN/FEIN

If joint return spouse's first name, initial, last name                    Spouse SSN

Current address (number and street)                          Apt./Ste. no. If a business, enter DBA, trade or assumed name

Address line 2                                                             Telephone number                        Fax number

City, town or post office           State               Zip code           E-mail address

Foreign country name, province/county, postal code

PART 2:  REPRESENTATIVE INFORMATION AND AUTHORIZATION DATES
Representative's name                                                      Contact's name (if applicable)          Contact's name (if applicable)

Firm name                                                                  E-mail address                          E-mail address

Address (number and street)                                  Apt./Ste. no. Telephone number                        Telephone number

Address line 2                                                             Fax number                              Fax number

City, town or post office           State               Zip code           Beginning authorization date (MM/DD/YY) Ending authorization date (MM/DD/YY)*

Foreign country name, province/county, postal code

PART 3:  TYPE OF AUTHORIZATION
  GENERAL AUTHORIZATION
  Authorizes my representative to: (1) inspect or receive confidential information; (2) represent me and make oral or written presentations of fact and 
  argument; (3) sign returns; (4) enter into agreements; (5) receive mail including forms, billings and payment notices.  This authorization applies to all 
  tax matters for all tax years or periods. 
  LIMITED AUTHORIZATION                                                                                            All Tax   Only as 
  Select the type of authorization by checking the appropriate boxes.                                              Matters   Specified 
                                                                                                                             Below
  1. Inspect or receive confidential information
  2. Represent me and make oral or written presentations of fact and argument
  3. Sign returns
  4. Enter into agreements
  5. Receive mail (includes forms, billings and payment notices)
               Type of Income Tax                                          Tax Form or Assessment Number                   Tax Year(s) or Period(s)

PART 4:  CHANGE IN POWER OF ATTORNEY REPRESENTATION OR REVOCATION
  CHANGE IN POWER OF ATTORNEY REPRESENTATION:  This form replaces all earlier powers of attorney, except those attached, on file for the same tax matters 
  and years or periods covered by this Power of Attorney.
  REVOKE PREVIOUS AUTHORIZATION:  I revoke all Powers of Attorney submitted and will represent myself in all tax matters.  Attach copies of all Powers of 
  Attorney that remain in effect concurrent with this new authorization.
PART 5:  TAXPAYER SIGNATURE(S)
If signed by a corporate officer, partner or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this Power of Attorney.
Signature                                                        Name or title typed or printed                                    Date

Spouse's signature                                               Name or title typed or printed                                    Date

* If no Ending Authorization date is provided, the above-named representative will be authorized to represent you until you notify the Income Tax Department
in writing that this Power of Attorney is revoked.

         2020 INSTRUCTIONS FOR FORM F-2210, UNDERPAYMENT OF ESTIMATED TAX 
                                                                                                  Revised 04/23/2015 
PURPOSE OF FORM                                               WAIVER OF PENALTY 
Use Form F-2210 to see if you owe interest and penalty        If you have an underpayment, all or part of the penalty 
for underpaying your estimated tax and, if you do, to         based on that underpayment will be waived if it is 
figure the amount of interest and penalty. If you are not     determined that: 
required to file Form F-2210, you may use it to figure the    1. The underpayment was due to a reasonable cause;
interest and  penalty if you wish to  do so. Enter  the         or
interest, penalty and total interest  and penalty on  your    2. The underpayment was due to a casualty, disaster
return, but do not file Form F-2210.                            or  other  unusual circumstance and it  would  be
                                                                inequitable to impose the penalty.
WHO MUST FILE FORM F-2210 
                                                              The Uniform City Income Tax Ordinance has no 
In most  cases you do  not need to file  a Form F-2210. 
                                                              provision for waiving interest due. 
The Flint will figure the interest and penalty you owe and 
send you a bill.                                              To request a waiver of penalty, do the following: 
                                                              ● Check the box on line 1a, Part I.
If you checked Part I, Box 1a, you need to complete Part 
                                                              ● Attach Form F-2210 and a statement to your return
II lines 2 through 12. You are not required to figure the 
                                                                explaining the reasons you were unable to meet the
interest and penalty. 
                                                                estimated tax requirements and the time period for
If you checked Part I, Box 1b, you need to complete Part        which you are requesting a waiver.
II, Part III and Schedule A1.                                 ● If a waiver is requested due to a casualty, disaster or
                                                                other unusual circumstance under number 2 above,
If you checked Part I, Box 1c, you need to complete Part 
                                                                attach  documentation such  as copies of police or
II and Part III. 
                                                                insurance company reports.
THE FLINT WILL FIGURE THE INTEREST  AND                       Flint will review the information you provide and decide 
PENALTY FOR YOU                                               whether to grant your request for a waiver of penalty. 
Because Form F-2210 is complicated, you are 
encouraged to let Flint figure the interest and penalty. If   SPECIFIC INSTRUCTIONS 
you owe interest and penalty, the city will send you a bill. 
                                                              PART I – Reasons for Filing 
If you want Flint to figure the interest and penalty for you, Mark (X) all boxes that apply on lines 1a through 1d to 
complete your return  as  usual. Leave the interest and 
                                                              explain the reason for filing Form F-2210. 
penalty area, Form F-1040, page 1, line 25, blank and 
do not file Form F-2210.                                      PART II – Required Annual Payment 
                                                              Complete Part II, lines 2 through 12 to figure your 
WHO MUST PAY INTEREST AND PENALTY FOR                         required annual payment. Follow the instructions on 
UNDERPAYMENT OF ESTIMATED TAX                                 each line. 
You may owe the interest and penalty if you did not pay 
at least the smaller of:                                      PART III – Computation of Interest and Penalty 
1. 70% of the tax shown on your 2018 return; or
                                                              Section A – Figure the Underpayment 
2. 70% of the tax shown on your 2020 return.                  Complete Part III, section A, lines 13 through 23, to 
The interest and penalty are figured separately for each      figure the underpayment for each quarter. Follow the 
installment due date. Therefore, you  may owe interest        instructions on each line. 
and penalty for an earlier due  date  even if you paid        It may be to your benefit to figure your required quarterly 
enough tax later to make up the underpayment. This is         installments by using the annualized income installment 
true even if you are due a refund when you file your tax 
                                                              method. See the instructions for Schedule A1. 
return. However, you may be able to reduce or eliminate 
the interest and penalty by using the annualized income       Line 14 
installment  method. See Schedule A1 instructions for         When figuring your payment dates and the amounts to 
details.                                                      enter  on Line 14 of  each column  apply the following 
                                                              rules: 
EXCEPTIONS TO THE PENALTY                                     1. You are considered to  have paid ¼ of the income
You will not have to pay interest and penalty if either 1 or    tax withheld for Flint on each payment date.
2 applies.                                                    2. You are considered to have paid ¼ of the credit
1. You had no tax liability for 2018.                           allowed for tax paid to another city on each payment
2. The sum of the income tax withheld plus any credit           date.
for tax paid to another city or tax paid by a                 3. You are considered to have paid ¼ of the credit
partnership is 70% or more of your 2020 tax or your             allowed for tax paid on your behalf by a partnership
2018 tax, whichever is less.                                    on each payment date.

