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Michigan Department of Treasury (Rev. 04-21), Page 1 of 3
Issued under authority of Public Act 281 of 1967, as amended.
2021 MICHIGAN Homestead Property Tax Credit Claim
Amended Return
for Veterans and Blind People MI-1040CR-2
Type or print in blue or black ink. Attachment 06
1. Filer’s First Name M.I. Last Name 2. Filer’s Full Social Security No. (Example: 123-45-6789)
If a Joint Return, Spouse’s First Name M.I. Last Name
3. Spouse’s Full Social Security No. (Example: 123-45-6789)
Home Address (Number, Street, P.O. Box) If using a P.O. Box, you must complete line 34.
City or Town State ZIP Code 4. School District Code (5 digits - see p. 19)
5. 2021 FILING STATUS: 6. 2021 RESIDENCY STATUS: *If you checked box “c,” enter dates of Michigan residency in 2021.
Check one. Check all that apply. Enter dates as MM-DD-YYYY (Example: 04-15-2021).
a. Single a. Resident FILER SPOUSE
b. Married filing jointly b. Nonresident FROM: 2021 2021
c. Married filing separately TO: 2021 2021
c. Part-Year Resident *
(Include Form 5049)
7. Check one of the following that applies to you:
a. Blind and own your homestead c. Surviving spouse of veteran deceased in service
b. Veteran with service-connected disability *d. Active military, pensioned veteran or his/her surviving spouse
or veteran’s surviving spouse
Enter percent of disability: % *e. Surviving spouse of a nondisabled or nonpensioned veteran of the
Korean War, World War II, or World War I
* If you check “d” or “e” above and your Total Household Resources (line 32) are more than $7,500, you cannot claim a credit on this form.
8. Taxable value allowance from Table 2 ................................................................................................... 8. 00
9. Taxable Value of homestead. Homeowners: If greater than $136,600, STOP; you are not eligible .. 9. 00
10. Property taxes levied on your home for 2021 (see instructions) ........................................................... 10. 00
11. Percent of tax relief. Divide line 8 by line 9 (not to exceed 100%) ...................................................... 11. %
12. Multiply line 10 by line 11. Enter the result (maximum $1,500) ............................................................. 12. 00
TOTAL HOUSEHOLD RESOURCES. If filing a joint return, include income from both spouses.
If married filing separately, you must include Form 5049 available on Treasury’s Web site.
13. Wages, salaries, tips, sick, strike 20. Social Security, SSI, and/or
and SUB pay, etc.......................... 13. 00 railroad retirement benefits. .. 20. 00
14. All interest and dividend income 21. Child support and foster
(including nontaxable interest)....... 14. 00 parent payments received .... 21. 00
15. Net business income (including net 22. Unemployment
farm income). If negative enter “0” 15. 00 compensation. ...................... 22. 00
16. Net royalty or rent income. 23. Gifts received or expenses
If negative enter “0”. ...................... 16. 00 paid on your behalf. .............. 23. 00
17. Retirement pension, annuity, and 24. Other nontaxable income
IRA benefits. .................................. 17. 00 Describe: _______________ 24. 00
18. Capital gains less capital losses 25. Workers’/veterans’ disability
(see instructions).. ......................... 18. 00 compensation/pension benefits 25. 00
19. Alimony and other taxable income 26. FIP and other MDHHS benefits
Describe: ___________________ 19. 00 (Do not include food assistance) 26. 00
27. SUBTOTAL. Add lines 13 through 26 .............................................................................SUBTOTAL 27. 00
Continue on page 2. This form cannot be
processed if pages 2 and 3 are not completed and included.
+ 0000 2021 29 01 27 6
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