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                                                                                                    PRSRT STD
                                                                                                    US Postage
                                                                                                    PAID
City of Hamtramck                         2020 HAMTRAMCK                                                          NT
Income Tax Department
                                          INDIVIDUAL INCOME TAX
P.O. Box 209
Eaton Rapids, MI 48827-0209           FORMS AND INSTRUCTIONS
                                          For use by individual residents,
Form H-1040
                                      part-year residents and nonresidents

                                          – IF LABEL APPEARS BELOW

IMPORTANT

PLEASE PEEL OFF LABEL AND
AFFIX TO AREA DESIGNATED
ON INCOME TAX RETURN.

CITY OF HAMTRAMCK INCOME TAX                                                                        2020

            ALL PERSONS HAVING HAMTRAMCK TAXABLE INCOME IN 2020 MUST FILE A RETURN
                                      TAX RETURNS ARE DUE APRIL 30, 2021

                                            MAILING ADDRESS
            BALANCE DUE RETURNS                                             ALL OTHER RETURNS
            City of Hamtramck 1040 Payments                                 City of Hamtramck
            P.O. Box 209                                                    P.O. Box 209
            Eaton Rapids, MI   48827                                        Eaton Rapids, MI   48827

TAX RATES            Resident: 1%
                     Nonresident: 0.5%
EXEMPTIONS           Exemption value: $600

                     Tax must be paid at the time you file your return if you owe $1.00 or more.
PAYMENT
OF TAX DUE           NOTE: If you are paying $100.00 or more with your 2020 return, you may need to make estimated income tax
                     payments for 2021. See page 2 for instructions.
                     Make check or money order payable to: CITY OF HAMTRAMCK

YOUR RETURN          Tax returns are due April 30, 2021.
                     Forms are available online at www.hamtramck.us.

                     For assistance contact the Hamtramck Income Tax Department at 3401 Evaline Ave, Hamtramck, Michigan or call
CONTACT US           (313) 870-9366.

                     Failure to attach documentation or attaching incorrect or incomplete documentation will delay
                     processing of the return or result in corrections being made to the return.



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                                                                           Page 2 of 6 
                                                                                             
                                                Schedule TC to the return.                                                                RESIDENCY STATUS 
Schedule TC to compute your tax, mark (X) line 23a and attach                                                         Mark the box to indicate your filing status.
is 0.50%.) If you were a resident for only part of  the  year  and  used                                          an attachment that states your actual residence.
enter it on line 23b. (The resident tax rate is 1.0%. The nonresident rate         PO Box, or an address that is not your legal residence, you must add 
Multiply line 22 by the appropriate tax rate to compute tax liability, and          address under Present home address. If using a current                  Enter your 
                                                                 ine 23 – Tax L                                                        line of return.    signature
 Subtract line 21b from line 20. If line 21b is greater, enter zero.               signature area; and enter the date of death in the  box on  the 
                               Line 22 – Total Income Subject to Tax               1310 or a copy of the death certificate; write deceased  in  the 
                                                           product on line 21b.      If the taxpayer or spouse is deceased: attach a copy of federal Form 
line  1h)  on  line  21a and multiply line 21a by $600.00 and enter the                               Enter your name and, if a joint return, your spouse’s name.
Enter  the  total  number  of exemptions (page 2, Exemptions schedule,                                                                    attached to your return.
                                                     Line 21 – Exemptions          social security number must agree with the SSN on the Form(s) W-2 
                                                 18. from lineSubtract line 19      Your Always write your social security number(s) on the return.  
                               Line 20 Total Income after Deductions–                                            NAME, ADDRESS, SOCIAL SECURITY NUMBER 
Enter the total deductions from line 7 of Deductions schedule, page 2.                                                   COMPLETING YOUR RETURN 
                                                Line 19 – Total Deductions                                                                      and the Ordinance. 
                                                     Add lines 1 through 17.       Ordinance will prevail in any disagreement between these instructions 
                                                   ine 18 – Total Income L         Ordinance,  MCLA  141.601  et seq. The Hamtramck Income Tax 
                                                     Add lines 2 through 16.       These instructions are interpretations of the Uniform City Income Tax 
                                                Line 17 – Total Additions                                                                           DISCLAIMER 
                                           Support figures with schedules.                  minimum     combined charge for interest and penalty is $2.00.The
Subtract  column B from column A and enter difference in column C.                 interest at the rate of 1% above the prime rate on an annual basis.    bear
               Lines 1 - 16, Column C – Figure Taxable Income                      penalty  of  1%  per month, not to  exceed a total  penalty of 25%, and 
                            adjustments or deductions being disallowed.            All tax payments remaining unpaid after they are due are liable  to  a 
delay  processing  of  your return or result in tax withheld, exclusions,                                                       CHARGES FOR LATE PAYMENTS 
Failure  to attach or attaching incomplete supporting information will                               Income Tax, P.O. Box 209, Eaton Rapids, MI 48827-0209.
tax withheld, exclusions, adjustments or deductions must be provided.              change must be explained. Mail amended returns to: Hamtramck 
NOTE: Schedules, attachments and other  documentation  that  support               schedules supporting the changes should accompany the filing. Every 
 Lines 1 – 16, Columns &A B – Federal Data and Exclusions                          original return when totaling amended return payments and credits. All 
                                   Round all figures to the nearest dollar.        schedule, line 4; Include the tax paid and subtract refunds  from  the 
                          TOTAL INCOME AND TAX COMPUTATION                         refunds received to the left of the box on page 2, Payments and Credits 
                                                                                   or  refunds  received from the original return. Write in the tax paid or 
               FORM H-1040, PAGE 1, INSTRUCTIONS                                   change and pay the tax due. An adjustment must be made for tax paid 
               tax, and penalty for early withdrawal of savings.                   taxable income, you must file an amended return within 90 days of the 
self-employed health insurance deduction, one-half or self employment              top of the return. If a change on your federal return affects Hamtramck 
the Hamtramck return: student loan interest, Archer MSA  deduction,                 at the AMENDEDFile amended returns using the H-1040 Clearly mark 
etc. In addition, the following federal adjustments are not deductible on                                                                 AMENDED RETURNS 
medical  expenses,  charitable  contributions, casualty and theft losses,                               the failure to pay on time was due to reasonable cause. 
 allow deductions for items such as taxes, interest, notHamtramck does             understated by more than 5% of tax or the corporation can show that 
 ITEMS NOT DEDUCTIBLE ON THE HAMTRAMCK TAX RETURN                                  Income Tax Administrator if the tax paid by the original due date is not 
                                           7.  City, state and federal refunds.    extension  of  time  to  file  is granted. Penalty may be waived by the 
(Michigan lottery prizes won after December 30, 1988 are taxable.)                 notified. Interest and penalty is charged on taxes paid late even if an 
6.  Michigan Lottery prizes won on or before December 30,  1988.                   assumed that the extension is automatically granted  unless  otherwise 
                         including Reserve and National Guard pay.                 When an extension form is filed and the balance due is paid, it may be 
5.  Military pay of members of the armed forces of the  United  States,                                                                                   due. 
               the sales of obligations of the United States.                       An extension does not extend the time for paying the tax payments.
subordinate units of government of the states and gains or losses on               extension with payment is not a substitute for making  estimated  tax 
4.  Interest  from  obligations of the United States, the states or                made and the tentative tax due must be paid (MCL 141.664). Filing an 
                                                unemployment benefits.             filing  a  Hamtramck  extension. Application for an extension must be 
3.  Welfare  relief, unemployment compensation and supplemental                    Applying  for  a  federal extension does not satisfy the requirement for 
 are taxed the same as under the Internal Revenue Code).                           Automatic Extension of Time to File an Individual Income Tax Return. 
(Payments from a health and accident policy  paid  by  an  employer                months.  To  apply for an extension, file Form H-4868, Application for 
2.  Proceeds of insurance where the  taxpayer  paid  policy  premiums.             income tax return may be extended for a period not to  exceed  six 
                                                after reaching age 59½.            Returns are due on or before April 30, 2021. The due date of the annual 
pensions), Individual Retirement Account (IRA) distributions received                                                           DUE DATE AND EXTENSIONS 
1  Social security, pensions and annuities  (including  disability 
            Hamtramck does not tax the following types of income:                                                        the year, you still must file a tax return. 
            INCOME EXEMPT FROM HAMTRAMCK INCOME TAX                                If you have made estimated tax payments and do not owe more tax for 
  box and enter the spouse’s full name in the filing status box.                       of estimated tax will result in assessment of penalty and interest. 
separately, enter spouse’s Social Security number in the spouse’s SSN              Failure to make required estimated tax payments or underpayment 
Indicate  filing  status  by  marking (X) the proper box. If married filing                 payments if your income increases or decreases during the year. 
                                                                FILING STATUS      January  31  of the following year. Adjust the remaining quarterly 
                                                                                   three equal payments on June 30 and September 30 of the tax year and 
                                                                 compute the tax.  fourth (¼) of the estimated tax. The remaining estimated tax is due in 
separate  returns or file a resident return using Form H-1040TC to                 Hamtramck website) by April 30 of the tax year and pay at least one-
and had a different residency status from  that  of  your  spouse,  file           quarterly estimated tax payments. File Form H-1040ES (available on the 
If you were married in 2020 Married with Different Residency Status.               plus  other  credits  by $100 or more, you may be required to make 
use form H-1040TC to calculate the tax and attach it to the H-1040.                When your total income tax is greater than the amount of tax withheld 
Hamtramck or vice versa. If you were a resident for only part of 2020,                                                          ESTIMATED TAX PAYMENTS 
residence) during the year from one inside Hamtramck to one outside                         withholding Hamtramck tax from your 2021 wages. 
a  person  who changed their domicile (primary       Part-Year  Resident  –        make estimated income  tax  payments if you work  for  an employer not
                                                                                                                                                          required to
                                               a nonresident the entire year.        You  will be withhold  Hamtramck  tax from  your paycheck.           not
outside the City of Hamtramck all year. File as a nonresident if you were          to file a tax return and pay tax even if your employer did             required
a person whose domicile (principle residence) was                Nonresident  –    You are  more  information  on your allowable exemption total.         for
                                                                   entire year.    even if you did not file a federal tax return. See Exemptions schedule 
City of Hamtramck all year. File as a resident if you were a resident the          personal  and  dependency  exemptions,  you  must  file  a  tax  return  — 
a person whose domicile (principle residence) was in the          Resident  –      If you had Hamtramck taxable income greater than the total of your 
 Indicate your residency status by marking (X) the proper box.                                                                     WHO MUST FILE A RETURN 
 2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS                                                                            