                                               Page 1 of 4 

          2020 INSTRUCTIONS FOR FORM F-2210, UNDERPAYMENT OF ESTIMATED TAX 
Note: If you treat withholding or a tax credit as paid (for                   Table 1 
estimated tax purposes) when it was actually withheld or        2020 Tax Payments Made 
the tax was paid, check the box on line 1c of Part I and        After 4/30/2020 and Before 
complete and attach Form F-2210 to return.                                    7 1/ /2020
Line 15                                                               ateD           Paym  ents
Include in your estimated payments any 
overpayment of tax from your 2018 tax return that
you elected to credit forward to your 2020 tax liability. 
If you filed your    2018 return by the due date
(including extensions), treat the 2020 overpayment as                         Table 2 
a payment made on April 30, 2021.                               2020 Tax Payments Made 
If  you  filed  your 2020  return  by  January  31, 2021               After 6/30/2020 and 
include on line 15, column (d), the amount of tax you                  Before 1/1/2021
paid with your return. In this case, you will not owe                Dat  e                      Pay 
interest or penalty for the payment due by January 31, 
2016. 
Line 22
If line 22 is zero for all payment periods, you do not owe 
interest or penalty. But if you checked the box on lines 
1b or 1c in  Part I, you must file form 2210 with your 
                                                                              Table 3 
return. If you checked the box on line 1d in Part I, you 
must complete Part II and file page 1 of Form F-2210            2020 Tax Payments Made 
with your return.                                               After 12/31/2020 and Before
                                                                              5/1/2021 
In certain  circumstances,  Flint will  waive all or part of           Date            Paym  ents
your penalty  if you have  an underpayment on line 15. 
See Waiver of Penalty for more information. 

Section B – Figure the Interest 
Figure the interest  by applying the appropriate interest 
rate against each underpayment shown on line 22. The            In each table, list only the payments  made during the 
interest is figured for the number of days that  the            dates  shown in the table heading. Also, apply the 
underpayment remained unpaid.                                   following rules. 
The interest rates are established twice per year. If an        Any tax withheld for Flint, any credit  for tax paid to 
underpayment remained unpaid for more than one rate             another  city and  any tax paid on your  behalf by a 
period, the penalty on that underpayment will be figured        partnership  should  be included. You are considered to 
using more than one rate period.                                have paid ¼ of these amounts on each payment date 
Use lines 24, 27 and 30 to figure the number of days the        unless you can show otherwise. For example, if you had 
underpayment remained unpaid. Use lines 26, 29 and 32           income tax withheld from your wages of $1,000 during 
to figure the actual interest amount by applying the daily      the year for Flint, list $250 as paid on 6/30/13, 9/30/13 
interest rate listed for each period on lines 25, 28  and       and 1/31/14 in the applicable table. Do not list the 
31.                                                             withholding  applicable to the first payment due  date 
                                                                (4/30/13). 
Your  payments are applied to any underpayment 
balance on an earlier installment. It does  not matter if       For Table 3, any balance due of income tax that you pay 
you designate a payment for a later period. For example,        with your tax return is considered a  payment for this 
you had an underpayment for the April 30 installment of         purpose and should be listed. Use the date you file your 
$200. The  June  30 installment required a payment of           return or 4/30/14, whichever is earlier, as the payment 
$500. On July 1, you made a payment of $500 to cover            date. 
the June 30 installment. However, $200 of this payment          Total days in rate period. If an underpayment remained 
is applied to the April 30, installment. The interest due       unpaid for an entire rate period, use the chart below to 
for the April 30 installment is figured to July 1 (62 days).    determine the number of days to enter in each column. 
The amount applied to the June 30 installment is $300.          The  chart is  organized in  the same format as Form F-
                                                                2210, Part III, Section B.  
List  your    2020   tax  payments        made      after
4/30/2020. Before  figuring  the  interest  in  Section  B,  it 
will  be  helpful  to list the payments you made after
April 30, 2020, as shown in the tables below. 

