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                            2020 

       CITY OF GRAND RAPIDS INCOME TAX 

       NON-RESIDENT FORMS AND INSTRUCTIONS 
             Form GR-1040NR—Individual Return 

For use by individuals who were not residents of the City of Grand 
Rapids at any time during 2020, but who earned taxable income 
in Grand Rapids during 2020 and by TRUSTS and ESTATES 

FILING DATE: Your return must be filed by April 30, 202 1Make 

REMITTANCE:  remittance payable to:  GR City Income Tax 

MAILING ADDRESS:  Mail your return and remittance, with W-2 
             forms to: 

             Grand Rapids Income Tax 
             P.O. Box 347 
             Grand Rapids, MI  49501-0347 

             Telephone number: (616) 456-3415 Option 0 

             Office hours: 
             Monday through Friday 8 a.m. to 5:00 p.m.  
             Saturday 8am- 2pm on March 27th, April 10th, 
             April 17th, and April 24th. 

             Phone hours: 
             Monday through Friday 8 a.m. to 5:00 p.m.  
             Wednesday 8am- 7pm  (February 1st to April 30th)

             Website:  www.grcity.us/incometax 



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                             2020 GRAND RAPIDS FORM GR-1040 INSTRUCTIONS FOR NONRESIDENTS
                                                                           if Form 1310 is attached, mark (X) box indicating the form is attached; 
2020 GRAND RAPIDS INCOME TAX RETURN FORM CHANGES                           write “deceased” in the signature area on page 2; and enter the date 
There are no significant changes to the 2020 income tax return forms.      of death in the box on the right side of the signature line. 
                                                                          •
WHO MUST FILE A RETURN                                                     Enter your current residence (domicile) address on the present home
If you had Grand Rapids taxable income greater than the total of your      address  line. If using a PO Box  for mailing purposes,  enter the PO
personal and dependency exemptions, you must file a tax return —           Box number on address line 2. If using an in care of address that is
even if you did not file a federal tax return. See Exemptions Schedule     not your legal residence  (domicile), you must  report your residence
for more information on your allowable exemptions.    You are required     (domicile) address in the Address Schedule on page 2.
to file a tax return and pay tax even if your employer did not            RESIDENCY STATUS 
withhold Grand Rapids tax from your paycheck. You will be required        Indicate your residency status by marking (X) the proper box. 
to make estimated income tax payments if you work for an employer not     Resident – a person whose domicile (principle residence) was in the
withholding Grand Rapids tax from your 2020 wages.                        City of Grand Rapids all year. File as a resident if you were a resident 
ESTIMATED TAX PAYMENTS                                                    the entire year. 
When your total income tax is greater than the amount of tax withheld     Nonresident – a person whose domicile (principle residence) was
plus other credits by $100 or more, you may be required to make           outside the City of Grand Rapids all year. File as a nonresident if you 
quarterly estimated tax payments. File Form GR-1040ES (available on       were a nonresident the entire year. 
the Grand Rapids website) by April 30 of the tax year and pay at least    Part-Year Resident – a person who changed their domicile (primary
one-fourth (¼) of the estimated tax. The remaining estimated tax is due   residence) during the year from one inside Grand Rapids to one outside 
in three equal payments on June 30 and September 30 of the tax year       Grand Rapids or vice versa. If you were a resident for only part of 2020, 
and January 31 of the following year. Adjust the remaining quarterly      use form GR-1040TC to calculate the tax and attach it to the GR-1040. 
payments if your income increases or decreases during the year.           Check Residency. See the Grand Rapids Street Directory to check if 
Failure to make required estimated tax payments or underpayment           an address is located in the city: www.grcity.us/incometax. 
of estimated tax will result in assessment of penalty and interest.       Married with Different Residency Status. If you were married in 2020 
If you have made estimated tax payments and do not owe more tax for       and had a different residency status from that of your spouse, file
the year, you still must file a tax return.                               separate returns or file a part-year resident return using Form GR-
DUE DATE AND EXTENSIONS                                                   1040TC to compute the tax. 
Returns are due on or before April 30, 202 . If1a due date falls on a     FILING STATUS 
weekend or holiday, the due date becomes the next business day.           Indicate filing status by marking (X) the proper box. If married filing
The due date of the annual income tax return may be extended for a        separately, enter spouse’s Social Security number in the spouse’s SSN 
period not to exceed six months. The extension is granted Automatic       box and enter the spouse’s full name in the filing status box. 
Extension of Time to File an Individual Income Tax Return. Applying for   INCOME EXEMPT FROM CITY TAX 
a federal extension does not satisfy the requirement for filing a Grand   Grand Rapids does not tax the following types of income:  
Rapids extension. Application for an extension must be made and the       1  Social security, pensions      and annuities   (including   disability 
tentative tax due must be paid (MCL 141.664). Filing an extension with     pensions), Individual Retirement Account (IRA) distributions received 
payment is not a substitute for making estimated tax payments. An          after reaching age 59½. 
extension does not extend the time for paying the tax due.                2. Proceeds  of  insurance  where  the  taxpayer  paid  policy  premiums.
When an extension form is filed and the balance due is paid, it may be     (Payments from a health and accident policy paid by an employer
assumed that the extension is automatically granted unless otherwise       are taxed the same as under the Internal Revenue Code).
notified. Interest and penalty is charged on taxes paid late even if an   3. Welfare relief, unemployment compensation  and supplemental
extension of time to file is granted. Penalty may be waived by the         unemployment benefits.
Income Tax Administrator if the tax paid by the original due date is not  4. Interest  from obligations of the United  States,  the  states or
understated by more than 5% of tax or the taxpayer is able to show that    subordinate units of government of the states and gains or losses on
the failure to pay on time was due to reasonable cause.                    the sales of obligations of the United States.
AMENDED RETURNS                                                           5. Military pay of members of the armed forces of the  United States,
File amended returns using the Form GR-1040X. If a change on your          including Reserve and National Guard pay.
federal return affects Grand Rapids taxable income, you must file an      6. Michigan Lottery prizes won on or before December 30, 1988.
amended return within 90 days of the change. All schedules supporting      (Michigan lottery prizes won after December 30, 1988 are taxable.)
the changes should accompany the filing. Every change must be             7. Sub-chapter S corporation distributions.
explained. Mail amended returns to: Grand Rapids Income Tax, PO Box       8. City, state and federal refunds.
347, Grand Rapids, MI  49501-0347.                                        ITEMS NOT DEDUCTIBLE ON THE GRAND RAPIDS RETURN 
CHARGES FOR LATE PAYMENTS                                                 Grand Rapids does   not  allow  deductions for items  such as taxes, 
All taxes remaining unpaid after the due date are subject interest at the interest, medical expenses, charitable contributions, casualty and theft 
rate of 1% above the adjusted prime rate on an annual basis and to        losses, etc.  In addition,  the following federal adjustments are not 
penalty at a rate of 1% per month, not to exceed a total penalty of 25%   deductible: educator expenses; certain business expenses of reservists, 
of the tax. The minimum charge for interest and penalty is $2.00.         performing  artists,  and  fee-basis  government  officials;  health  savings 
                                                                          account deduction;  deductible  part of self-employment tax; self-
DISCLAIMER                                                                employed health insurance deduction;  penalty for early withdrawal  of 
These instructions are interpretations of the Grand Rapids Income Tax     savings; student loan interest deduction; tuition and fees; and domestic 
Ordinance, MCLA 141.601 et seq. The City of Grand Rapids Ordinance        production activities deduction.  
will prevail in any disagreement between these instructions and the
Ordinance.                                                                FORM GR-1040, PAGE 1, INSTRUCTIONS 
COMPLETING YOUR RETURN                                                    TOTAL INCOME AND TAX COMPUTATION 
NAME, ADDRESS, SOCIAL SECURITY NUMBER                                     Round all figures to the nearest dollar and report whole dollar amounts. 
• Always write your social security number(s) on the return. Your         Lines 1 – 16, Columns A & B – Federal Data and Exclusions 
  social security number must agree with the SSN on the Form(s) W-2       In column A enter data from federal return for each line. In column B 
  attached to your return.                                                enter exclusions and adjustments to federal data. 
• Enter your name and, if a joint return, your spouse’s name.             NOTE: Schedules, attachments and other documentation that support 
• If the taxpayer or spouse is deceased: attach a copy of federal Form    tax withheld, exclusions, adjustments or deductions must be provided. 
  1310  or of the death  certificate;  mark (X) the box under the  social Failure to attach or attaching incomplete supporting information will  
  security numbers indicating the taxpayer and/or spouse is deceased;