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      2020  HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS
Line 24 – Total Payments and Credits                                                     Line 3 – Employee Business Expenses 
Enter the line 4 total from the Payments and Credits schedule on page                    Employee business expenses are deductible only when incurred in the 
2. You must file the return even if there is no tax due or overpayment.                  performance of service for an employer and only to  the  extent  not 
Line 25 – Estimated Tax or Late Payment Interest and Penalty                             reimbursed  by  the employer. Meal expenses are not subject to the 
Nonpayment or underpayment of estimated income tax and  late                             reductions and limitations of the Internal Revenue  Code.  Under  the 
payment of tax is subject to penalty and interest. You may calculate the                 Hamtramck Income Tax Ordinance meals must be incurred while away 
amounts and enter penalty on line 25a, interest on 25b, and the total                    from home overnight on business. 
interest and penalty on line 25c or the city may calculate and assess it.                BUSINESS EXPENSES ARE LIMITED TO THE FOLLOWING: 
                                                                                                  A. Expenses of transportation, but not to and from work. 
TAX DUE OR REFUND                                                                                 B. Expenses  of  travel, meals and lodging while away from home 
Line 26 – Tax Due and Payment of Tax                                                               overnight on business for an employer. 
If the tax on line 23b plus the interest and penalty on line 25c exceeds                          C. Expenses  incurred  as  an  “outside  salesperson”  away  from  the 
the total Payments and Credits on line 24, enter the difference, the tax                           employer's place of business. This does not  include  driver-
due, on line 26. The tax due must be paid with the return when filed.                              salesperson whose primary duty is service and delivery. 
The due date for the return is April 30, 2021.                                                    D. Expenses reimbursed by employer from an expense  account  or 
Pay by Check or  Money  Order.                      Make the check or money order                  other arrangement if included in gross earnings. 
payable to the CITY OF HAMTRAMCK, place the check or money order                         NOTE: Business expenses claimed on line 4 of fed. Form 2106 are 
in front of page 1 of the tax form and mail the return with the payment to:              not allowed unless taxpayer qualifies as an outside salesperson. 
Hamtramck Income Tax, P.O. Box 209, Eaton Rapids, MI 48827-0209.                         Attach a copy of Form H-2106, federal Form 2106 or a list of your 
Do not send cash for your tax payment. The tax is due at the time of                     employee business expenses. 
filing the return.                                                                       Line 4 – Moving Expenses 
Line 27 – Overpayment                                                                    Moving expenses for moving      into    the Hamtramck  area are deductible 
If the total payments and credits on line 24 exceed the tax on line 23                   to       the same  extent deductible  under the  Internal  Revenue  Code. 
plus  the  interest  and  penalty on line 25c, enter the difference, the                 Moving must  be related  to starting work in a  new location.     Attach a 
overpayment, on line 27. Use lines 28 through 31 to indicate what you                    copy of   federal Form 3903 or a list of moving expenses, with the 
want done with the refund. You must file the return even if there is no                  distance in miles from where you       moved.
tax due, no overpayment or only a slight overpayment.                                    Line 5 – Alimony Paid 
Line 28 – Donations                                                                      Separate maintenance payments, alimony, and principal sums payable 
You may donate your overpayment, or a part of  it,  to  the  City  of                    in installments (to the extent includable  in  the  spouse's  or  former 
Hamtramck  (line  28a).  Enter  the amount of your donation on line 28a                  spouse’s  adjusted  gross  income  under  the  federal  Internal  Revenue 
and enter the total on line 28d.                                                         Code) and deducted on the federal return are deductible. Child support 
Line 29 – Credit Forward                                                                 is not deductible. Attach first 2 pages of federal return. 
Enter on line 29 the amount of overpayment to credit to the next year.                   NOTE: The above deductions are limited to the amount claimed on 
Line 30 – Refund                                                                         your  federal return, except meals. The deductions are limited by 
Enter on Line 30 the amount of the overpayment to be refunded. Your                      the extent they apply to income  taxable  under  the  Hamtramck 
refund will be issued as a paper check.                                                  Income  Tax Ordinance. Part-year residents must allocate 
Please allow 45 DAYS before calling about a refund.                                      deductions the same way they allocate income. 
FORM H-1040, PAGE 2 INSTRUCTIONS                                                         Line 6 – Renaissance Zone 
                                                                                         The  Renaissance  Zone  deduction  may  be  claimed  by:  a  qualified 
EXEMPTIONS SCHEDULE                                                                      resident domiciled in a Renaissance Zone;  an  individual  with  income 
Complete the Exceptions schedule to report and claim the  total                          from  rental  real estate located in  a Renaissance Zone; and  an 
exemptions amount allowed. Everyone who files a Hamtramck  return                        individual       proprietor or a  partner in a  partnership  that  has  business 
gets  a  personal  exemption of $600 for 2020                     .  You  may  claim  an activity within  a Renaissance  Zone.  Individuals  who  qualify  for  the
exemption  even if someone else claims you as a dependent on                             deduction        must attach Schedule RZ of H-1040   to their return to claim 
their return.                                                                            the deduction. Residents  are  not  qualified  to  claim  the  deduction  until 
Lines 1a - 1c – You and Spouse. Enter your date of birth and mark (X)                    they have been domiciled in a Renaissance Zone for 183 consecutive 
the exemption boxes that apply to you. If filing jointly, complete line 1b               days. Individuals     are  not  qualified  to  claim  the  Renaissance  Zone 
for spouse. If you are age sixty-five or older or you are blind, you get an              deduction if they are delinquent for any Michigan or Hamtramck taxes.  
additional exemption. Mark (X) the boxes that apply, and enter on line                   A Hamtramck income    tax return must be filed to qualify and claim this 
1e the total number of exemption boxes marked.                                           deduction.
Lines 1d – Dependents. Determine dependents using the same rules                         Line 7 – Total Deductions 
as on the federal return. If you cannot claim a dependent on the federal                 Add lines 1 through 6. Enter the total on line 7 and on page 1, line 19. 
return, you cannot claim them on a Hamtramck return. Enter the names 
of your dependent children that live with you, then the names of other                   PAYMENTS AND CREDITS SCHEDULE 
dependents  and  their  relationship  to  you.  Provide  dependents’  Social             Line 1 – Hamtramck Tax Withheld by Employers 
Security numbers and dates of birth. Enter totals on 1f and 1g.                          The  city  tax  withheld  by  each of your employers is to be reported on 
Lines 1e - 1h – Total Exemptions. Add the amounts on 1e, 1f and 1g,                      Lines  7 through 10 of the Wages, Excludible Wages and City Tax 
and enter the total exemptions on line 1h and on page 1, line 21a.                       Withheld schedule. Total Hamtramck tax withheld, line  17  of  this 
                                                                                         schedule,  is reported on Form H-1040, page 2. Payments and Credit 
EXCLUDED WAGES SCHEDULE                                                                  schedule,  line  1.  The  Form  W-2  (Wages  and  Tax  Statement)  you 
If any wages reported on page 1, line 1, column A, are not taxable, the                  received from each of your employers shows the tax withheld in box 19 
Excluded  Wages  schedule  must be completed. The data to complete                       and the locality name in box 20. 
this schedule comes from the Wages, Excludible Wages and City Tax                        You must attach a copy of W-2 form(s) showing the entire amount 
Withheld schedule.                                                                       of HAMTRAMCK tax withheld and Hamtramck (or an  abbreviated 
DEDUCTIONS SCHEDULE                                                                      form of Hamtramck) as the locality name. We will not allow the credit 
You may deduct amounts that directly relate to income that is taxable by                 for Hamtramck tax withheld without W-2 Forms. 
Hamtramck, prorating where necessary.  Allowable  deductions  include                    Line 2 – Tax Payments Other Than Tax Withheld 
the following line number items:                                                         On line 2, enter the total of the following: estimated tax paid, tax paid 
Line 1 – Individual Retirement Account (IRA) Contributions                               with an extension, tax paid paid by a partnership and credit forward from 
Contributions  to  an IRA are deductible to the same extent deductible                   past tax year. 
under the Internal Revenue Code. Attach first 2 pages of federal return                  Line 3 – Tax Credit for Tax Paid (Residents only) 
and evidence of contribution,  which includes, but is not limited to, one                Enter on line 3 the credit for income taxes paid to the other city. If you 
of the following: a copy of receipt for IRA contribution, a copy of federal              had income subject to tax in another city while you were a        resident of 
Form 5498, a copy of a cancelled check that clearly indicates it is for an               Hamtramck, you may credit this credit. The credit is  0.5% 
IRA contribution. ROTH IRA contributions are                not deductible.              of the taxable  income . This credit  must  be  based on income
Line 2 – Self-Employed SEP, SIMPLE and Qualified Plans                                   taxable by both cities, and  the  credit may not exceed  the  tax that a
Self-employed SEP, SIMPLE and qualified retirement plan deductions                       nonresident of Hamtramck would pay on  the same income  earned  in
may be entered on page 2, Deductions schedule, line 2.                                   Hamtramck. You must attach a copy of the income tax return filed
                                                                                         with the other city to receive this credit. 
                                                                                          