                                                    Page 2 of 4 

        2020 INSTRUCTIONS FOR FORM F-2210, UNDERPAYMENT OF ESTIMATED TAX 
        Chart of Total Days                              1.     No payments are listed in Table 1. On line 24,
Rate Period    (a)    (b) (c)      (d)                          enter  “61.” This is the total number of days in the
1 (Line 24)    61      –  –         –                           period (see  total  days  in rate period  on page 3).
2 (Line 27)    184 184    92        –                           Compute the interest for  the period and enter the
3 (Line 30)    89     89  89       89                           amount on line 26. You will need to figure the
                                                                interest for the next interest rate period. See Interest
For example, if you have an underpayment on line 22,            Rate Period 2 on page 4.
column (a), but show no payments in Table 1, you would   2.     The first (or only) payment listed in Table 1 was
enter 61 on line 24, column (a).                                enough to  reduce the underpayment  to  zero.
                                                                Compute the interest  due for the number  of days
The following line by line instructions apply only to           from the due date to the payment.  There are no
column (a) of Section B.  If there is an underpayment           further computations to make for column (a). Figure
shown  in column (b), (c) or (d)  on  Line  22, complete        the interest for any other  underpayments shown in
lines 24 through 33 for those columns in a similar              line 23, columns (b) through (d).
manner.                                                  3.     The payment listed in Table 1 did not reduce the
                                                                underpayment  to zero, and  no  other  payments
Interest Rate Period 1                                          are listed. Make one or more  computations for
Line 24                                                         column (a)  on lines 24 and 26.  The  second
Enter on line 24, column (a), the number of                     computation is to figure the interest on the
days from 4/30/2020 to the date of the first                    underpayment balance; that is, the portion  of the
payment listed in 1.Table If no payments are made               underpayment that remained unpaid for the entire
enter “61.”                                                     period. In this case, you would enter another number
Example 1.  You had an underpayment of $500 on line 
22 and your first payment shown in the table was made           in the entry space for lines 24 and 26. As follows:
on 5/15/2020 in the amount of $300. See Example 2 for           a. On line 24,  enter the number of days from the
interest computation.                                              payment date to the end of the interest rate
                                                                   period.
Line 26                                                         b. On line 26, make the computation and enter the
Make the  computation  requested for line 26 and enter             result.   In this    case,    however,          the
the result. Note that the computation calls for the                “underpayment” in the computation is the
“underpayment on line 22.” The amount used  as the                 remaining balance of the underpayment.
“underpayment” depends on whether or not a payment is           c. Add the results of the two computations together
listed in Table 1. If a payment was made during the                to get the total interest for the interest rate
period, a separate computation for the number of days              period.
and the amount of underpayment before and after each 
payment must be made and added together to compute       Example 4.   Assume the same facts as in Examples 1 
the total interest for the period.                       and 2. After applying the $300 payment, the 
                                                         underpayment balance is  $200.  Line 26, therefore,  will 
If there is a payment listed in Table 1. On a separate   contain the second entry of $1.42 ($200 x 61 x 
sheet of paper, apply the payment to the underpayment    0.0001164). Go to line 27 to figure the interest on the 
shown   on  line   22.    After    the payment,     the  underpayment for Interest Rate Period 2. 
“underpayment” for the computation is the  remaining 
balance after the payment is applied underpayment. If    4. Additional payments are listed in Table 1 and the
the payment is more than the underpayment, apply only           first payment was not  enough to  reduce the
an amount equal to the underpayment.                            underpayment to zero. On line 22 you may list the
                                                                amounts and the payment dates that  apply to the
Example 2.  Assume the  same facts  as in Example 1.            underpayment for that installment period. Then
Because you paid $300 toward the underpayment enter             figure the interest for each amount listed on line 22.
$0.52 on line 26, ($300 x 15 x 0.0001164).                      If an underpayment balance remains after applying
Example 3. Your underpayment on line 22 was $500                all the payments, figure the interest on the balance
and  you  paid  $800  on  5/15/2020.  Because  your             of the underpayment.
payment  was more than your underpayment, you            Example  5.  Your  underpayment  on  line  22  column  (a) 
would apply $500  to  the  underpayment.  Enter  $0.87   is  $500 and you made two payments: $300 on
on line 26 ($500 x 15 x 0.0001164).                      5/15/2020    and  $200  on  6/22/2020.  On  line  22,  enter 
If there  are no payments listed in Table 1.        The  $500      or enter     each    payment   and           date
“underpayment” is the entire underpayment balance.       separately,  which     will    correspond with the two
                                                         entries on lines 24 and 26 as explained below. 
Determine  If You  Need To Make  Additional 
Computations for Column (a)                              Line 24 will show  two entries  in column  (a) as  follows: 
Whether you need to make additional computations         “15” days (from 4/30 to 5/15) and “53” days (from 4/30 to 
depends on which of the following conditions apply:      6/22). 