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                                2020 GRAND RAPIDS FORM GR-1040 INSTRUCTIONS FOR NONRESIDENTS

delay processing of your return or result in tax withheld, exclusions,          TAX DUE OR REFUND 
adjustments or deductions being disallowed.                                     Line 26 – Tax Due and Payment of Tax 
Lines 1 - 16, Column C – Figure Taxable Income                                  If the tax on line 23b plus the interest and penalty on line 25c exceeds the 
Subtract column B  from column  A  and enter difference in  column C.           total Payments and Credits on line 24d, enter the difference, the tax due, 
Support figures with schedules.                                                 on line 26, otherwise leave blank. The tax due must be paid with the return 
Line 17 – Total Additions                                                       when filed. The due date for the return is April 30, 2020. 
Add lines 2 through 16.                                                         Pay by Check or Money Order. Make the check or money order payable 
Line 18 – Total Income                                                          to the CITY OF GRAND RAPIDS, place the check or money order in front 
Add lines 1 through 16.                                                         of page 1 of the tax form and mail the return with the payment to: Grand 
Line 19 – Total Deductions                                                      Rapids Income Tax, PO Box 107, Grand Rapids, Michigan 49501-0107. Do 
Enter the total deductions from line 7 of Deductions Schedule, page 2.          not send cash for your tax payment. The tax is due at the time of filing the 
                                                                                return. 
Line 20 TotalIncome after Deductions 
Subtract line 19 from line 18.                                                  Pay by Direct Withdrawal from Bank Account. Payment by direct 
                                                                                withdrawal from your bank account may be made on your return form by 
Line 21 – Exemptions                                                            marking (X) the box on line 31b, completing lines 31c, 31d and marking (X) 
Enter the total number of exemptions (page 2, Exemptions Schedule, line         the type of account box, checking or savings, on line 31e.  
1h) on line 21a, multiply line 21a by $600.00 and enter the product on line 
21b.                                                                            Direct withdrawal payments are credited on the date received or the
                                                                                postmark date of the return or payment. Direct withdrawal payments will be 
Line 22 – Total Income Subject to Tax                                           processed as soon as possible after receipt of the return or receipt of the 
Subtract line 21b from line 20. If result is less than zero, enter zero.        payment voucher.  
Line 23 – Tax                                                                   Payment Voucher. Tax preparation software may support payment of tax 
Multiply line 22  by the  appropriate  tax rate to compute tax  liability,  and due using a payment voucher, Form GR-1040PV or Form GR-1040PV-
enter it on line 23b. (The resident tax rate is 1.5%. The nonresident rate is   EFT. Use Form GR-1040PV to make payment with a check or money order 
0.75%.)  If you were a  part-year resident using  Form GR-1040TC to             separate from the return. Use Form GR-1040PV-EFT to make a direct 
compute your tax, must mark (X) line 23a and attach Form GR-1040TC to           withdrawal payment separate from the return. Do not complete line 31 of
your return.                                                                    the return form when payment is made using a payment voucher. The 
Line 24 – Payments and Credits                                                  voucher payment and the voucher must be mailed separately, from the
Line 24a – Grand Rapids Tax Withheld by Employers                               return, to: Grand Rapids Income Tax, PO Box 347, Grand Rapids,
The Grand Rapids tax withheld by each of your employers is to be reported       Michigan 49501-0347. The tax is due at the time of filing the return. The tax 
on page 2 on the Excludible Wages and City Tax Withheld Schedule. Total         due return is to be mailed to: Grand Rapids Income Tax, PO Box 107, 
Grand Rapids tax withheld, line 11 of this schedule, is reported on line 24a.   Grand Rapids, Michigan 49501-0107. 
The Form W-2 (Wage and Tax  Statement)  you  received  from each                Line 27 – Overpayment 
employer shows the tax withheld in box 19 and the locality name in box 20.      If the total payments and credits on line 24d exceed the tax on line 23b 
You  must attach a copy of  each Form  W-2 showing the  amount  of              plus the interest and penalty on line 25c, enter the difference, the
GRAND RAPIDS tax withheld and the locality name as Grand Rapids                 overpayment, on line 27, otherwise leave blank. Use lines 28 through 31 to 
(or an equivalent indicating the tax was withheld for Grand Rapids).            indicate what you want done with the refund. You must file the return even 
Credit for tax withheld will not be allowed without a supporting Form W-2.      if there is no tax due, no overpayment or only a slight overpayment. 
Line 24b – Other Tax Payments                                                   Line 28 – Donations 
Enter the total of the following: estimated tax paid, credit forward from past  You may donate your overpayment, or a part of it, to the following:  
tax year,  tax paid with an extension,  tax paid on  your behalf  by a          American flags for veterans’ graves in Grand Rapids (line 28a) or the 
partnership and any credit for tax paid by a tax option corporation.            Grand Rapids Children’s Fund (line 28b). Enter the amount of your
A Grand Rapids resident reporting and paying income tax on flow through         donation on the line for the donation(s) of your choice and enter the total on 
income from a tax option corporation (S corporation) may claim a credit for     line 28d. 
their proportionate share of income tax paid by the tax option corporation to   Line 29 – Credit Forward 
Grand Rapids or another city. This credit may not exceed the amount of          Enter on line 29 the amount of overpayment to credit to the next year. 
income  tax that  the corporation would  pay if  the income  was taxable  in    Line 30 – Refund 
Grand Rapids. Attach documentation of tax paid.                                 Enter on Line 30 the amount of the overpayment to be refunded. 
Line 24c – Tax Credit for Tax Paid to Another City (Residents only)             Please allow 45 DAYS before calling about a refund.        You may choose 
Enter on line 24c the credit for income taxes paid to the another city. If you  to receive your refund by a paper check or as a direct deposit to your bank 
had income subject  to tax in another  city  while  you were a resident  of     account. 
Grand Rapids,  you  may  claim  this  credit.  The  credit  IS  NOT             Refund Check.    If you want a paper check refund, do not complete line 31 
NECESSARILY the tax paid to the other city. This credit must be based on        and a paper check will be issued for the amount on line 30. 
income taxable by both cities, and the credit may not exceed the tax that a 
nonresident of Grand Rapids would pay on the  same income. Base the             Direct Deposit Refund. To have your refund deposited directly into your
credit on the amount of the other city’s tax, not the amount withheld. You      bank account, complete line 31. On line 31a, mark (X) the box “Refund
must attach a copy of the income tax return filed with the other city to        (direct deposit)” and enter the bank routing number on line 31c; the bank 
receive this credit.                                                            account number on line 31d; and the account type on line 31e. 
Line 24d – Total Payments and Credits                                           FORM GR-1040, PAGE 2 INSTRUCTIONS 
Add lines 24a through 24c. Enter the total on line 24d.                         EXEMPTIONS SCHEDULE 
Line 25  –  Interest and  Penalty for  Failure to Make  Estimated Tax           Complete the Exemptions Schedule to report and claim the total number of 
Payments; Underpayment of Estimated tax; or Late Payment of Tax                 personal and dependency exemptions  allowed. Everyone who files a
Nonpayment or underpayment of estimated income tax and late payment             Grand Rapids return gets a personal exemption of $600 for 2020. You may 
of tax is subject to  interest  and penalty.  You  may calculate the amounts    claim an exemption even if someone else claims you as a dependent 
and enter interest on line 25a, penalty on 25b, and the total interest and      on their return. 
penalty  on line 25c  or  the  city  may  calculate  and  assess it. Calculate  Lines 1a - 1c – You and Spouse. Enter your date of birth and mark (X) 
estimated tax interest and penalty using Form GR-2210.                          the exemption box for your regular personal exemption. If filing joint, enter 
                                                                                your spouse’s date of birth and mark (X) the exemption box for your
                                                                                spouse’s regular personal exemption. You may claim an additional
                                                                                exemption if you or your spouse is: 65 years of age or older; or blind. 