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                                                                                 Page 4 of 6 
                                                                                                                                                                       
resident  (Form  1099-R,  box  7,  Distribution  Code,  G)  unless  the 
The  conversion  of  a  traditional  IRA  to  a  ROTH  IRA  is  taxable  to  a 
                                         document excluded IRA distributions.                                                        Line 7 – Capital Gain or (Loss) 
Exclusions  and  Adjustments  to  IRA  Distributions  schedule  is  used  to                                                  deducted on a Hamtramck return.    losses
(2)(A)(iv)  of  the  IRC  and  all  other  excludible  IRA  distributions.  The        Federal rules concerning passive losses are applicable to C.         Schedule
IRA distributions received after age 59½ or described by Section 72(t)                 Attach  a complete  copy of federal           from  the  federal  return. income
Exclude in column B, IRA distributions qualifying as retirement benefits:              is  located.  Report  on  line  6,  columns  A  and  C,  the  total  business 
                                                 taxable.distribution code 4) are      All self-employment income is taxable regardless of where the business 
beneficiary  other  than  the  decedent’s  spouse  (Form  1099-R,  box  7,                                                             ine 6 – Business Income L
distribution  code  1)  and  IRA  distributions  made  to  a  decedent’s                           amount of alimony received as reported on the federal return. 
or  Form  1040A.  Premature  IRA  distributions  (Form  1099-R,  box  7,               Alimony  received  is  taxable.  Report  on  line  5,  columns  A  and  C,  the 
In column A enter the IRA distributions reported on federal Form 1040                                                                  ine 5 – Alimony ReceivedL
                                                    ine 9 – IRA Distributions L                              NOT TAXABLE. Exclude all. No explanation needed. 
                            losses reported on your federal income tax return.                                   Line 4 – Taxable Refunds, Credits or Offsets
schedule  to  compute  exclusions  and  adjustments  to  other  gains  and                     excluded dividends on the Excludible Dividend Income schedule.  
Use  the  Exclusions  and  Adjustments  to  Other  Gains  or  (Losses)                 and  tax  option  corporations  (S  corporations,  etc.).  Document  the 
                                                              federal Form 4797.       excludible  dividends  from  U.S.  Bonds,  Treasury  Bills,  Treasury  notes 
must attach a copy of        Residents reporting other gains and losses                dividend  income  from  the  federal  return.  Report  on  line  3,  column  B, 
                                                  Form 6252 and/or Form 8824.          Dividends are taxable. Report on line 3, column A, the total amount of 
must be supported by attaching           a copy of  federal      Deferred  gains                                                                   Line 3 – Dividends 
taxable  in  the  year  recognized  on  the  federal  income  tax  return.                                                on the Excludible Interest Income schedule.
Deferred other gains from installment sales and like-kind exchanges are                Excludible  Interest  Income  schedule.  Document  the  excluded  interest 
                                         Hamtramck Income Tax Ordinance.               Treasury  Bills  and  notes;  document  this  excluded  interest  on  the 
the  gain  or  loss  on  property  purchased  prior  to  the  inception  of  the       2, column A. Report on line 2, column B, interest from U.S. Bonds and 
taxable regardless of where the property is located, except the portion of             Report the amount of taxable interest income from federal 1040, on line 
the federal 1040. Other gains and losses realized while a resident are                                                                                           Etc.). . 
Other gains or losses are taxable to the extent that they are taxable on               through  interest  income  from  a  tax  option  corporation  (S  corporation, 
                                           Line 8 – Other Gains or (Losses)            interest  from  U.S.  Bonds,  Treasury  Bills,  Treasury  notes  and  flow 
 the Exclusions and Adjustments to Capital Gains or (Losses) schedule.                 Interest is taxable to the same extent on the federal return except for 
Excluded capital gains must be explained by completing and attaching                                                                                  Line 2 – Interest 
                                                                                                                                                            military pay. 
                                                             federal Schedule D.       excludible.  An  example  of  excludible  (nontaxable)  resident  wages  is 
must attach a copy of        Residents  reporting  capital  gains  or  losses          schedule on Form 1040, page 2. A resident’s wages are generally not 
                       federal Sch. K-1 (Form 1120S).            Attach copies of       listed by employer on the Excluded Wages andTax Withheld schedule 
                                S-Corp  cannot  be  transferred  to  H-1040.           wages must be documented on the Wages, Excludible Wages, and City 
reported  on  federal  Sch.  D  or  form  4797  is  income.  Losses  on  an            Report  on  line  1,  column  B,  the  total  excluded  wages. All nontaxable 
Flow  through  income  from  a  tax  option  corporation  (S  corporation)                      . you employer does not withhold Hamtramck tax for you in 2021
                                                    federal income tax return.         You  will  also  be  required to make estimated tax payments if          tax rate. 
exchanges  are  taxable  in  the  same  year  reported  on  the  taxpayer’s            you are still required to file and pay tax on those wages at the resident 
Deferred  capital  gain  income  from  installment  sales  and  like-kind              If your employer did not withhold Hamtramck tax from your paycheck, 
                                                         income tax purposes.                                             City: 100% of this compensation is taxable. 
carryover for Hamtramck may be different than the carryover for federal                Hamtramck and receives a paycheck from the home office in New York 
capital losses may be carried over to future tax years. The capital loss               Example:  Taxpayer  lives  in  the  City  of  Hamtramck  but  works  in 
the Internal Revenue Code and limited to $3,000 per year. Unused net                    no matter where earned.compensation  for  services  rendered—
Capital losses are allowed to the same extent they are allowed under                   separation, and incentive payments, tips,  commissions  and  other 
                 a resident of Hamtramck are not deductible.         becoming           earnings, including salary,  bonus, ALL        A resident is taxed on 
 3. Capital  loss  carryovers  that  originated  prior  to  the  taxpayer        c                                                                          1040EZ. 
                       attributed to the time before inception ordinance.              reported  on  your  federal  tax  return,  Form  1040,  Form  1040A  or Form 
the  inception  of  the  Hamtramck  income  tax  ordinance  that  is                   reported  on  Form  H-1040,  page  1,  line  1,  column  A,  and  the  wages 
2.  The portion of the capital gain or loss on property purchased prior to             total  wages  from  line  15  of  this  schedule  should  equal  the  wages 
                                         subordinate units of government.              schedule  to  report  all  wages,  excludible  wages  and  tax  withheld.  The 
1.  Capital  gains  on  sales  of  obligations  of  the  United  States  and           Complete  the  Wages,  Excludible  Wages  and  City  Tax  Withheld 
                                                              following exceptions:                tax withheld must be attached to page 1 of the return. 
are  taxable  regardless  of  where  the  property  is  located,  with  the            resident tax returns. All W-2 forms showing wages and Hamtramck 
Code regarding capital gains. All capital gains realized while a resident              The  first  2  pages  of  the  federal tax return must be attached to all 
The Uniform City Income Tax Ordinance follows the Internal Revenue                                                              Line 1 – Wages, Salaries, Tips, Etc.
                                                                                    
                                                                            RESIDENT   INSTRUCTIONS
                                                                                                                                                                       
                                     move-out to support adjusted income.              income.  Adjustments  and  deductions  must  be  allocated  in  the  same  
 to you call (313) 870 9366. You must attach copies of proof of move-in/               Income is allocated according to the residency status for each item of 
 Hamtramck ebsite:  WWW.HAMTRAMCK.US.  To have a w                          form mailed            Complete the form using the instructions on the Schedule TC. 
 Schedule TC and other Hamtramck tax forms are available on the                        the amount of their tax on Schedule TC, which has multiple tax rates. 
                                     residents as a guide to allocate income.          year, you must file as a part-year resident. Part-year residents compute 
way  income  is  allocated.  Use  the  instructions  for  residents  and  non-         If you had income taxable as a resident and as a nonresident during the 
                                                                 PART-YEAR RESIDENT     INSTRUCTIONS                                                                   
                                                                                                                                                                       
                                                                                                and enter the beginning and ending dates of residence at each. 
      must sign it and provide their address and telephone number.               they  whether  the  address  was  for  the  taxpayer (T), spouse (S) or both (B) 
must  sign  and  date  the  return.  If  someone  else  prepared  the  return,         Markother5principal residences (domiciles) occupied during 2020.          of the
You must sign and date the return. If filing a joint return, both spouses              none was filed. Complete the schedule by listing the addresses            reason
                                                             SIGN THE RETURN           on  page  1,  write  “Same.”  If  no  2019  return  was  filed  provide   listed
            number (PIN). To designate the tax preparer, enter “Preparer.”             address used on last year’s return. If this address is the same as        the
name, phone number and any five digits as their personal identification                Every  taxpayer must complete  the  Address  schedule. Start by listing 
Income Tax Department, mark (X) the “Yes” box and enter the person’s                                                                            ADDRESS SCHEDULE
To allow another person to discuss the tax return information with the                       Add lines 1 through 3. Enter the total on line 4 and on page 1, line 24. 
                                                    THIRD-PARTY DESIGNEE                                                       Line 4 – Total Payments and Credits
      2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS                                                                      