                                                    Page 3 of 4 

         2020 INSTRUCTIONS FOR FORM F-2210, UNDERPAYMENT OF ESTIMATED TAX 
Line 26 will show  two entries  in column  (a) as  follows:   additional month is added to the total of the months on 
$0.52 ($300 x 15 x 0.0001164) and $1.23 ($200 x 53 x          the first day of the next month and each month thereafter 
0.0001164).                                                   that the underpayment remains unpaid. 
Example 6. Your underpayment on line 22, column (a),          Line 34 
is  $800  and  you  made  two  payments:  $300  on            Enter on line 34, column (a), the number of months 
5/15/2020 and $300 on 6/22/2020. Lines 24 and 26 will         from 4/30/2020 to the date of the first payment listed in 
each  show  three  entries  in  column  (a),  one  for  each  Tables 1, 2 or 3. If no payments are made enter 
payment and a third for the balance due of $200 ($800         “12.” 
                                                              Example 7. Use the same facts as in Example 6. Lines
minus $600). 
Line 24 will show “15” days (from  4/30  to 5/15), “53”       34 will show three entries in column  (a), and the  total 
days  (from 4/30 to 6/22)  and  “61” days (from  4/30 to      number of  months for  each  penalty computation  is 1 
6/30).                                                        (May), 2  (May and  June) and 2  (May and  June) 
                                                              respectively. 
Line 26 will show $0.52, $1.85 and $1.42, computed as 
follows: $800 x 15 x 0.0001164 (first payment), $500 x        Line 36 
53 x 0.0001164 (second payment)  and $200 x 61 x              Figure line 36 in the same manner as the interest was
0.0001164 (remaining underpayment balance).                   calculated, except use the new penalty rate of 1% per
                                                              month listed on line 35. You will have a penalty
Then figure the interest for Interest Rate Period 2 (lines 
                                                              computation for each payment listed in Tables 1, 2 and 3 
27 and 29) on the remaining $200 balance. 
                                                              and for the remaining balance of the underpayment
Interest Rate Period 2                                        at 4/30/2021. 
If an underpayment balance remains after applying the 
                                                              Example 8. Use the same facts as in Example 6. Line 
payments in Table 1, figure the interest attributable to 
                                                              36 will  each show three entries  in column (a), $3.00 
that balance on lines 27 and 29. Generally, use  the 
                                                              ($300 x 1 month x .01), $6.00 ($300 x 2 months x .01) 
same steps as explained under the instructions for Rate 
                                                              and $4.00 ($200 x 2 months x 1) respectively. 
Period 1. But use the dates and interest rate shown on 
lines 27 and 28 and use only the payments listed in 
                                                              SCHEDULE        A1    –   ANNUALIZED           INCOME
Table 2. 
                                                              INSTALLMENT METHOD 
Line 27                                                       If your income varied during the year because, for 
Enter on line 27, column (a), the number of days              example, you operated  your own business  on a 
after 6/30/2020 to the date of the first payment listed       seasonal basis, you may  be able to lower or eliminate 
in 2.Table If no payments are listed in Table 2, enter “184.” the amount of one or more  required installments by 
                                                              using the annualized income installment method.  Use 
Line 29                                                       Schedule A1 to figure the required installments to enter 
Figure line 29 in the same manner as explained for line 
                                                              on Form F-2210, Line 13. 
26, except use the new interest rate listed in Line 28. 
                                                              If you use Schedule A1 for any payment due date, you 
Interest Rate Period 3                                        must use it for all payment due dates. When figuring the 
If an underpayment balance remains after applying any 
                                                              amount  of  each required installment, Schedule  A1 
payments in Tables 1  and 2, figure the interest 
                                                              automatically selects the smaller of the annualized 
attributable to that balance  on lines 30  and  32. 
                                                              income installment or the regular  installment. For 
Generally, use the same  steps as explained under the 
                                                              installment periods two, three or four, the regular 
instructions for Rate Period 1.  But use  the dates and 
                                                              installment is increased by the amount saved from using 
interest rate shown on lines 30 and 31 and use only the 
                                                              the annualized income installment method in figuring any 
payments listed in Table 3. 
                                                              earlier installments. 
Line 30                                                       To use the annualized income installment method, you 
Enter on line 30, column (a), the number of days
                                                              must do all three of the following: 
after 12/31/2020 to the date of the first payment             1. Enter the amount from Schedule A1, line 17, in each
listed in Table 3. If no payments are listed in Table 3,            column of Form F-2210, line 13. 
enter “89.”
Line 32                                                       2. Check box 1b in Part I.
Figure line 32 in the same manner as explained for line       3. Attach both Form F-2210 and Schedule A1 to your
26, except use the new interest rate listed on line 31.             return.
                                                              Annualized Income Installments 
Section C – Figure the Penalty                                Line 1 
       Chart of Total Months                                  Figure your total income for the period minus any 
Rate Period      (a) (b)    (c) (d)                           allowable deductions for the period. 
1 (Line 34)      12  10     7   3
                                                              All other lines 
The first day of a month that there is an underpayment        Follow the instructions on each separate line. 
counts  as the first month for penalty purposes. An 
                                                        Page 4 of 4 

FORM F-2210     UNDERPAYMENT OF ESTIMATED TAX BY INDIVIDUALS  
                                                                                                                                    Revised: 08/07/2013
NOTE: Form F-2210 is used to compute the interest and penalty for unpaid or underpaid estimated income tax payments. To pay the 
interest and penalty computed on this form, enter the total interest from line 33 on Form F-1040, line 25a, enter the total penalty from 
line 37 on Form F-1040, line 25b, enter the total interest and penalty from line 38 on Form F-1040, line 25c and remit the interest and 
penalty with your payment of tax due. Do not attach Form F-2210 unless one or more of the boxes in Part I apply. Interest and 
penalty will be assessed where required estimated payments are underpaid or not made.

Part I  Reasons for Filing   If 1a, 1b, 1c or 1d below applies, you may be able to lower or eliminate the interest and penalty. 
You must check the boxes that apply and file Form F-2210 with your tax return 
Check all boxes that apply (If none apply, see the note above):
1a You request a waiver of penalty. In certain circumstances, the Income Tax Department will waive all or part of the penalty. See Waiver of Penalty in the 
   instructions for Form F-2210. Interest due cannot be waived.
1b You use the annualized income installment method. If your income varied during the year, this method may reduce the amount of one or more of your 
   required estimated tax installments. See instructions under Annualized Income Installment Method. 
1c You had income tax withheld from wages and, for estimated tax purposes, you treat the tax withheld as paid on the dates it was actually withheld, 
   instead of in equal amounts each quarter.
1d Your required annual payment (line 12 below) is based upon your 2018 tax and you filed or are filing a joint return for either 
   2018 or 2020 but not for both years.      .