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                              2020 GRAND RAPIDS FORM GR-1040 INSTRUCTIONS FOR NONRESIDENTS
                                                                              spouse’s adjusted gross income under the federal Internal Revenue Code) 
Lines 1d  –  Dependents.  You may claim  the same  dependents  you are        and deducted on the federal return are deductible. Child support is not
allowed on your federal return. Enter the names of your dependent children    deductible. Attach a copy of federal return, page 1. 
that live with you,  then  the names of other dependents  and  their          NOTE: The above deductions are limited to the amount claimed on
relationship to you. Provide each dependent’s Social Security number and      your federal return, except meals. The deductions are limited by the 
date of birth. Enter totals on 1f and 1g.                                     extent they apply to income taxable under the Grand Rapids Income 
Lines 1e  -  1h  – Total Exemptions.  Add  the amounts on  1e,  1f and 1g;    Tax Ordinance. Part-year residents must allocate deductions the
enter the total on line 1h; and also enter the total on page 1, line 21a.     same way they allocate income. 
EXCLUDED WAGES AND TAX WITHHELD SCHEDULE                                      Line 6 – Renaissance Zone 
Complete columns  A through F  for each employer or other  source of          The Renaissance Zone deduction may be claimed by: a qualified resident 
wages. In Column A enter T for taxpayer’s of S for spouse’s employer. In      domiciled in a Renaissance Zone;  an individual with income from rental
column B enter the social security number from the employer’s Form W-2,       real estate located in a Renaissance Zone; and an individual proprietor or a 
box a. In column C enter the employer’s ID number from the employer’s         partner in a partnership that has business activity within a Renaissance
Form W-2, box b. If there are no excludible wages from an employer enter      Zone. Individuals who qualify for the deduction must attach Schedule RZ 
a zero (0) in Column D otherwise enter the excluded wages as reported on      of GR-1040  to their return to claim the deduction. Residents are not
the Wages and Excludible Wages Schedule (Attachment  2). Complete             qualified to claim the deduction until they have been domiciled in a
columns  E and F to report Grand Rapids income  tax withheld  by  the         Renaissance Zone for 183 consecutive days. Individuals are not qualified
employer or other source of wages. If no Grand Rapids tax was withheld,       to claim the Renaissance Zone deduction if they are delinquent for any
leave columns E and F blank.                                                  Michigan or Grand Rapids taxes. A Grand Rapids income tax return must 
                                                                              be filed to qualify and claim this deduction. Schedule RZ is available at 
The Wages and Excludible Wages Schedule (Attachment 2) must also be           http://grcity.us/treasury/Income-Tax. 
completed. The total wages reported on The Wages and Excludible Wages 
Schedule must equal the wages reported on page 1, line 1, column A and        Line 7 – Total Deductions 
the total excluded wages on this schedule must equal the amount in the        Add lines 1 through 6. Enter the total on line 7 and on page 1, line 19. 
Excluded Wages and Tax withheld Schedule column d, line 11.                   ADDRESS SCHEDULE 
DEDUCTIONS SCHEDULE                                                           Every taxpayer must complete the Address schedule. Start by listing the
You may deduct amounts that directly relate to income that is taxable by      address used on last year’s return. If this address is the same as listed on 
Grand  Rapids,  prorating  where necessary.  Allowable  deductions  include   page 1, write “Same.” If no 2018 return was filed provide reason none was 
the following line number items:                                              filed. Complete the schedule by listing the addresses of the other principal 
                                                                              residences (domiciles) occupied during 2020. Mark whether the address
Line 1 – Individual Retirement Account (IRA) Contributions                    was for the taxpayer (T), spouse (S) or both (B) and enter the beginning 
Contributions to an IRA are deductible to the same extent deductible under    and ending dates of residence at each. 
the  Internal  Revenue  Code. Attach  page 1  of  federal  return  and 
evidence of contribution, which includes, but is not limited to, one of the   THIRD-PARTY DESIGNEE 
following: a copy of receipt for IRA contribution, a copy of federal          To authorize another person to discuss the tax return information with the 
Form 5498, a copy of a cancelled check that clearly indicates it is for an    Income Tax Department, mark (X) the “Yes” box and enter the person’s
IRA contribution. ROTH IRA contributions are not deductible.                  name, phone number and any five digits as their personal identification
                                                                              number (PIN). To designate the tax preparer, enter “Preparer.” 
Line 2 – Self-Employed SEP, SIMPLE and Qualified Plans 
Self-employed SEP, SIMPLE and qualified retirement plan deductions may        SIGN THE RETURN 
be entered on page 2, Deductions schedule, line 2.                            You must sign and date the return. If filing a joint return, both spouses must 
                                                                              sign and date the return. If someone else prepared the return, they must 
Line 3 – Employee Business Expenses                                           sign it and provide their address and telephone number. 
Employee  business  expenses  are  deductible  only  when  incurred  in  the 
performance of  service  for an  employer and only to  the  extent not                                   NONRESIDENTS 
reimbursed  by  the employer.  Meal expenses are not  subject to the 
reductions and limitations of the Internal Revenue Code. Under the Grand 
Rapids  Income Tax Ordinance meals  must be incurred while away  from         NONRESIDENT INCOME SUBJECT TO TAX: 
home overnight on business.                                                   1. Compensation  for  work done   orservices performed in  Grand  Rapids,
                                                                                 which  includes,  but  is  not  limited  to,  the  following:  salaries, wages,
BUSINESS EXPENSES ARE LIMITED TO THE FOLLOWING:                                  bonuses, commissions, fees, tips, incentive payments, severance pay,
A. Expenses of transportation, but not to and from work.                         vacation pay and sick pay.
B. Expenses of travel, meals and lodging while away from home                 2. Net profits from the operation of an unincorporated business, profession
     overnight on business for an employer.                                      or  other  activity  attributable  to  business  activity  conducted  in  Grand
C. Expenses incurred  as an “outside salesperson”  away from  the                Rapids, whether or not such business is located in Grand Rapids. This
     employer's place of business. This does not include driver-                 includes business interest income  from business activity in Grand
     salesperson whose primary duty is service and delivery.                     Rapids.
D. Expenses reimbursed by employer from an expense account or other
     arrangement if included in gross earnings.
NOTE:  Other business expenses  (besides items A and B)  are not              3. Gains or losses from the sale or exchange of real or tangible personal
allowed unless taxpayer qualifies as an outside salesperson.                     property located in Grand Rapids.
Complete the Employee Business Expense Deduction worksheet to                 4   Net profits from the rental of real or tangible personal property located in 
support the claimed Employee Business Expense deduction.                         Grand Rapids. 
Line 4 – Moving Expenses                                                      5  . Premature distributions from an Individual Retirement Account (IRA)
This deduction has been greatly limited by the US Tax Cuts and Jobs Act.         where a deduction was claimed on a current or previous year’s Grand
Qualified  moving  expenses  for  moving  into  the  Grand  Rapids  area  are    Rapids income tax return.
deductible to the same extent deductible under the Internal Revenue Code.     6. Premature distributions  from a pension plan attributable to  work
Moving must be related to starting work in a new location. Attach a copy         performed in Grand Rapids.
of the Moving Expense  Deduction Worksheet,  Form GR-3903,  to                7. Deferred compensation earned in Grand Rapids.
support the claimed moving expense deduction.                                 Line 1 – Wages, Salaries, Tips, Etc. 
Line 5 – Alimony Paid                                                         All wages of a nonresident are to be reported on the Wages and Excludible 
This deduction has been limited by  the US Tax Cuts and Jobs Act.             Wages  Schedule.  The  total  wages  from  line  22  of  this  schedule  is  the 
Qualified  separate  maintenance  payments,  alimony,  and  principal  sums    amount reported on Form GR-1040, page 1, line 1, column A. The total 
payable in installments (to the extent includable in the spouse's or former   wages  should  be  the  same  as  the  wages  reported  on  your  federal  tax 
                                                                              return (Form 1040, Form 1040A or Form 1040EZ).  