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                2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS
individualindividual makingmaking thethe conversionconversion isis 5959 ½½ yearsyears oldold oror olderolder atat thethe timetime                                                      (SLLine ine corporation,11 11  – –  Rental Rental etc.)Real Real flowEstate, Estate, throughRoyalties, Royalties, income or lossS  S  Corporations, Corporations, reported on SchedulePartner-Partner-E.
ofof thethe conversionconversion distribution.distribution.                                                                                                                            Lineships,ships,12 DistributionsRoyalties,Royalties, Estates,Estates,from SubchapterTrust,Trust,corporations.S Etc.Etc. 
LineLine 1010 –– TaxableTaxable PensionPension DistributionsDistributions                                                                                                              EnterAllAllonincomeincomeline 12reportedreportedcash orononpropertyfederalfederaldistributionsScheduleSchedulefromEE isisStaxable.taxable.corporationsAA resident’sresident’sfrom lineshareshare16, 
EnterEnter onon lineline 10,10, columncolumn A,A, pensionpension andand annuitiesannuities reportedreported onon federalfederal                                                        codeofof ananDSSofcorporation’scorporation’sFederal ScheduleflowflowK-1.throughthroughThe HamtramckincomeincomeCityisisIncometaxabletaxableTaxtotoOrdinancethethe samesame extentextent 
Form 1040 or Form 1040A. Excluded pension and retirement benefits Form 1040 or Form 1040A. Excluded pension and retirement benefits                                                    and on the same basis the income is taxable under the Internal and on the same basis the income is taxable under the Internal 
areare reportedreported onon lineline 10,10, columncolumn BB andand explainedexplained onon thethe ExclusionsExclusions andand                                                         doesRevenueRevenuenotCode.Code.recognizeReportReportSubchapterthisthis incomeincomeS status.onon linelineDistributions11,11, columnscolumnsfromAAanandandSC.C.corporation are 
AdjustmentsAdjustments toto PensionPension DistributionsDistributions schedule.schedule.                                                                                               taxableLineLine 1212 ––asTaxTaxifOptionOptionpaidCorporationCorporationby a regular corporationDistributionsDistributionsas dividends.(S(S corporation)corporation)If you are a shareholder in 
PensionPension andand retirementretirement benefitsbenefits fromfrom thethe followingfollowing areare                                                   notnot taxable: taxable:       aDistributions Distributions corporationreceived received that has electedby by  a a toresident resident file underfrom from Subchaptera a  tax tax  option option S of thecorporation’scorporation’sInternal Revenue 
1. 1.  PensionPension plansplans thatthat definedefine eligibilityeligibility forfor retirementretirement andand setset contributioncontribution                                       Code, AccumulatedAccumulatedyou  are  not AdjustmentsAdjustmentsrequired  to Account,Account,report  any OtherOtherdistributed AdjustmentsAdjustmentsincome AccountAccountfrom and/orand/orFederal 
       andand benefitbenefit amountsamounts inin advance;advance;                                                                                                                      Schedulethe the  Shareholder’s Shareholder’s K-1 linesUndistributed Undistributed 1 through 11, nor mayTaxable Taxable deductIncome Income your sharePreviously Previously of any lossTaxedTaxedor other 
2.  Qualified retirement plans for the self-employed;  2.  Qualified retirement plans for the self-employed;                                                                           deductions distributed by the corporation.Account (federal Form 1120S, Schedule M-2, line 7) are income on a Account (federal Form 1120S, Schedule M-2, line 7) are income on a 
       Benefits from any of the previous plans received on account of  Benefits from any of the previous plans received on account of                                                  Line 13 – Farm Income or (Loss)Hamtramck  return  and  are to be reported on this line. These Hamtramck  return  and  are to be reported on this line. These 
       disability disability  or or  as as  a a  survivingsurviving spousespouse ifif thethe decedentdecedent qualifiedqualified forfor thethe                                         Profitdistributionsdistributionsor lossarearefromfoundfoundthe operationonon federalfederalof aScheduleSchedulefarm is taxableK-1K-1 (1120),(1120),as reportedlineline 20.20.onReportReportthe federal 
       exclusion at the time of death; exclusion at the time of death;                                                                                                                 return regardless is where the farm is located. There are no exclusions. these distributions on the Adjustments for Subchapter S  Corporation these distributions on the Adjustments for Subchapter S  Corporation Attach a 
3. 3.  Distributions Distributions  fromfrom aa 401(k)401(k) oror 403(b)403(b) planplan attributableattributable toto employeremployer                                                 completeDistributionsDistributionscopy ofschedule.schedule.federal ScheduleAlsoAlsoF.attach attach copies copies ofoffederalfederalScheduleScheduleK-1K-1 
       contributionscontributions oror attributableattributable toto employeeemployee contributionscontributions toto thethe extentextent                                              Line(Form(Form14 Unemployment1120S).1120S).         Compensation
       theythey resultresult inin matchingmatching contributionscontributions byby thethe employer;employer;                                                                           NOTLLineineTAXABLE.1313––FarmFarmExcludeIncomeIncomeororall.(Loss)(Loss)No explanation needed.
4.  Benefits  paid to an individual from a retirement annuity policy that 4.  Benefits  paid to an individual from a retirement annuity policy that                                    Line 15 – Social Security BenefitsProfit or loss from the operation of a farm is taxable as reported on the Profit or loss from the operation of a farm is taxable as reported on the 
       has been annuitized and paid over the life of the individual. has been annuitized and paid over the life of the individual.                                                     federal return regardless of where the farm  is  located.  There  are  no federal return regardless of where the farm  is  located.  There  are  no 
PensionPension andand retirementretirement benefitsbenefits fromfrom thethe followingfollowing                              areare taxable:  taxable:                                  NOTexclusions.exclusions.TAXABLE. ExcludeAttachAttachall.aacompletecompleteNo explanationcopycopyneeded.ofoffederalfederalScheduleScheduleF.F. 
1. 1.  PrematurePremature pensionpension planplan distributionsdistributions (those(those receivedreceived priorprior toto                                                             LineLLineine161414Other––UnemploymentUnemploymentIncome        CompensationCompensation 
       qualifyingqualifying forfor retirement);retirement);                                                                                                                            Other NOTNOTTAXABLE.TAXABLE.income ExcludeExcludereported all.all.on  the NoNoresident’s explanationexplanationfederal needed.needed.return  is  taxable  except  for 
2.  Amounts received from deferred compensation plans that let the 
2. employeeAmountssetreceivedthe amountfromtodeferredbe put asidecompensationand do notplansset retirementthat let the                                                                 incomeLineLine1515––fromSocialSocialrecoveriesSecuritySecurityBenefitsBenefitsrelated to federal itemized deductions from prior tax 
       ageemployeeor requirementsset the amountfor yearsto beofputservice.aside andThesedoplansnot setinclude, retirementbut                                                           years.NOTNOTTAXABLE.TAXABLE.IncludeExcludeExcludeincomeall.all.not previouslyNoNoexplanationexplanationdiscussed. needed.needed.This includes partnerships, 
       age or requirements for years of service. These plans include,  but                                                                                                             estates,Line 16trusts,– OtheralimonyIncome                   received, distributions from profit sharing plans, 
       are not limited to, plans under IRC Sections 401(k), 457 and 403(b): are not limited to, plans under IRC Sections 401(k), 457 and 403(b):                                       Line 16 – Other Income 
           AmountsAmounts receivedreceived beforebefore thethe recipientrecipient couldcould retireretire underunder thethe planplan                                                 premature OtherOtherincomeincomedistributions reportedreportedononfrom thetheresident’sresident’sIRA’s  capital federalfederalgains, returnreturnwinnings isistaxabletaxablefrom  State exceptexceptLottery, 
           provisions,provisions, includingincluding amountsamounts paidpaid on on  separation, separation,  withdrawal withdrawal  oror                                               gamblingforforincomeincomewinningsfromfromfromrecoveriesrecoveriescasinos, racetracks,relatedrelatedtotoorfederalfederalnon-charitableitemizeditemizedlotteriesdeductionsdeductionsor bingofromfrom 
           discontinuancediscontinuance ofof thethe plan;plan;                                                                                                                         halls,priorpriorortaxtaxfromyears.years.anyReportReportother source.”ononthisthislinelineReportaaonnetnetthisoperatingoperatingline alosslossnet operatingcarryovercarryoverlossfromfromcarryover 
           Amounts Amounts  receivedreceived asas earlyearly retirementretirement incentives,incentives, unlessunless thethe                                                         fromthethepreviouspreviousthe previoustaxtaxyear.year.tax year.ReportReportReportexclusionsexclusionsexclusionsandandandadjustmentsadjustmentsadjustmentsonononp.p.p.2,2,2,usingusingusing the 
             incentives were paid from a pension trust; incentives were paid from a pension trust;                                                                                     Exclusions and Adjustments to Other Income schedule.”the Exclusions and Adjustments to Other Income schedule. the Exclusions and Adjustments to Other Income schedule. 
3.  Benefits paid from a retirement annuity policy other than annuitized 3.  Benefits paid from a retirement annuity policy other than annuitized                                      Line 17 – Total AdditionsLine 17 — Total Additions Line 17 — Total Additions 
       benefitsbenefits paidpaid overover thethe lifelife ofof thethe individualindividual areare taxabletaxable toto thethe samesame                                                  AddAddAddlineslineslines222throughthroughthrough1616.16.ofofofeach  eacheachcolumncolumncolumnandandandenterenterenteramountsamountsamountson lineonon17.lineline17.17.                                    
       extent taxable under the Internal Revenue Code. 
       extent taxable under the Internal Revenue Code.                                                                                                                                 Line 18 – Total IncomeLine 18 – Total Income Line 18 – Total Income 
LineReportReport11 taxabletaxableRentalpensionpensionReal Estate,andand retirementretirementRoyalties,incomeincomeCorporations,S onon lineline 10,10,Partnerships,columncolumn C.C. AddAddAddlineslineslines111throughthroughthrough161616ofofofeacheacheachcolumncolumncolumnandandandenterenterenteramountsamountsamountson lineononlineline18.                         18.18. 
Royalties,                   Estates, Trust, etc.                                                                                                                                      LineLineLine191919Deductions––DeductionsDeductions 
All      Income reported on Schedule E is taxable except for tax option corporation                                                                                                    EnterEnterEnteramountamountamountfromfromfromDeductionsDeductionsDeductionsschedule,schedule,schedule,pagepagepage2, line2,2,lineline7.         7.7. 
                                                                                                                                                                                         