Part II  Required Annual Payment
2 Enter the tax due from Form F-1040, line 23b, for 2020                                                                          2
3 Flint income tax withheld from 2020 wages (Form F-1040, page 1, line 24a)                                          3
4 Residents enter 2020 tax credit for tax paid to another city (Form F-1040, page 1, line 24c)                       4
5 Enter 2020 tax paid by a partnership plus, for residents only, tax credit for tax paid by a tax option corporation 5
6 Enter total of lines 3, 4 & 5                                                                                                   6
7 Subtract line 6 from line 2 (If $100 or less, stop here, do not complete or file this form; 
   you do not owe interest or penalty for failing to make estimated tax payments                                                  7
8 Enter 70% of line 2                                                                                                             8
9 Enter the amount of tax from your 2018 Flint return form (Form F-1040, Line 23b)                                                9
10 Subtract line 6 from line 9 (If $100 or less, stop here, do not complete or file this form; 
   you do not owe interest or penalty for failing to make estimated tax payments                                                  7
11 Enter 70% of line 9                                                                                                            11
12 Required 2020 estimated tax payment. Enter the smaller of line 8 or line 11                                                    12

Part III  Computation of Interest and Penalty                                                  Payment Due Dates
Section A - Figure the Underpayment                                              (a)           (b)                    (c)           (d)
                                                                   04/30/2020                  06/30/2020             09/30/2020    01/31/2021
13 Required installments: If Part I, box 1b, applies, enter
   amounts from Schedule A1, line 17; otherwise, enter 1/4 of 
   line 12, in each column
                                                                 13
14 Tax payments and credits. Enter 1/4 of the amount on 
   line 6 for each period                                        14
15 Estimated tax paid each period                                15
16 2018 credit forward to 2020                                   16
17 Amount from line 23 of previous column                        17
18 Add lines 14, 15, 16 and 17                                   18
19 Enter the total of line 21 and line 22 of the previous column 19
20 Subtract line 19 from line 18. If zero or less enter -0- 
   For column (a) only enter the amount from line 18             20
21 If amount on line 20 is zero, subtract line 18 from line 19   21
22 Underpayment: If line 13 is equal to or more than line 20, 
   subtract line 20 from line 13; then go to line 17 of the 
   next column; otherwise, go to line 23
                                                                 22
23 Overpayment: If line 18 is more than line 13, subtract line 
   13 from line 18; then go to line 17 of next column            23

Section B - Figure the Interest                                     (a)                           (b)                (c)          (d)
                        May 1 - June 30, 2020                       4/30/2020
         24 Number of days from the date shown above line 
INTEREST 24 to the date the amount on line 22 was paid 
RATE     or to June 30, 2020, whichever is earlier               24
PERIOD   25 Interest rate per day for period                     25 0.0001164
1        26 Interest due for period, line 22 times line 24 times
         line 25                                                 26
                      July 1 - December 31, 2020                    6/30/2020        6/30/2020                       9/30/2020
         27 Number of days from the date shown above line 
INTEREST 27 to the date the amount on line 22 was paid 
         or to December 31, 
RATE                        2020, whichever is earlier           27
PERIOD   28 Interest rate per day for period                     28 0.0001164        0.0001164                       0.0001164
2        29 Interest due for period, line 22 times line 27 times 
         line 28                                                 29
                      January 1 - April 30, 2021                    12/31/2020       12/31/2020                      12/31/2020   1/31/2021
         30 Number of days from the date shown above line 
INTEREST 30 to the date the amount on line 22 was paid 
RATE                  2021, whichever is earlier                 30
         or April 30, 
PERIOD   31 Interest rate per day for period                     31 0.0001164        0.0001164                       0.0001164    0.0001164
3        32 Interest due for period, line 22 times line 30 times
         line 31                                                 32
  33 Interest for underpaid estimated tax (Add all amounts on lines 26, 29 and 32 in all columns)                               33

Section C - Figure the Penalty                                      (a)                           (b)                (c)          (d)
                                                                    04/30/2020       06/30/2020                      09/30/2020   01/31/2021
         34 Number of months from month after the month  
         shown above line 34 to the month the tax was 
         paid or April 30, 
PENALTY                    2021, whichever is earlier            34
PERIOD   35 Penalty rate per month                               35 0.01                          0.01               0.01         0.01
         36 Penalty due for period, line 22 times line 34 times 
         line 35                                                 36
  37 Penalty for underpaid estimated tax (Add all amounts on line 36 in all columns)                                            37

Section D - Total Interest and Penalty
  38 Total interest and penalty for underpaid estimated tax. Add line 33 and line 37 (Enter the total here and 
         enter the interest, penalty and total interest and penalty on Form F-1040, line 25a, b and c, respectively)            38

Schedule A1  Annualized Income Installment Method                 (a)         (b)         (c)         (d)
                                                                  01/01/2020  01/01/2020  01/01/2020  01/01/2020
                                                                  03/31/2020  06/30/2020  09/30/2020  12/31/2020
1 Enter income for each period                                 1
2 Annualization amounts                                        2         4.00        2.00        1.33        1.00
3 Annualized income (Line 1 times line 2)                      3
4 Enter exemptions amount from Form F-1040, line 21b           4
5 Subtract line 4 from line 3                                  5
6 Tax due (Line 5 times the tax rate)                          6
7 70% of tax due                                               7
8 70% of prior year tax                                        8
9 Enter lesser of line 7 or line 8 (If zero or less enter -0-) 9
10 Applicable percentage                                       10        25%         50%         75%        100%
11 Multiply line 9 by line 10                                  11
CAUTION: Complete lines 12 through 17 of 
column (a) before going to the next column 
12 Add all the amounts in all previous columns of line 17      12
13 Subtract line 12 from line 11 (If zero or less enter -0-)   13
14 Enter 1/4 of amount on line 12, page 1, of Form
F-2210 in each column                                          14
15 Subtract line 17 of the previous column from line 16 of 
that column                                                    15
16 Add lines 14 and 15                                         16
17 Enter the smaller of line 13 or line 16 here and on Form 
F-2210, line 13                                                17

F-4868                                                                  FLINT                                                2020 RET REX
                                           APPLICATION FOR AUTOMATIC EXTENSION OF TIME 
                                                        TO FILE AN INDIVIDUAL INCOME TAX RETURN

Taxpayer Name:
Social Security No:
File on or Before:                        4/30/2021, due date of 2020 return*
Payment:                                  $

Payment Method:           • Make payment by check or money order payable to "City of Flint." DO NOT SEND CASH.
                          • Write your Soc. Sec. No., daytime phone number and "2020 F-4868" on check or money order.
                          • To pay by credit card or direct debit, see income tax website of the City of Flint.