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                                   2020 GRAND RAPIDS FORM GR-1040 INSTRUCTIONS FOR NONRESIDENTS
All  W-2  forms  showing income  earned  in  Grand  Rapids  and/or  tax            capital  losses  may  be  carried  over  to  future  tax  years. The  capital  loss 
withheld for Grand Rapids must be attached to the return.                          carryover for Grand Rapids may be different than the carryover for federal 
Report on page 1, line 1, column B, the total excluded wages from Line 16          income tax purposes. 
of the Wages, Excludible Wages and City Tax Withheld schedule.                     Deferred capital gain income from installment sales and like-kind exchange 
All  excluded  wages  must be documented on the Wages and  Excludible              of property located in Grand Rapids are taxable in the year recognized on 
Wages Schedule and listed, by employer, on the Excluded Wages and Tax              the taxpayer’s federal income tax return. 
Withheld  Schedule  on  Form GR-1040,  page  2.  On  the  Wages  and               Flow  through  income  or  loss  from  an  S  corporation  reported  on  a 
Excludible  Wages  schedule,  line  7,  list  the  address  of  the  work  station nonresident’s federal  Schedule D  is excluded on the  Exclusions and 
where you performed the work for the employer and on line 19, enter the            Adjustments to  Capital Gains  or  (Losses)  schedule        Attach copies of 
reason the wages are excludible.                                                   federal Schedule K-1 (Form 1120S). 
Do not use box 18 of W-2 form to report taxable wages or to allocate               Use the Exclusions and Adjustments to Capital Gains or (Losses) schedule 
wages, use all wages reported on your federal return as the allocation             to compute exclusions and adjustments to capital gains. NOTE: A common 
basis.   A separate wage allocation must be completed for each employer.           error  on  a  nonresident  return  is  failure  to complete  the  Exclusions  and 
Wages are normally allocated using the actual number of days or hours              Adjustments schedule to exclude the capital loss carryover reported on the 
worked in and outside of Grand Rapids during the tax year for an employer.         taxpayer’s federal income tax return. 
Vacation time, sick time and holidays are not included in total days worked        Line 8 – Other Gains or (Losses) 
in arriving at  the wage allocation percentage.  Vacation  pay,  holiday pay,      A nonresident’s other gains and losses are included in taxable income to 
sick  pay,  bonuses,  severance  pay,  etc.  are  taxable  to  same  extent  as    the extent the gains or losses are from property located in Grand Rapids. 
normal earnings.                                                                   Deferred other gains and losses  from installment  sales and like-kind 
100% Earned in  Grand Rapids.        All wages,  salaries, tips,  sick pay,        exchanges  of property  located in Grand  Rapids  are taxable  in the  year 
bonuses, deferred compensation, severance pay, and other compensation              recognized  on  the  taxpayer’s  federal  income  tax  return.  Deferred  other 
(Form W-2, boxes 1 and 8) is taxable to nonresidents who worked 100% of            gains must be supported by attaching a copy of federal Form 6252 and/or 
the time in Grand Rapids.                                                          Form 8824. 
Wage Allocation. Nonresidents who performed only part of their services            Flow  through  income  or  loss  from  an S  corporation  reported  on  federal 
for an employer in the Grand Rapids must allocate their wages.  Use the            Form 4797 is excluded on the Exclusions and Adjustments to Other Gains 
Nonresident and Part-Year Resident Wage Allocation section of the Wages            and  (Losses)  schedule.  Attach  copies of federal  Schedule  K-1 (Form 
and Excludible Wages Schedule.                                                     1120S). 
Wage Allocations on Commissions, Etc. A nonresident salesperson paid               Nonresidents  reporting  other  gains  and  losses must  attach  a  copy  of 
on a  commission basis or other  results  achieved should  allocate wages          federal Form 4797.       Use the Exclusions and Adjustments to Other Gains 
based  on commissions received  or other results achieved attributable to          and Losses schedule to  compute exclusions and adjustments to  other 
efforts expended in  Grand Rapids. A nonresident insurance  salesperson            gains and losses reported on the federal income tax return. On line 4 of the 
paid sales  commissions and  renewal  commissions should  allocate                 schedule enter the total excluded other gains or losses and also enter this 
compensation  on  the following basis:  Allocate  commissions from  life,          total on page 1, line 8, column B. 
health,  accident  and  vehicle  (auto)  insurance  based  on  the  location       Line 9 – IRA Distributions 
(residence) of the purchaser. Allocate commissions from group insurance            That portion of a premature IRA distribution that was deducted from Grand 
based on the location of  the group. Allocate  commissions from fire and           Rapids taxable income in the current or a prior tax year (reported on Form 
casualty insurance based on the location of the risk insured.                      1099-R,  box 7,  distribution code  1)  are taxable to a nonresident.  IRA 
Line 2 – Interest                                                                  distributions received after age 59 ½ or described by Section 72(t)(2)(A)(iv) 
Non-business interest income of a nonresident is not taxable. Exclude all          of the IRC are not taxable. 
non-business interest income. No explanation needed.                               Line 10 – Taxable Pension Distributions 
Interest income that is business  income from business activity in Grand           Premature pension plan distributions (those received by a nonresident prior 
Rapids is taxable and must be reported. Attach a schedule showing source           to  qualifying  for  retirement)  are  taxable  to  the  same  extent  the  normal 
and computation of taxable and nontaxable interest income.                         wages from the employer are taxable. 
Line 3 – Dividends                                                                 A  nonresident  remaining  employed  by  the  particular  employer  in  Grand 
NOT TAXABLE. Exclude all dividend income. No explanation needed.                   Rapids  may  not  exclude  amounts  received  from  deferred  compensation 
Line 4 – Taxable Refunds, Credits or Offsets                                       plans that let the employee set the amount to be put aside and do not set 
                                                                                   retirement age or requirements for years of service. These plans include, 
NOT TAXABLE. Exclude all. No explanation needed.                                   but are not limited to, plans under Sections 401(k), 457 and 403(b) of the 
Line 5 – Alimony Received                                                          Internal Revenue Code (IRC): Amounts received before the recipient could 
NOT TAXABLE. Exclude all. No explanation needed.                                   retire  under  the  plan  provisions,  including  amounts  paid  on  separation, 
Line 6 – Profit or (Loss) from a Business, Etc. 
Profit or loss from the operation of a business or profession is taxable to 
the extent it results from work done, services rendered or other business          withdrawal or discontinuance of the plan.  Amounts received as early 
activities conducted in Grand Rapids. Report on page 1, line 6, column A,          retirement incentives, unless the incentives were paid from a pension trust. 
business income reported taxable on your federal return.                           Form  1099-R,  box  7,  code  8,  Excess  contributions  or  excess  deferrals 
The Exclusions and Adjustments to Business Income schedule is used to              taxable in current tax year are taxable to a nonresident to the same extent 
exclude business income. The total excluded business income from line 5            and on the same basis as the normal earning from the specific employer 
of this schedule is also entered on page 1, line 6, column B. If a business        are taxable.  Note:  Form 1099-R, box 7,  code P, reports  excess 
operates both in and outside of Grand Rapids, the taxable profit or loss is        contributions  or  excess  deferrals  taxable  in  the  prior  tax  year  and  may 
determined using the three factor Business Allocation Formula.                     require a nonresident to file an amended return for the prior tax year. 
Where  no  work  is  done, services rendered or  other business  activity  is      See  Line  10  under  “Residents”  for  additional  information  on  nontaxable 
conducted  in  Grand  Rapids,  the  profit  or  loss  is  entirely  excluded.      pension and retirement benefits. 
Complete the Exclusions and Adjustments to Business Income schedule to             Excludible  pension  distributions  are  listed  on  the  Exclusions  and 
exclude profit or loss from the operation of a business.                           Adjustments to Pension Income schedule. Enter the total excluded pension 
A Grand Rapids net operating loss carryover from the previous tax year is          distributions on the last line of the schedule and also enter the amount on 
reported on page 1, line 16, column C. See instructions for line 16.               page 1, line 10, column B. 
Line 7 Capital Gains or (Losses)                                                 Line  11  Rental  Real Estate,  Royalties,  Partnerships,  S  Corporations, 
Capital gains or losses of a nonresident are included in taxable income to         Estates, Trusts, Etc. 
the extent the gains or losses are from property located in Grand Rapids.          All income reported on the federal Schedule E that comes from business 
Capital losses from property  located in Grand Rapids  are allowed to the          activity in Grand Rapids or property located in Grand Rapids is taxable to 
same extent they are allowed under the Internal Revenue Code. Unused               nonresidents. When an estate or trust has taxable income in Grand Rapids, 