                                                                                                                                                              NONRESIDENTNONRESIDENTINSTRUCTIONSINSTRUCTIONS  
NONRESIDENT INCOME SUBJECT TO TAX:NONRESIDENT INCOME SUBJECT TO TAX:                                                                                                                   the allocation basis. the allocation basis.                      A separate wage allocation must be completed  A separate wage allocation must be completed  
1.1.CompensationCompensation               for for  workwork done   done   ororservices services  performedperformed inin Hamtramck,Hamtramck,                                         for for  eacheach employer.employer. WagesWages areare normallynormally allocatedallocated usingusing thethe actualactual 
       which includes, but is not limited to, the following: salaries, wages, which includes, but is not limited to, the following: salaries, wages,                                   number  of days or hours  worked in and outside of Hamtramck during number  of days or hours  worked in and outside of Hamtramck during 
       bonuses, commissions, fees, tips,  incentive  payments,  severance bonuses, commissions, fees, tips,  incentive  payments,  severance                                           the tax year for an employer. Vacation time, sick time and holidays are the tax year for an employer. Vacation time, sick time and holidays are 
       pay, vacation pay and sick pay. pay, vacation pay and sick pay.                                                                                                                 not  included  in  total  days worked in arriving at the wage allocation not  included  in  total  days worked in arriving at the wage allocation 
2. 2.  NetNet profitsprofits fromfrom thethe operationoperation of of  an an  unincorporated unincorporated  business,business,                                                        percentage.percentage.VacationVacationpay,pay,holidayholidaypay,pay,sicksickpay,pay,bonuses, bonuses, severanceseverance 
       profession or other activity attributable to business activity conducted profession or other activity attributable to business activity conducted                               pay, etc. are taxable to same extent as normal earnings. pay, etc. are taxable to same extent as normal earnings. 
       in Hamtramck, whether or not such  business  is  located  in                                                                                                                    100% Earned in Hamtramck.                                                                           All wages, salaries, tips, sick  pay, 
       Hamtramck. in Hamtramck,Thiswhetherincludesor notbusinesssuch  business interestis incomelocated frominbusiness                                                                 100%bonuses, Earneddeferredin Hamtramck.compensation, severanceAll wages,pay,salaries,and other                                                               tips, sick  pay, 
       Hamtramck. activity in Hamtramck.This includes business interest income from business                                                                                           bonuses, compensationdeferred(Formcompensation,W-2, boxes 1 andseverance8)  is  taxable pay, andto othernonresidents 
3.  Gains activityor lossesin Hamtramck.from the sale or exchange of real or tangible                                                                                                  compensationwho worked 100% of(FormtheW-2,timeboxesin Hamtramck.1 and 8)  is  taxable  to  nonresidents 
3.  Gains personalor lossespropertyfromlocatedthe salein Hamtramck.or exchange of real or tangible                                                                                     who worked 100% of the time in Hamtramck. 
       personal property located in Hamtramck.                                                                                                                                         Wage Allocation.  Nonresidents who performed only part of their 
4   Net profits from the rental of real or tangible personal  property 4   Net profits from the rental of real or tangible personal  property                                          Wage Allocation.  Nonresidents who performed only part of their 
       located in Hamtramck. located in Hamtramck.                                                                                                                                     services  for an employer in Hamtramck must allocate their wages.  services  for an employer in Hamtramck must allocate their wages.  
5.  Premature distributions from an Individual Retirement Account (IRA) 5.  Premature distributions from an Individual Retirement Account (IRA)                                        Use the Nonresident and Part-Year Resident Wage Allocation section of Use the Nonresident and Part-Year Resident Wage Allocation section of 
       where  a  deduction  was  claimed  on  a  current  or  previous  year’s where  a  deduction  was  claimed  on  a  current  or  previous  year’s                                 the Wages, Excludible Wages and City Tax Withheld schedule. the Wages, Excludible Wages and City Tax Withheld schedule. 
       Hamtramck income tax return. Hamtramck income tax return.                                                                                                                       Wage Allocations on Commissions, Etc. Wage Allocations on Commissions, Etc.                                                       A nonresident salesperson A nonresident salesperson 
6.  Premature  distributions  from a pension plan attributable to work 6.  Premature  distributions  from a pension plan attributable to work                                          paid on a commission basis or other  results achieved should allocate paid on a commission basis or other  results achieved should allocate 
       performed in Hamtramck. performed in Hamtramck.                                                                                                                                 wages based on commissions received or  other  results  achieved wages based on commissions received or  other  results  achieved 
7.  Deferred compensation earned in Hamtramck.7.  Deferred compensation earned in Hamtramck.                                                                                           attributable to efforts expended in Hamtramck. A nonresident insurance attributable to efforts expended in Hamtramck. A nonresident insurance 
Line 1 – Wages, Salaries, Tips, Etc. Line 1 – Wages, Salaries, Tips, Etc.                                                                                                              salesperson paid sales commissions and renewal commissions should salesperson paid sales commissions and renewal commissions should 
All wages of a nonresident are to be reported on the Wages, Excludible All wages of a nonresident are to be reported on the Wages, Excludible                                          allocate compensation on the following basis:  Allocate  commissions allocate compensation on the following basis:  Allocate  commissions 
Wages and City Tax Withheld schedule. The total wages from line 15 of Wages and City Tax Withheld schedule. The total wages from line 15 of                                            from life, health, accident and vehicle (auto) insurance based on the from life, health, accident and vehicle (auto) insurance based on the 
this schedule is the amount reported on Form H-1040, page 1, line 1, this schedule is the amount reported on Form H-1040, page 1, line 1,                                              location (residence) of the purchaser. Allocate commissions from group location (residence) of the purchaser. Allocate commissions from group 
column A. The total wages should be the same as the wages reported column A. The total wages should be the same as the wages reported                                                  insurance  based  on  the location of the group. Allocate commissions insurance  based  on  the location of the group. Allocate commissions 
on your federal tax return (Form 1040, Form 1040A or Form 1040EZ).  on your federal tax return (Form 1040, Form 1040A or Form 1040EZ).                                                 from  fire  and  casualty insurance based on the location of the risk from  fire  and  casualty insurance based on the location of the risk 
                                                                                                                                                                                       insured. insured. 
All  W-2  forms  showing  income earned in Hamtramck and/or tax                                                                                                                        Line 2 – Interest 
All withheldW-2  forms for Hamtramckshowing mustincomebe attachedearned intoHamtramckthe return.and/or tax                                                                             LineNon-business2 – Interestinterest income of a nonresident is not taxable. Exclude 
withheld for Hamtramck must be attached to the return.                                                                                                                                 Non-business interest income of a nonresident is not taxable. Exclude 
Report on page 1, line 1, column B, the total excluded wages from Line Report on page 1, line 1, column B, the total excluded wages from Line                                          all non-business interest income. No explanation needed. all non-business interest income. No explanation needed. 
16 of the Wages, Excludible Wages and City Tax Withheld schedule. All                                                                                                                  Interest income that is business income  from  business  activity  in 
excluded16 of the Wages,wagesExcludiblemust be documentedWages and CityonTaxtheWithheldWages, Excludibleschedule. AllWages                                                             InterestHamtramckincomeis taxablethat isandbusinessmust beincome reported.from Attachbusiness a scheduleactivity showingin 
andexcludedCity Tax Withheldwages mustschedulebe documentedand  listed,onby employer,the Wages, Excludibleon the                                        Wages                          Hamtramcksource andiscomputationtaxable andofmusttaxablebe reported.and nontaxableAttach a scheduleinterestshowingincome. 
and City Tax Withheld schedule and  listed, by employer, on the Excluded  Wages schedule on Form H-1040, page 2. On the Wages,                                                         source and computation of taxable and nontaxable interest income. 
Excluded  Wages schedule on Form H-1040, page 2. On the Wages,                                                                                                                         Line 3 – Dividends 
Excludible Wages and City Tax Withheld schedule,  lines  13  and  14, Excludible Wages and City Tax Withheld schedule,  lines  13  and  14,                                            Line 3 – Dividends 
enter the reason the wages are excludible and the address of the work enter the reason the wages are excludible and the address of the work                                            NOT TAXABLE. Exclude all dividend income. No explanation needed. NOT TAXABLE. Exclude all dividend income. No explanation needed. 
station where you performed the work for the employer. station where you performed the work for the employer.                                                                          Line 4 – Taxable Refunds, Credits or Offsets Line 4 – Taxable Refunds, Credits or Offsets 
Do  not  use  box 18 of W-2 form to report taxable wages or to Do  not  use  box 18 of W-2 form to report taxable wages or to 
allocate wages, use all wages reported on your  federal  return  as allocate wages, use all wages reported on your  federal  return  as 
                                                                                                                                                                                          