Address for Payment:                      City of Flint - Income Tax Department
                                          PO Box 529
                                          Eaton Rapids, MI  48827-0529

Instructions:             • An extension to file does not extend the due date to pay tax. Tax paid late will be assessed late fees.
                          • Line 1: Enter the total tax liability you expect to report on your 2020 Form F-1040, page 1, line 23.
                          • Line 2: Enter the total payments that you expect to report on your 2020 Form F-1040, page 2, line 4, not 
                                          including the extension payment reported on line 3 of this form.
                          • Filing date: The income tax ordinance limits an extension to SIX months from the original due date.

Related Information:      • Federal extension: Filing a federal extension (Form 4868) with the Internal Revenue Service does not
                                          grant an extension of time to file a Flint income tax return.
                          • Persons living outside the United States: Where the Internal Revenue Code grants an automatic two-
                                          month extension to persons living outside the U.S., an automatic two-month extension will be granted.

Payment:                  • An extension is automatically granted upon payment of the balance due (line 3); failure to pay the
                                          balance due invalidates the extension request; an extension filed without a payment will not be accepted.
                          • Interest and penalty will be assessed on taxes paid late even if an extension of time to file is granted.
                          • Penalty may be waived by the Income Tax Administrator if the tax paid by the original due date is not
                                          understated by more than 5% of tax or the taxpayer can show that the failure to pay on time was due to
                                          reasonable cause.
* Due Date:               • If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid:                         Check Number:                     Date Mailed:
                                                                                                                             Revised: 04/23/2015
       KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                     v   DETACH HERE  v
F-4868                                                                  FLINT                                                2020 RET REX
        APPLICATION FOR AUTOMATIC EXTENSION OF TIME TO FILE AN INDIVIDUAL INCOME TAX RETURN
                                                                Mail  To:  City of Flint - Income Tax Department
                                                                 PO Box 529
NACTP #                                                          Eaton Rapids, MI  48827-0529
EFIN #                                                                                                                       Revised: 04/23/2015
Taxpayer's first name, initial, last name                            Taxpayer's SSN

If joint return spouse's first name, initial, last name              If joint payment, spouse's SSN

Present home address (Number and street)                Apt. no.     Payment voucher 2D barcode

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                      State    Zip code
                                                                     1. Estimate of total tax liability for 2020                               .00
Foreign country name, province/county, postal code                   2. Total 2020 payments and credits                                        .00
                                                                     3. Balance due (Line 1 less line 2)                                       .00

                                            CITY OF FLINT 
                                    INCOME TAX DEPARTMENT 
                                     INSTRUCTIONS FOR FORM F-1040ES 
                       QUARTERLY ESTIMATED INCOME TAX PAYMENT VOUCHERS 

WHO MUST MAKE ESTIMATED INCOME TAX PAYMENTS 
A. Individuals and Unincorporated Businesses: Every resident or nonresident  who expects taxable income from 
   which Flint income tax will not be withheld must make estimated income tax payments. Payments are not required if 
   the estimated tax is one hundred dollars ($100.00) or less. A husband and wife may make joint estimated income tax 
   payments. 
B. Corporations: A corporation (including a Subchapter S corporation) subject to the tax on all or part of its net profits 
   must make estimated income tax payments. Payments are    not required from corporations if the estimated tax is two 
   hundred fifty dollars ($250.00) or less. 
C. Partnerships: A partnership electing to pay the tax on behalf  of its partners must make estimated income tax 
   payments. Payments are not required if the estimated tax is one hundred dollars ($100.00) or less. If the partnership 
   elects to pay the tax on behalf of the partners, a partner is not required to make estimated payments as an individual 
   unless the partner has other income on which the income tax is expected to exceed one hundred dollars ($100.00). 
WHEN AND WHERE TO FILE A DECLARATION AND PAY ESTIMATED TAX 
A. Calendar Year Taxpayers: The first estimated payment must be made on or before April 30 of the tax year. 
B. Payment of Estimated Tax: The estimated tax may be paid in full with the first quarter payment or paid in four (4) 
   equal quarterly installments. Calendar year quarterly  payments are due on or before April 30,  June  30,  and 
   September 30 of the tax year and January 31 of the next year. Fiscal year installments are due on or before the end 
   of the fourth, sixth, ninth and thirteenth month after the beginning of the fiscal year. Remittances are to be made 
   payable to: City of Flint. 
C. Where to Send Payments: The quarterly payments shall be mailed to:  
   City of Flint - Estimated Payment 
   PO Box 529 
   Eaton Rapids, MI  48827-00529 
DO NOT USE OR PHOTOCOPY ANOTHER TAXPAYER’S FORMS.                 If you do, your payment could be applied to the 
wrong account. 
NOTE: Reminder notices will not be sent. Save this set of forms for use in making the remainder of this year’s 
quarterly estimated payments. Blank forms may be downloaded from the Flint under the Income Tax Department. 
The website address is: www.cityofflint.com/incometax/forms.asp.  
CALCULATION OF ESTIMATED INCOME TAX 
Calculate the estimated income tax due using the Estimated Income Tax Computation Worksheet  below.  Round 
computations to the nearest dollar. 
ESTIMATED INCOME TAX COMPUTATION WORKSHEET                                            TAX YEAR  _________ 
1. TOTAL INCOME EXPECTED                                                                   1. 
2. EXEMPTIONS (List the amount of the exemption for Flint)                                 2. 
3. ESTIMATED TAXABLE INCOME (Line 1 less Line 2)                                           3. 
4. ESTIMATED TAX                                                                           4. 
   Nonresident individuals enter the tax at 0.75% of Line 3.
   All other taxpayers enter the tax at 1.5% of Line 3.
5. FLINT INCOME TAX TO BE WITHHELD                                                         5. 
6. OTHER CREDITS EXPECTED                                                                  6. 
7. ESTIMATED TAX (Line 4 less Lines 5 and 6)                                               7. 