- 6 -
                           2020 GRAND RAPIDS FORM GR-1040 INSTRUCTIONS FOR NONRESIDENTS
the estate or  trust must file a  return and pay tax on distributions to 
nonresidents and on undistributed taxable income. 
The following income reported on federal Schedule E is excludable: income 
from  business  activity or property outside Grand Rapids  including royalty 
income upon which Michigan severance tax was paid; S corporation flow 
through income or loss reported on Schedule E; and income from estates 
and trusts. 
Explain all exclusions on the Exclusions and Adjustments to Income from 
Rental Real  Estate, Royalties, Partnerships, S Corporations, Trusts, Etc. 
schedule. On line 6 of  this  schedule enter the total exclusions and 
adjustments; enter also on page 1, line 11, column C. 
Line 12 – Reserved – Not used 
Line 13 – Farm Income or (Loss) 
A nonresident’s profit or loss  from a  farm are included in  Grand  Rapids 
income  to the extent  the profit or loss  results  from work done,  services 
rendered or other activities conducted in Grand Rapids. The portion of the 
profit or loss reported on the Grand Rapids return is determined by use of 
the  three  factor Farm  Allocation Percentage formula. Where  no  work  is 
done, services rendered or other business activity is conducted in Grand 
Rapids, the entire farm profit or loss is excluded, using the Exclusions and 
Adjustments to Farm Income schedule. 
Sales of  crops at the produce market, any of the  farmer’s markets or a 
produce stand  located in  the city  is Grand Rapids business activity and 
subjects the farm to Grand Rapids income tax. 
Line 14 – Unemployment Compensation 
NOT TAXABLE. Exclude all. No explanation needed. 
Line 15 – Social Security Benefits 
NOT TAXABLE. Exclude all. No explanation needed. 
Line 16 – Other Income 
Other  income  is  taxable  if  it  is  from  work  performed  or  other  activities 
conducted in Grand Rapids. Use the Exclusions and Adjustments to Other 
Income schedule to document exclusions and adjustments. Report on this 
line a Grand Rapids-related net operating loss carryover from the previous 
tax year.  
Line 17 – Reserved – Not used 
Line 18 – Total Income 
Add lines 1 through 16 of each column and enter amounts on line 18. 
Line 19 – Total Deductions 
Enter amount from  Deductions schedule, page 2, line 7. A nonresident’s 
deductions are limited by the extent they relate to income taxable under the 
Grand  Rapids  Income Tax  Ordinance.  Nonresidents  must allocate 
deductions  the  same way related income is allocated.  See Deductions 
schedule (page 2 instructions) for a list of allowable deductions. 