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                                                                                                                                                                                                  Page 6 of 6 
                                                                                                                                                                                                  Page 6 of 6 discontinuance of the plan. Amounts received as early retirement 
                                                                                                                                                                                                    discontinuance of the plan. Amounts received as early retirement provisions, including amounts paid  on  separation,  withdrawal  or 
                                                                                                                                                                                                    Amounts received before the recipient could retire under the plan provisions, including amounts paid  on  separation,  withdrawal  or 
                                                                                                                                                                                                    Amounts received before the recipient could retire under the plan Sections  401(k), 457 and 403(b) of the Internal Revenue Code (IRC): 
                                                                                                                                                                                                    service. These plans include, but are not  limited  to,  plans  under Sections  401(k), 457 and 403(b) of the Internal Revenue Code (IRC): 
                                                                                                                                                                                                    aside and do not set retirement age or requirements for years of service. These plans include, but are not  limited  to,  plans  under 
                                                                                                                                                                                                    aside and do not set retirement age or requirements for years of compensation plans that let the employee set the amount to be  put 
                                                                                                                                                                                                    Hamtramck may not exclude amounts received from  deferred compensation plans that let the employee set the amount to be  put 
                                                                                                                                                                                                    Hamtramck may not exclude amounts received from  deferred A nonresident remaining employed by the particular employer in 
                                                                                                                                                                                                    A nonresident remaining employed by the particular employer in normal wages from the employer are taxable. 
                                                                                                                                                                                                    prior to qualifying for retirement) are taxable to  the  same  extent  the normal wages from the employer are taxable. 
                                                                                                                                                                                                    Premature pension plan distributions (those received by a nonresident prior to qualifying for retirement) are taxable to  the  same  extent  the 
                                                                                                                                                                                                    Premature pension plan distributionsine 10 – Taxable(those receivedPension Distributionsby a nonresident                           L
                                                                                                                                                                                                                                                  Sectionine72(t)(2)(A)(iv)10 – Taxable PensionofDistributionsthe IRC are not taxable. L
                                                                                                                                                                                                    nonresident. IRA distributions received after age 59 ½ or described by Section 72(t)(2)(A)(iv) of the IRC are not taxable. 
                                                                                                                                                                                                    nonresident. IRA distributions received after age 59 ½ or described by on  Form  1099-R, box 7, distribution code 1) are taxable to a 
                                                                                                                                                                                                    on  Form  1099-R, box 7, distribution code 1) are taxable to a Hamtramck’s taxable income in the current or a prior tax year (reported 
                                                                                                       Ordinance, the Ordinance prevails.                                                           That portion of a premature IRA distribution that  was  deducted  from Hamtramck’s taxable income in the current or a prior tax year (reported 
Ordinance. If any discrepancy exists between the instructions and the                                                                                                                               That portion of a premature IRA distribution that  was  deducted  from Line 9 – IRA Distributions 
These instructions are an interpretation of the Hamtramck Income Tax                                                                                                                                                                               also enter this total on page 1, line 8, column B. Line 9 – IRA Distributions 
                                                                                                                                                                              Notice                line 4 of the schedule enter the total excluded other gains or losses and also enter this total on page 1, line 8, column B. 
                                                                                                                                                                     deductions.                    line 4 of the schedule enter the total excluded other gains or losses and other gains and losses reported on the federal  income tax  return. On 
schedule (page 2 instructions) for  a list of  allowable                                                                                             See Deductionsdeductions.                      Gains and Losses schedule to compute exclusions and adjustments to other gains and losses reported on the federal  income tax  return. On 
SeescheduleDeductions(page 2 instructions)deductions for the  samea listway of related allowableincome ismust allocated.allocate                                                                    UseGainstheandExclusionsLosses scheduleand Adjustments to computeto exclusionsOther             andfederaladjustmentsForm 4797.to 
deductions  the  same way  related  income is allocated. must  allocate the Hamtramck Income Tax Ordinance. Nonresidents taxable under                                                              must attach a copy of Use the Exclusions and Adjustments  to  Other Nonresidents reporting other gains and losses federal Form 4797. 
taxablethe HamtramckunderIncomedeductionsTax Ordinance.are limitedNonresidentsby the extent they relate to incomenonresident’s                                                                      must attach a copyAttachof                    copiesNonresidentsof federalreportingScheduleother gainsK-1and(Formlosses1120S). 
deductions are limited by the extent they relate to income Enter amount from Deductions  schedule, page 2,  line  7.  A nonresident’s                                                               Exclusions  and  Adjustments  to Other Gains and (Losses) schedule. Attach copies of federal Schedule K-1 (Form 1120S). 
Enter amount from Deductions  schedule, page 2,  ineline 19 –7. TotalA                                                                               Deductions                                   L Exclusions  is excludedand on Adjustments the reported to Otheron  federalGains andForm(Losses)4797 or scheduleschedule.B
       Add lines 1 through 16 of each column and enter ine 19amounts– Total Deductionson line 18.                                                                                                 L Flow  is excludedthrough  income on  thefromreported a tax  option on  federalcorporationForm 4797 or(Sschedulecorporation)B
       Add lines 1 through 16 of each column and enterLineamounts18 – Totalon lineIncome18.                                                                                                         Flow  through  income  from a tax  option  corporationand/or Form(S8824.corporation)Form 6252
       Add lines 2 through 16 of each column and enter amountsLine 18 – Totalon lineIncome17.                                                                                                       Form 6252 other gains must be supported by attachingand/ora copyFormof federal8824.                                    Deferred
       Add lines 2 through 16 of each column and enterLineamounts17 – TotalonAdditionsline 17.                                                                                                      otherDeferredgainsyear mustrecognized be supportedon bythe attachingtaxpayer’s a copyfederal of federalincome  tax  return.in the
                                                                                                                      previousLine 17 – Totaltax year. Additionsfrom the                            inyear therecognized like-kindon exchangesthe  taxpayer’s of propertyfederal locatedincome in Hamtramcktax  return.are taxable    and
                                                                                                                                                                                                    Hamtramck. Deferred  other gains and  losses  from  installment  sales 
this  line a Hamtramck-related net operating loss previouscarryovertax year.                                                                                         Reportfromonthe                like-kindto  the extent theexchangesgains oroflossesproperty locatedare from propertyin Hamtramcklocatedareintaxable              and
Incomethis  lineschedule a Hamtramck-relatedto documentnetexclusions operating loss and  adjustments.carryover                                                       ReportOtheron                  AHamtramck.nonresident’sDeferred otherothergainsgainsandand losseslosses are includedfrom  installment in taxablesalesincome 
Income schedule  to document exclusions  and  adjustments. conducted  in  Hamtramck.  Use  the Exclusions and  Adjustments to Other                                                                 to  the extent the gains or losses are from property located in Line 8 – Other Gains or (Losses) 
Other income is taxable if it is from work performed or other activities conducted  in  Hamtramck.  Use  the Exclusions and  Adjustments to                                                         A nonresident’s other gains and losses are included in taxable income 
Other income is taxable if it is from work performed or other activities Line 16 – Other Income                                                                                                                         carryover reported on the taxpayer’s federal income tax return. Line 8 – Other Gains or (Losses) 
                                                                                                                                 Line 16 – Other Income                                             the  Exclusions and Adjustments schedule to exclude the capital loss carryover reported on the taxpayer’s federal income tax return. 
                                            NOT TAXABLE. Exclude all. No explanation needed.                                                                                                         A common error on a nonresident return is failure to complete the  Exclusions and Adjustments schedule to exclude the capital loss NOTE:
                                            NOT TAXABLE. Exclude all. No explanation needed. Line 15 – Social Security Benefits                                                                      A common error on a nonresident return is failure to complete schedule to compute exclusions and adjustments to capital  gains. NOTE:
                                            NOT TAXABLE. Exclude all. No explanation needed. Line 15 – Social Security Benefits                                                                     Use  the  Exclusions  and Adjustments to Capital Gains or (Losses) schedule to compute exclusions and adjustments to capital  gains. 
                                            NOT TAXABLE.LineExclude14 – Unemploymentall. No explanationCompensationneeded.                                                                          Use  the  Exclusions  and Adjustments to Capital Gains or (Losses)                                                      1120S).
                                                                  subjectsLine 14 –theUnemploymentfarm to HamtramckCompensationincome tax.                                                          Attach  copies of federal Schedule K-1 (Form                                                         (Losses) schedule 1120S).
produce  stand located in thesubjectscity is Hamtramckthe farm tobusinessHamtramckactivityincomeandtax.                                                                                             excludedAttach  copieson the Exclusionsof federal Scheduleand AdjustmentsK-1 (Formto Capital (Losses)Gains  orschedule 
Sales of crops at the produce market, any of the farmer’s markets or a produce  stand located in the city is Hamtramck business activity and                                                        excluded on the Exclusions and Adjustments to Capital  Gains  or  is corporation,  etc.)  reported  on  a  nonresident’s  federal  Schedule  D 
Sales of crops at the produce market, any of the farmer’s markets or a Exclusions and Adjustments to Farm Income schedule.                                                                          Flow  through  income  or  loss from a tax option corporation (S corporation,  etc.)  reported  on  a  nonresident’s  federal  Schedule  D  is 
Hamtramck, the entire farm profit or  loss  is  excluded,  using  the Exclusions and Adjustments to Farm Income schedule.                                                                           Flow  through  income  or  loss from a tax option corporation (S recognized on the taxpayer’s federal income tax return. 
Hamtramck, the entire farm profit or  loss  is  excluded,  using  the done, services rendered or other business  activity  is  conducted  in                                                        exchange  of  property  located  in Hamtramck are taxable in the year recognized on the taxpayer’s federal income tax return. 
done,three factorservicesFarmrenderedAllocation           or otherPercentagebusiness formula.activity  is Whereconducted no work  isin                                                              exchange Deferred of capital property gain located incomeinfromHamtramckinstallmentare taxablesalesinandthe yearlike-kind 
profitthree factoror lossFarm Allocationreported          on HamtramckPercentagereturnformula.is determinedWhere nobywork use ofisthe                                                               Deferred  capital  gain  incomecarryoverfrom installmentfor federalsalesincomeand like-kindtax purposes. 
profit or loss reported on Hamtramck return is determined by use of the rendered or other activities conducted in Hamtramck. The portion of the                                                     The capital loss carryover for Hamtramck  may  be  different  than  the carryover for federal income tax purposes. 
rendered or other activities conducted in Hamtramck. The portion of the income to the extent the profit or loss results from work done, services                                                    The capital loss carryover for Hamtramck  may  be  different  than  the Code.  Unused capital losses may be carried over to future tax years. 
A  nonresident’s  profit  or  loss  from  a  farm  are  included  in  Hamtramck income to the extent the profit or loss results from work done, services                                            Code.  Unused capital losses may be carried over to future tax years. allowed to the same extent they are allowed under the Internal Revenue 
A  nonresident’s  profit  or  loss  from  a  farm  are  included  in  Hamtramck Line 13 – Farm Income or (Loss)                                                                                     Hamtramck. Capital losses from property located  in  Hamtramck  are allowed to the same extent they are allowed under the Internal Revenue 
                                                                                                     Line 13 –distributedFarm Income orby the(Loss)corporation.”to H-1040.                          to Hamtramck.the extent theCapitalgainslossesor lossesfromarepropertyfromlocated property locatedin  Hamtramck in      are 
distributedness is locatedincomeinnorHamtramck.may you deductLossesyour shareon aofS-Corpany losscannotorbeothertransferredtodeductionsH-1040.                                                      to Capitalthe extentgainstheorgainslossesor lossesof a nonresidentare from propertyare includedlocatedinintaxable income 
Subchapter Subchapterness is locatedSCorporationof the Internalin Hamtramck.DistributionsRevenueLossesCode,areyouontaxableareanotS-CorprequiredifSthecannotbusi-tobereporttransferredLineany 12 –   Capital gains or losses of a nonresidentLine 7are– CapitalincludedGainsinortaxable(Losses)income 
Subchapter If youexclusionsare aCorporationshareholderand adjustments;inDistributionsa corporationenterarealsothattaxablehasonelectedpageifS1,thelinebusi-to file11, columnunderLineLine1212–C.             reported on page 1, line 16, columnLineC. See7 – CapitalinstructionsGains orfor(Losses)line 16. 
exclusions and adjustments; enter also on page 1, line 11, column C.  total Trusts, Etc. schedule. On line 6 of this schedule enter the                                                             A Hamtramck net operating loss carryover from the previous tax year is reported on page 1, line 16, column C. See instructions for line 16. 
from Rental Real Estate, Royalties, Partnerships,  S  Corporations, Trusts, Etc. schedule. On line 6 of this schedule enter the  total                                                              A Hamtramck net operating loss carryover from the previous tax year is schedule to exclude profit or loss from the operation of a business. 
from Rental Real Estate, Royalties, Partnerships,  S  Corporations, Explain all exclusions on the Exclusions and  Adjustments  to  Income                                                           Complete  the  Exclusions and Adjustments to Business Income schedule to exclude profit or loss from the operation of a business. 
Explain allScheduleexclusionsE; andonincomethe Exclusionsfrom estatesand  Adjustments and trusts.                                                                 to reportedIncomeon               conductedComplete  the inExclusionsHamtramck,andthe profitAdjustmentsor losstoisBusinessentirelyIncomeexcluded. 
corporation Schedule(S  corporation, E; and incomeetc.) fromflow estatesthroughandincometrusts.or lossreportedoptionon                                                                              conductedWhere no workinisHamtramck,done, servicesthe profitrenderedor lossorisotherentirelybusinessexcluded.activity is 
income corporation from  business (S  corporation, activity etc.) or  propertyflow outside through incomeHamtramck;or losstax                                                 option                Where no work is done, services rendered or other business activity is 
TheThe followingfollowing incomeincome reportedreported onon federal federal  Schedule Schedule  E E  is is  excludable:excludable:                                                                 orformula.loss  isisdetermineddeterminedusingusingthethethreethreefactor factor BusinessBusinessAllocationAllocationorformula.loss 
income  from  business  activity  or  property outside  Hamtramck; tax 
            distributions to nonresidents and on undistributed taxable income.                                                                                                                      business operates both in and outside of Hamtramck, the taxable profit 
Hamtramck,  the  estate  or  trust must file a return and pay tax on distributions to nonresidents and on undistributed taxable income.                                                             business operates both in and outside of Hamtramck, the taxable profit line 5 of this schedule is also entered on page 1, line 6, column B. If a 
taxable to nonresidents. When an estate or trust has taxable income in Hamtramck,  the  estate  or  trust must file a return and pay tax on                                                         line 5 of this schedule is also entered on page 1, line 6, column B. If a to exclude business income. The total excluded business income from 
taxable to nonresidents. When an estate or trust has taxable income in business activity in Hamtramck or  property  located  in  Hamtramck  is                                                      to exclude business income. The total excluded business income from The Exclusions and Adjustments to Business Income schedule is used 
All income reported on the federal Schedule E that comes from business activity in Hamtramck or  property  located  in  Hamtramck  is                                                               The Exclusions and Adjustments to Business Income schedule is used column A, business income reported taxable on your federal return. 
All income reported on the federal Schedule E that comes from Estates, Trusts, Etc.                                                                                                                 business activities conducted in Hamtramck. Report on page 1, line 6, column A, business income reported taxable on your federal return. 
orporations,, Royalties, Partnerships, S CstateRentalEstates,RealTrusts,E Line 11Etc.–                                                                                                              businessthe  extent itactivitiesresults fromconductedwork done,in Hamtramck.services  rendered Report onorpageother1, line 6,      to
orporations,, Royalties, Partnerships,amountS ConstatepageRental1, lineReal10, columnE LineB.11 –                                                                                                   the toextentProfititorresultslossfromfromworkthe operationdone, services of a businessrendered ororprofessionother            is taxable 
pension distributions on the last line of the schedule and also enter the amount on page 1, line 10, column B.                                                                                      Profit or loss from the operation of a business or profession is taxable Line 6 – Profit or (Loss) from a Business, Etc. 
Adjustments to Pension Income schedule. Enter  the  total  excluded pension distributions on the last line of the schedule and also enter the                                                                                                     Line 6 – Profit or (Loss) from a Business, Etc. 
Adjustments to Pension Income schedule. Enter  the  total  excluded Excludible pension distributions are listed on the Exclusions and                                                                                                      NOT TAXABLE. Exclude all. No explanation needed. 
Excludible pension distributions are listedpensionon theandExclusionsretirement benefits.and                                                                                                                                               NOT TAXABLE. Exclude all.LineNo explanation6 – Alimony Receivedneeded. 
pension and retirement benefits.  additional  information  on  nontaxable Line  10  under  “Residents”  for                                                                                                                                                                              Line 6 – Alimony Received 
incentives,  unless  the  incentives  were  paid from a pension trust. See Line  10  under  “Residents”  for  additional  information  on  nontaxable                                                                                      NOT TAXABLE. Exclude all. No explanation needed. 
incentives,  unless  the  incentives  were  paid from a pension trust. See                                                                                                                                                                 NOT TAXABLE. Exclude all. No explanation needed. 
                                                                                                                                                                                                                                                                                                                                        