The annual return for the previous year may be used as the basis for computing your declaration of estimated tax for the 
current year. The same figures used for estimating your federal income tax, adjusted to exclude any income not taxable 
or deductions not allowed under the Uniform City Income Tax Ordinance (MCL 141.601 et seq.), may be used. 
CALCULATION OF THE ESTIMATED TAX PAYMENT DUE EACH QUARTER 
If you know the amount of quarterly estimated tax to be paid, write the amount in the estimated tax due box of Form  -F  
1040ES, for the quarter, round the payment to the nearest dollar. 
AMENDED DECLARATION 
If you find that your estimated tax is substantially increased or decreased as a result of a change in income
or exemptions, you may amend your estimate at the time of making any quarterly payment with Form  F-1040ES
by adjusting the quarterly payment. 

LATE PAYMENT OR UNDERPAYMENT OF ESTIMATED INCOME TAX 
If  you  fail to make the required quarterly estimated tax  payments, underpay or pay late, interest and penalty may be 
charged. The interest rate is 1 percent above the prime rate. The interest rate is adjusted on January 1 and July 1 each 
year. The penalty rate is 1 percent per month. 
INTEREST AND PENALTY 
If the total amount of tax withheld, tax credits and estimated tax paid is less than seventy percent (70%) of the tax due for 
the current or previous year, interest and penalty will be charged. Payment of estimated tax does not excuse the taxpayer 
from filing an annual income tax return even though the total tax liability has been paid. 
INCOME SUBJECT TO FLINT INCOME TAX 
A. Residents: All salaries, wages, bonuses, commissions and other  compensation;  net profits from business or 
   profession; net rental income; capital gains less capital losses; interest and dividends; income from estates and trusts; 
   and other income. 
B. Nonresidents: Salaries, wages, bonuses, commissions and other  compensation for services rendered or  work 
   performed in Flint; net rental income from property located in Flint; net profits from a business, profession or other 
   activity to the extent that it  is  from work done, services rendered or activity conducted in Flint; capital gains less 
   capital losses from the sale of real or tangible personal property located in Flint. 
WITHHOLDING TAX AND OTHER TAX CREDITS 
A. Withholding Tax: You may subtract from your  estimated  income tax the amount of income tax expected to be 
   withheld for Flint. 
B. Income Tax Paid by Partnership: If you are a member of a partnership which elects to and pay the tax on behalf of 
   its partners, you may subtract from your estimate of Flint income tax, the amount of tax expected to be paid by the 
   partnership on your distributive share of net profits. 
C. Income Tax Paid to Another Municipality: Residents of Flint who pay income tax to another municipality on income 
   taxable in Flint may subtract from their estimate of income tax the amount of income tax expected to be paid to the 
   other municipality. The credit is limited to the amount of tax assessable under the Flint Income Tax Ordinance on the 
   same income of a nonresident. 
PAYMENT RECORD FOR TAX YEAR __________                                                        (Keep this for your records.) 
   PAYMENT                           DATE PAID            CHECK NUMBER                     ESTIMATED TAX PAID
   FIRST QUARTER 
   PAYMENT 
   SECOND QUARTER 
   PAYMENT 
   THIRD QUARTER 
   PAYMENT 
   FOURTH QUARTER 
   PAYMENT 

                                                  TOTAL ESTIMATED TAX PAYMENTS

Make remittances payable to: 
City of Flint. 
                                                                                           Revised 09/02/2014 
Mail estimated tax forms and payments to: 
   City of Flint - Estimated Payment 
   PO Box 529 
   Eaton Rapids, MI  48827-00529 

F-1040ES                                                                       FLINT                                             2021  EST  01Q
                                                      ESTIMATED INCOME TAX PAYMENT VOUCHER  
                                                FIRST QUARTER - PAYMENT DUE APRIL 30, 2021 

Taxpayer Name:

Social Security No:

Due on or Before:                         04/30/2021, for tax year 2021*

Payment:                                  $

Payment Method:           • Make payment by check or money order payable to "City of Flint."  Write your social security 
                                          number, daytime phone number, and "2021 F-1040ES" on your payment. DO NOT SEND CASH.  
                          • To pay by direct debit to your bank account, use form F-1040ES-EFT.
                          • To pay by credit card see income tax website of the City of Flint.

Additional Information:                   The spouse of a joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number 
                                          as the taxpayer on this payment voucher.