                                                         Revised 10/21/2020 



- 7 -
GR-1040                              GRAND RAPIDS                                                       2020                                               20MI-GRR-1040N-1
                                INDIVIDUAL RETURN DUE APRIL 30, 2020
Taxpayer's SSN                       Taxpayer's first name                          Initial Last name                                         NON-RESIDENT TAX FORM

Spouse's SSN                         If joint return spouse's first name            Initial Last name

Mark (X) box if  deceased            Present home address (Number and street)                                           Apt. no.
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
Check here if you itemized                                                                                                                    Spouse's full name if married filing separately
in 2020
                          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)                    Mark if federal  
               (Attach copy of fed. Sch. D) 7a.          Sch. D not required           7                              .00                                  .00                               .00
          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 GR-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 Grand Rapids resident tax rate of 1.5% (0.015) or nonresident tax rate of 0.75% 
          23. Tax at {tax rate}      (0.0075) and enter tax on line 23b, or if using Schedule TC to compute tax, mark (X) box 23a and 
                                     enter tax from Schedule TC, line 23c)                                                                23a              23b                               .00
               Payments               Grand Rapids 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) MAKE CHECK OR MONEY ORDER 
CHECK OR  TAX             26. PAYABLE TO: CITY OF GRAND RAPIDS, OR TO PAY WITH A DIRECT WITHDRAWAL, mark (X) pay                              PAY WITH
MONEY     DUE              tax due, line 31b, and complete lines 31c, d & e)                                                                  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             Flags for Veterans graves in GR     Grand Rapids Childrens Fund
          28. overpayment                                                                                                                     Total  
               donated    28a                            .00         28b                          .00      28c                                donations 28d                                  .00
          29. Amount of overpayment credited forward to 2020                                                              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
                                            31a          Refund                      31c  Routing 
               Direct deposit refund                     (direct deposit)                 number
          31.  (Mark (X) box 31a and                     Pay tax due                31d   Account 
               complete lines 31c, 31d      31b          (direct withdrawal)              number
               and 31e)
                                                                                    31e   Account Type:         Checking                   Savings
          MAIL REFUND & CREDIT FORWARD RETURNS TO: GRAND RAPIDS INCOME TAX DEPT, PO BOX 106, GRAND RAPIDS, MI  49501-0106                                       Revised: 08/25/2014
          MAIL TAX DUE & OTHER RETURNS TO: GRAND RAPIDS INCOME TAX DEPARTMENT, PO BOX 107, GRAND RAPIDS, MI  49501-0107



- 8 -
GR-1040, PAGE 2                                         Taxpayer's name                                                    Taxpayer's SSN
                                                                                                                                                                                          20MI-GRR-1040N-2
                                                                                                                                                                                                    c
EXEMPTIONS                                                 Date of birth (mm/dd/yyyy)                             Regular  65 or over         Blind
SCHEDULE                                     1a.  You                                                                                                                                       1e. Enterboxesthecheckednumberon of  
                                             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               COLUMN F
#                       T or S    SOCIAL SECURITY NUMBER EMPLOYER'S ID NUMBER                                    EXCLUDED WAGES                   FAILURE TO         GRR TAX WITHHELD                             LOCALITY NAME
                                  (Form W-2, box a)       (Form W-2, box b)                       (Attach Excluded Wages Sch)                     ATTACH W-2         (Form W-2, box 19)                      (Form W-2, box 20)
 1.                                                                                                                             .00           FORMS TO PAGE                                          .00
 2.                                                                                                                             .00               1 WILL DELAY                                       .00
 3.                                                                                                                                           PROCESSING OF 
                                                                                                                                .00               RETURN.  WAGE                                      .00
 4.                                                                                                                             .00               INFORMATION                                        .00
 5.                                                                                                                             .00               STATEMENTS                                         .00
 6.                                                                                                                                               PRINTED FROM 
                                                                                                                                .00                 TAX                                              .00
 7.                                                                                                                             .00               PREPARATION                                        .00
 8.                                                                                                                             .00               SOFTWARE ARE                                       .00
 9.                                                                                                                                                 NOT 
                                                                                                                                .00               ACCEPTABLE.                                        .00
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 schedule 1 of federal return & evidence of payment)                                                                                1                                        .00
 2.                     Self-employed SEP, SIMPLE and qualified plans  (Attach copy of schedule 1 of federal return)                                                                      2                                        .00
 3.                     Employee business expenses  (See instructions and attach deduction worksheet)                                                                                     3                                        .00
 4.                     Moving expenses  (Into Grand Rapids area only)  (Attach copy of federal Form 3903)                                                                                4                                        .00
 5.                     Alimony paid  (DO NOT INCLUDE CHILD SUPPORT.  Attach copy of schedule 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 this           FROM                       TO
                                  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                       Daytime phone number                  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  
                                                                                                                                                                                          number                  GRR20
                                                                                                                                                                                                                  Revised: 09/19/2016