           2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS                                                                                                                                                                                                                                  
           2020 HAMTRAMCK FORM H-1040 INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS



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W94586-NUT01  1/13/15  1:54 PM  Page 7

H-1040                             HAMTRAMCK                                                        2020                                                      12MI-HAM120MI-HAM1
                              INDIVIDUAL RETURN DUE APRIL 30, 2021
Taxpayer's SSN                       Taxpayer's first name                             Initial Last name                                    RESIDENCE STATUS
                                                                                                                                                                                    Part-year 
                                                                                                                                                Resident      Nonresident           resident
Spouse's SSN                         If joint return spouse's first name               Initial Last name                                    Part-year resident - dates of residency (mm/dd/yyyy)
                                                                                                                                            From
Make sure the SSN(s) above and on    Present home address (Number and street)                                                Apt. no.       To
page 2, line 1d are correct.                                                                                                                FILING STATUS
                                     Address line 2 (P.O. Box address for mailing use only)                                                     Single        Married filing jointly
Check box if you need a tax 
form mailed to you next year.                                                                                                                   Married filing separately. Enter spouse's SSN 
For city use only                    City, town or post office                                      State      Zip code                         in Spouse's SSN box and Spouse's full name 
                                                                                                                                                here.   
                                     Foreign country name                     Foreign province/county          Foreign postal code
                                                                                                                                            Spouse's full name if married filing separately

                             ROUND ALL FIGURES TO NEAREST DOLLAR                                         Column A                       Column B              Column C                 
              INCOME                           ($0.50 next dollar)                                  Federal Return Data            Exclusions/Adjustments     Taxable Income

ATTACH        1.  Wages, salaries, tips, etc. (W-2 forms must be attached)                     1                             .00                         .00                               .00
COPY OF       2.  Taxable interest                                                             2                             .00                         .00                               .00
FIRST 2       3.  Ordinary dividends                                                           3                             .00                         .00                               .00
PAGES OF 4.       Taxable refunds, credits or offsets                                          4                             .00                         .00  NOT TAXABLE
FEDERALFEDERAL
1040          5.  Alimony received                                                             5                             .00                         .00                               .00
RETURN
              6.  Business income or (loss) (Attach federal Schedule C)                        6                             .00                         .00                               .00
              7.  Capital gain or (loss)     
                  (Attach copy of fed. Sch. D) 7a.          Mark if federal                    7                             .00                         .00                               .00
                                                            Sch. D not required
              8.  Other gains or (losses)  (Attach copy of federal Form 4797)                  8                             .00                         .00                               .00
              9.  Taxable IRA distributions                                                    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 federal Schedule E)                                            11                            .00                         .00                               .00
              12. Subchapter S corporation distributions  (Attach federal Sch. K-1)            12   NOT APPLICABLE                                       .00                               .00
ATTACH        13. Farm income or (loss)  (Attach 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 H-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 Hamtramck resident tax rate of 1% (0.01) or nonresident tax rate of 0.5% 
              23. Tax                (0.005) and enter tax on line 23b, or if using Schedule TC to compute tax, check box 23a and enter 
                                     tax from Schedule TC, line 23d)                                                                    23a              23b                               .00
              24.       Total payments and credits  (Total from page 2, Payments and Credits schedule, line 4)                                           24                                .00
                  Interest and penalty for: failure to make                   Interest                                       Penalty        Total   
              25. estimated tax payments; underpayment                                                                                      interest & 
                  of estimated tax; or late payment of tax  25a                                .00       25b                            .00 penalty      25c                               .00
ENCLOSE                                                                                                                                     PAY WITH
CHECK OR      TAX DUE        26. Amount you owe (Add lines 23b and 25c, and subtract line 24)                                               RETURN 
MONEY                            MAKE CHECK OR MONEY ORDER PAYABLE TO: CITY OF HAMTRAMCK 
ORDER                                                                                                                                       >>>>>        26                                .00
              OVERPAYMENT                    27.  Tax overpayment (Subtract lines 23b and 25c from line 24; choose overpayment options on lines 28 - 30) 27                                .00
                  Amount of                    City of Hamtramck
              28. overpayment                                                                                                               Total     
                  donated            28a                                      28b                                        28c                donations    28d
              29. Amount of overpayment credited forward to 2021                                                             Amount of credit to 2021 >>  29                               .00
              30. Amount of overpayment refunded (Line 27 less line 29) 
                                                                                                                                        Refund amount >>  30                               .00
                                               31a          Not available              31c  Reserved
              31. Reserved                     31b          Not available              31d  Reserved
                                                                                       31e Reserved
              MAIL TO:  Hamtramck Income Tax Department, P.O. Box 209  Eaton Rapids,, M  I                                              48827-0209            Revised: 12/01/2019



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Revised: 12/01/2019
                                    number 
                            software                                                                                                                                                                   SIGNATURE              PREPARER'S   
                                    NACTP                                                                                 FIRM'S NAME (or yours if self-employed), ADDRESS AND ZIP CODE
                                    Preparer's phone no.
                                      PTIN, EIN or SSN                    Date (MM/DD/YY)                                        SIGNATURE OF PREPARER OTHER THAN TAXPAYER

If deceased, date of death                                                                 Spouse's occupation   Date (MM/DD/YY)                                          SPOUSE'S SIGNATURE
                                                                                                                                                                                                       ===>
                                                                                                                                                                                                       HERE 
If deceased, date of death                           Daytime phone number                  Taxpayer's occupation Date (MM/DD/YY) TAXPAYER'S SIGNATURE - If joint return, both spouses must sign SIGN 
    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.
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 
                           number (PIN)                                   No.                                                                                                                          name
                   Personal identification                                Phone                                                                                                           Designee's
                                                         No                Yes, complete the following           Do you want to allow another person to discuss this return with the Income Tax Office?
                                                                                                                                                   THIRD PARTY DESIGNEE

DAY MONTH          DAY     MONTH                     listed on page 1 of this return, print "Same." If no return filed, list reason. Continue listing residence addresses from this year.              T, S, B
    TO                 FROM                            ADDRESS (INCLUDE CITY, STATE & ZIP CODE) Start with address used on last year's return. If the address is the same as                           MARK
                            (Where taxpayer (T), spouse (S) or both (B) resided during year and dates of residency)ADDRESS SCHEDULE
.00                                 4                                                                  Total payments and credits  (Add lines 1 through 3, enter total here and on page 1, line 24)                                        4.
.00                                 3                                                      Credit for tax paid to another city  (Residents attach a copy of other city's return; not allowed for nonresidents)                             3.
.00                                 2                           Tax payments other than tax withheld (Estimated income tax payments, extension payment, partnership payments and credit forward)                                           2.
.00                                 1                                     Tax withheld by your employer for HAMTRAMCK  (Attach W-2 Forms showing tax withheld for HAMTRAMCK, Form W-2, box 19)                                             1.
                                                                                                                                 PAYMENTS AND CREDITS SCHEDULE
.00                                 7                                                                            Total deductions (Add line 1 through line 6, enter total here and on page 1, line 19)                                     7.
.00                                 6                                                                                            Renaissance Zone deduction  (Attach Schedule RZ OF 1040)                                                  6.
.00                                 5                                                                  Alimony paid  (DO NOT INCLUDE CHILD SUPPORT.  Attach copy of page 1 of federal return)                                              5.
.00                                 4                                                                            Moving expenses  (Into Hamtramck area only)  (Attach copy of federal Form 3903)                                           4.
.00                                 3                                                                            Employee business expenses  (See instructions and attach copy of federal Form 2106)                                       3.
.00                                 2                                                                  Self-employed SEP, SIMPLE and qualified plans  (Attach copy of page 1 of federal return)                                            2.
.00                                 1                                                                            IRA deduction  (Attach copy of page 1 of federal return & evidence of payment)                                            1.
    DEDUCTIONS                                       (See instructions; deductions allocated on same basis as related income) DEDUCTIONS SCHEDULE 
.00                                 .00                                                    10          .00                       .00                                                                                                       5
.00                                 .00                                                    9           .00                       .00                                                                                                       4
.00                                 .00                                                    8           .00                       .00                                                                                                       3
.00                                 .00                                                    7           .00                       .00                                                                                                       2
.00                                 .00                                                    6           .00                       .00                                                                                                       1
       WAGES                                         WAGES                                                       WAGES                     WAGES
RESIDENT EXCLUDED          NONRESIDENT EXCLUDED                           EMPLOYER'S ID    #           NONRESIDENT EXCLUDED      RESIDENT EXCLUDED                        EMPLOYER'S ID                                                    #
COLUMN C                                             COLUMN B             COLUMN A         W-2                   COLUMN C            COLUMN B                             COLUMN A                               W-2 
                                                        (See instructions. Resident wages generally not excludible)  EXCLUDED WAGES SCHEDULE 
    line 21a)                                                                                                                                                                                                                               8
    here and also on page 1,                                                                                                                                                                                                                7
    lines 1e, 1f and 1g; enter 
    1h. Total exemptions (Add                                                                                                                                                                                                               6
                                                                                                                                                                                                                                            5
                           line 1d                                                                                                                                                                                                          4
    dependents listed on       
    1g. Enter number of other                                                                                                                                                                                                               3
                                                                                           2`
                       on line 1d                                                                                                                                                                                                           1
    dependent children listed 
       Enter number of              1f.              Date of Birth        Relationship     Social Security Number                Last Name                                First Name                                                        #
                                                                                            Check box if you can be claimed as a dependent on another person's tax return List Dependents 1c.                                              1d.
                       1a and 1b                                                                                                                    1b. Spouse
    boxes checked on  lines 1e. Enter the number of                                                                                                                       1a.  You SCHEDULE
                                                       Disabled    Deaf   Blind             65 or over  Regular         Date of birth (mm/dd/yyyy)                        EXEMPTIONS 
20MI-HAM212MI-HAM2                                                                                                                                                        H-1040, PAGE 2
                                                                          Taxpayer's SSN                                             Taxpayer's name






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