Address for Payment:                      City of Flint - Estimated Payment
                                          PO Box 529
                                          Eaton Rapids, MI  48827-0529

* Due Date:               • If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                 Revised: 04/23/2015
       KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                              v   DETACH HERE  v
F-1040ES                                                                       FLINT                                             2021  EST  01Q 
                                           FIRST QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                    Revised: 04/23/2015
                                                                    Mail  To: City of Flint - Estimated Payment
                                                                              PO Box 529
NACTP #                                                                       Eaton Rapids, MI  48827-0529
EFIN #                                                              ESTIMATED PAYMENT VOUCHER 1      Due Date:  04/30/2021
Taxpayer's first name, initial, last name                                     Taxpayer's SSN

If joint estimated payment, spouse's first name, initial, last name           If joint payment, spouse's SSN

Present home address (Number and street)              Apt. no.                Payment voucher 2D barcode

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                  State      Zip code

Foreign country name, province/county, postal code                            Amount of estimated tax you are paying by check or Round to nearest dollar
                                                                              money order                                                               .00

F-1040ES                                                                       FLINT                                             2021  EST  02Q
                                                      ESTIMATED INCOME TAX PAYMENT VOUCHER 
                                           SECOND QUARTER - PAYMENT DUE JUNE 30, 2021 

Taxpayer Name:

Social Security No:

Due on or Before:                         06/30/2021, for tax year 2021*

Payment:                                  $

Payment Method:           • Make payment by check or money order payable to "City of Flint."  Write your social security 
                                          number, daytime phone number, and "2021 F-1040ES" on your payment. DO NOT SEND CASH.  
                          • To pay by direct debit to your bank account, use form F-1040ES-EFT.
                          • To pay by credit card see income tax website of the City of Flint.

Additional Information:                   The spouse of a joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number 
                                          as the taxpayer on this payment voucher.

Address for Payment:                      City of Flint - Estimated Payment
                                          PO Box 529
                                          Eaton Rapids, MI  48827-0529

* Due Date:               • If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                 Revised: 04/23/2015
       KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                              v   DETACH HERE  v
F-1040ES                                                                       FLINT                                             2021  EST  02Q 
                                           SECOND QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                   Revised: 04/23/2015
                                                                    Mail  To: City of Flint - Estimated Payment
                                                                              PO Box 529
NACTP #                                                                       Eaton Rapids, MI  48827-0529
EFIN #                                                              ESTIMATED PAYMENT VOUCHER 2      Due Date: 06/30/2021
Taxpayer's first name, initial, last name                                     Taxpayer's SSN

If joint estimated payment, spouse's first name, initial, last name           If joint payment, spouse's SSN

Present home address (Number and street)              Apt. no.                Payment voucher 2D barcode

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                  State      Zip code

Foreign country name, province/county, postal code                            Amount of estimated tax you are paying by check or Round to nearest dollar
                                                                              money order                                                               .00

F-1040ES                                                                       FLINT                                             2021  EST  03Q
                                                   ESTIMATED INCOME TAX PAYMENT VOUCHER
                                           THIRD QUARTER - PAYMENT DUE SEPTEMBER 30, 2021 

Taxpayer Name:

Social Security No:

Due on or Before:                         09/30/2021, for tax year 2021*

Payment:                                  $

Payment Method:           • Make payment by check or money order payable to "City of Flint."  Write your social security 
                                          number, daytime phone number, and "2021 F-1040ES" on your payment. DO NOT SEND CASH.  
                          • To pay by direct debit to your bank account, use form F-1040ES-EFT.
                          • To pay by credit card see income tax website of the City of Flint.

Additional Information:                   The spouse of a joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number 
                                          as the taxpayer on this payment voucher.

Address for Payment:                      City of Flint - Estimated Payment
                                          PO Box 529
                                          Eaton Rapids, MI  48827-0529

* Due Date:               • If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                 Revised: 04/23/2015
       KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                              v   DETACH HERE  v
F-1040ES                                                                       FLINT                                             2021  EST  03Q 
                                           THIRD QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                    Revised: 04/23/2015
                                                                    Mail  To: City of Flint - Estimated Payment
                                                                              PO Box 529
NACTP #                                                                       Eaton Rapids, MI  48827-0529
EFIN #                                                              ESTIMATED PAYMENT VOUCHER 3      Due Date: 09/30/2021
Taxpayer's first name, initial, last name                                     Taxpayer's SSN

If joint estimated payment, spouse's first name, initial, last name           If joint payment, spouse's SSN

Present home address (Number and street)              Apt. no.                Payment voucher 2D barcode

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                  State      Zip code

Foreign country name, province/county, postal code                            Amount of estimated tax you are paying by check or Round to nearest dollar
                                                                              money order                                                               .00

F-1040ES                                                                       FLINT                                             2021  EST  04Q
                                                      ESTIMATED INCOME TAX PAYMENT VOUCHER 
                                           FOURTH QUARTER - PAYMENT DUE JANUARY 31, 2021 

Taxpayer Name:

Social Security No:

Due on or Before:                         01/31/2021, for tax year 2021*

Payment:                                  $

Payment Method:           • Make payment by check or money order payable to "City of Flint."  Write your social security 
                                          number, daytime phone number, and "2021 F-1040ES" on your payment. DO NOT SEND CASH.  
                          • To pay by direct debit to your bank account, use form F-1040ES-EFT.
                          • To pay by credit card see income tax website of the City of Flint.

Additional Information:                   The spouse of a joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number 
                                          as the taxpayer on this payment voucher.

Address for Payment:                      City of Flint Income Tax Dept
                                          Estimated Paymenrts
                                          PO Box 529
                                          Eaton Rapids, MI  48827-0529
* Due Date:               • If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                 Revised: 04/23/2015
       KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                              v   DETACH HERE  v
F-1040ES                                                                       FLINT                                             2021  EST  04Q 
                                           FOURTH QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                   Revised: 04/23/2015
                                                                    Mail  To: City of Flint - Estimated Payment
                                                                              PO Box 529
NACTP #                                                                       Eaton Rapids, MI  48827-0529
EFIN #                                                              ESTIMATED PAYMENT VOUCHER 4      Due Date: 01/31/2021
Taxpayer's first name, initial, last name                                     Taxpayer's SSN

If joint estimated payment, spouse's first name, initial, last name           If joint payment, spouse's SSN

Present home address (Number and street)              Apt. no.                Payment voucher 2D barcode

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                  State      Zip code

Foreign country name, province/county, postal code                            Amount of estimated tax you are paying by check or Round to nearest dollar
                                                                              money order                                                               .00