- 9 -
GR-1040                              GRAND RAPIDS                                                       2020                                               20MI-GRR-1040N-1
                                INDIVIDUAL RETURN DUE APRIL 30, 2020
Taxpayer's SSN                       Taxpayer's first name                          Initial Last name                                         NON-RESIDENT TAX FORM

Spouse's SSN                         If joint return spouse's first name            Initial Last name

Mark (X) box if  deceased            Present home address (Number and street)                                           Apt. no.
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
Check here if you                                                                                                                             Spouse's full name if married filing separately
itemized in 2020
                          ROUND ALL FIGURES TO NEAREST DOLLAR                                      Column A                                Column B              Column C
          INCOME                     (Drop amounts under $0.50 and increase                      Federal Return Data               Exclusions/Adjustments       Taxable Income
                                     amounts from $.50 to $0.99 to next dollar)
          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)                    Mark if federal  
               (Attach copy of fed. Sch. D) 7a.          Sch. D not required           7                              .00                                  .00                               .00
          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 GR-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 Grand Rapids resident tax rate of 1.5% (0.015) or nonresident tax rate of 0.75% 
          23. Tax at {tax rate}      (0.0075) and enter tax on line 23b, or if using Schedule TC to compute tax, mark (X) box 23a and 
                                     enter tax from Schedule TC, line 23c)                                                                23a              23b                               .00
               Payments               Grand Rapids tax withheld      Other tax payments (est, extension,        Credit for tax paid           Total 
          24. and                                                    cr fwd, partnership & tax option corp)          to another city          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
                          Amount you owe (Add lines 23b and 25c, and subtract line 24d) MAKE CHECK OR MONEY ORDER 
ENCLOSE   TAX             26. PAYABLE TO: CITY OF GRAND RAPIDS, OR TO PAY WITH A DIRECT WITHDRAWAL, mark (X) pay                              PAY WITH
CHECK OR 
MONEY     DUE             tax due, line 31b, and complete lines 31c, d & e)                                                                   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             Flags for Veterans graves in GR     Grand Rapids Childrens Fund
          28. overpayment                                                                                                                     Total  
               donated    28a                            .00         28b                          .00      28c                                donations 28d                                  .00
          29. Amount of overpayment credited forward to 2020                                                              Amount of credit to 202 1>> 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
                                            31a          Refund                      31c  Routing 
               Direct deposit refund                     (direct deposit)                 number
          31.  (Mark (X) box 31a and                     Pay tax due                31d   Account 
               complete lines 31c, 31d      31b          (direct withdrawal)              number
               and 31e)
                                                                                    31e   Account Type:         Checking                   Savings
          MAIL REFUND & CREDIT FORWARD RETURNS TO: GRAND RAPIDS INCOME TAX DEPT, PO BOX 106, GRAND RAPIDS, MI  49501-0106                                       Revised: 08/25/2014
          MAIL TAX DUE & OTHER RETURNS TO: GRAND RAPIDS INCOME TAX DEPARTMENT, PO BOX 107, GRAND RAPIDS, MI  49501-0107



- 10 -
GR-1040, PAGE 2                                                 Taxpayer's name                                                   Taxpayer's SSN
                                                                                                                                                                                          20MI-GRR-1040N-2
                                                                                                                                                                                                    c
EXEMPTIONS                                                              Date of birth (mm/dd/yyyy)                Regular        65 or over     Blind
SCHEDULE                                     1a.  You                                                                                                                                       1e. Enterboxesthecheckednumberon of  
                                             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                        EXCLUDED COLUMNWAGESD                                  GRR COLUMNTAX WITHHELDE                   COLUMN F
#                       T or S    SOCIAL(FormSECURITYW-2, boxNUMBERa) EMPLOYER'S ID NUMBER          (Attach Excluded Wages Sch)                   FAILURE TO            (Form W-2, box 19)                   (FormLOCALITYW-2, boxNAME20)
                                                                       (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 deduction worksheet)                                                                                     3                                        .00
 4.                     Moving expenses  (Into Grand Rapids 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 this           FROM                       TO
                                  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                       Daytime phone number                  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  
                                                                                                                                                                                          number                  GRR20
                                                                                                                                                                                                                  Revised: 09/19/2016



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If you were out due to COVID you can use this allocation.  Below you will find an area where it must be signed by a supervisor or your HR Manager.  
To be completed by Employee
Taxpayer's name                                                   Taxpayer's SSN
                                                                                                                  2020 Grand Rapids                                  CF-Emplr
Employer Name                                                     Employer Federal ID number Pay Type                                                       Job Title
                                                                                             Hourly               Salary                Commission
NON-RESIDENT Wage Allocation - 2020 Tax Year
Stay at Home Order Implications- must be completed for each employer for which you are allocating wages.                                                             Revised 09/20/2020
ALLOCATION TEST WORKSHEET
Check the box(es) below that apply.
  1. Were you laid off during the stay at home order and did you collect unemployment? 1 Yes No                   If Yes, enter dates   From ___/___/___             To ___/___/___
  2. Were you paid by your employer but did not perform any work?               2        Yes No If Yes, enter dates                     From ___/___/___             To ___/___/___
  3. Were you paid by your employer and only answered occasional emails, had    3        Yes No If Yes, enter dates                     From ___/___/___             To ___/___/___
  occasional work-related phone conversations and/or were on call?
  4. Did you work by remote from your home outside of the taxing City for hours 4        Yes No                   If Yes, enter dates   From ___/___/___             To ___/___/___
  approximating your regular shift?
                        No  You cannot allocate your wages as a non-resident.  *please see explanation below
  Did you 
5 answer Yes to             Wage allocation is allowed to the extent that you worked remotely not including any sick/vacation you may have taken.  Use the 
  question 4?               wages and excludible wage schedule to calculate the exclusion based only on the dates shown  on line 4.  A signed copy of this 
                        Yes worksheet must be attached to your return or your wage allocation will be disallowed.  See below for additional support that may be 
                            required.
     Under the penalty of perjury, I declare that I have examined this form, 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. I understand that this 
     information will be verified with my employer.
SIGN 
HERE Employee Signature                                   Date (MM/DD/YY)                Taxpayer's occupation    Daytime phone number
===>

Explanation of why questions 1 to 3 are not part of the allocation.
1) Days out of work are not considered to be days worked.  Unemployment compensation is not taxable and is not reported on your W-2.
2) No wage allocation is allowed, because days at home are not considered to be days worked.  These days fall under the same category as vacation/sick time.
3) No wage allocation allowed unless taxpayer was called in (i.e. worked remotely for hours approximating their regular shift).  This appears to fall under many City Regulations as follows: The mere fact 
that a non-resident employee is subject to call at any time does not permit the allocation of compensation on a seven day per week basis.  The mere fact that a non-resident employee is compensated 
on a seven day per week salary basis, when he/she does not in fact perform work or render services seven days per week, does not permit the allocation of compensation on a seven day per week 
basis.  The mere fact that a non-resident employee takes work home does not permit the allocation of compensation.

To be completed by employer.

1 Do you agree with the statements made by your employee?                       1        Yes No

2 Is work from home now permanent?   2             Yes            No            If Yes, did you stop withholding?                   Yes No
SIGN Employer Signature                                   Date (MM/DD/YY)                                         Daytime phone number
HERE 
===>



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City of Grand Rapids Withholding Tax Schedule Filer’s Full Social Security Number                                          -               -

                NONRESIDENTS ONLY
      PART 3: WAGE ALLOCATION FOR NONRESIDENTS
      Part 3 applies only to Nonresidents computing wages earned in Grand Rapids. Do not complete Part 3 if all of your work is performed in Grand Rapids
      because all wages are subject to tax. See instructions for additional information and definition of “days worked”.
      Residents do not complete Part 3 because all wages are subject to tax.
      A separate computation must be made for each W-2. If both filer and spouse have income subject to allocation, figure them separately.
      Include only wages allocated to Grand Rapids in column H below.
      * Add all amounts in Column H and put on line 1 Column C on the 1040NR
      A         B             C               D                             E                  F                        G                   H
Employer 1      Number of     Number of       Actual number
                days paid     vacation days,  of days worked         Actual       Percentage of                                      Wages earned in Grand 
                (5 day week x holidays, and   everywhere.            number of days worked in      Total wages shown on W-2 Rapids
Enter “X” for:  52 weeks      other days not  Subtract       days worked in       Grand Rapids     (City Schedule W)                 Multiply G by percentage
Filer or Spouse = 260 days)   worked.         C from B.      Grand Rapids      Divide E by D.      (see instructions)                       in F.
Filer Spouse                                                                                     %                           00                            00

                If column B is not 260 days, enter reason.
                Federal ID #                  Actual work location:

                days paid     vacation days,  of days worked         Actual       Percentage of
Employer 2      Number of     Number of       Actual number                                                                          Wages earned in Grand 
                (5 day week x holidays, and   everywhere.            number of days worked in      Total wages shown on W-2 Rapids
Enter “X” for:  52 weeks      other days not  Subtract       days worked in       Grand Rapids     (City Schedule W)                 Multiply G by percentage
Filer or Spouse = 260 days)   worked.         C from B.      Grand Rapids      Divide E by D.      (see instructions)                       in F.
Filer Spouse                                                                                     %                           00                            00

                If column B is not 260 days, enter reason.
                Federal ID #                  Actual work location:
Employer 3      Number of     Number of       Actual number
                days paid     vacation days,  of days worked         Actual       Percentage of                                      Wages earned in Grand 
                (5 day week x holidays, and   everywhere.            number of days worked in      Total wages shown on W-2 Rapids
Enter “X” for:  52 weeks      other days not  Subtract       days worked in       Grand Rapids     (City Schedule W)                 Multiply G by percentage
Filer or Spouse = 260 days)   worked.         C from B.      Grand Rapids      Divide E by D.      (see instructions)                       in F.
Filer Spouse                                                                                     %                           00                            00

                If column B is not 260 days, enter reason.
                Federal ID #                  Actual work location:
Employer 4      Number of     Number of       Actual number
                days paid     vacation days,  of days worked         Actual       Percentage of                                      Wages earned in Grand 
                (5 day week x holidays, and   everywhere.            number of days worked in      Total wages shown on W-2 Rapids
Enter “X” for:  52 weeks      other days not  Subtract       days worked in       Grand Rapids     (City Schedule W)                 Multiply G by percentage
Filer or Spouse = 260 days)   worked.         C from B.      Grand Rapids      Divide E by D.      (see instructions)                       in F.
Filer Spouse                                                                                     %                           00                            00

                If column B is not 260 days, enter reason.
                Federal ID #                  Actual work location:
Employer 5      Number of     Number of       Actual number
                days paid     vacation days,  of days worked         Actual       Percentage of                                      Wages earned in Grand 
                (5 day week x holidays, and   everywhere.            number of days worked in      Total wages shown on W-2 Rapids
                52 weeks      other days not  Subtract       days worked in       Grand Rapids     (City Schedule W)                 Multiply G by percentage
Filer or Spouse = 260 days)   worked.         C from B.      Grand Rapids      Divide E by D.      (see instructions)                       in F.
Filer Spouse                                                                                     %                           00                            00

                If column B is not 260 days, enter reason.
                Federal ID #                  Actual work location:
Total taxable wages from all employers and other sources (add column H); enter here and also on Form GR-1040, page 1, line 1, column 
C; part-year residents enter here and allocate on Schedule TC, line 1, between columns C and D)



- 13 -
GRAND RAPIDS INCOME TAX DEPT. 
300 Monroe Ave NW 
Grand Rapids, MI  49503 

PLEASE REMEMBER TO: 

 Sign your return.  If a joint return, both spouses must sign even if only one had income subject to
  Grand Rapids income tax.

 Attach copies of Form(s) W-2.  If you are claiming a credit for Grand Rapids withholding, the locality
  name on your W-2 must be Grand Rapids.






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