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                                                             SCHEDULE L OF H-1040 (R)
CITY OF HAMTRAMCK                                                                                                                              20___
INCOME TAX                                    MULTIPLE TAX RATE SCHEDULE

THIS IS NOT A TAX RETURN. ATTACH THIS SCHEDULE TO YOUR HAMTAMCK RESIDENT RETURN - H-1040(R)
Name and Address as Shown on Page 1 of H-1040(R)             Social Security Number:
                                                                                                                          20 ___     
NAME ________________________________________________________________________________________

ADDRESS AND CITY ____________________________________________________________________________

Hamtramck resident time period: From ____________________, 20 ____ to ____________________, 20 _____

                                                     COMPUTATION OF TAXABLE INCOME
 1.  Enter GROSS income from employers for wages, salaries,                                                       ALL INCOME
                                                                                                                  WHILE A                      HAMTRAMCK INCOME
    commissions, tips, etc. - indicate (W) for wife.                                HAMTRAMCK                     RESIDENT OF                  WHILE A 
                                                                                    INCOME TAX                    HAMTRAMCK                    NONRESIDENT
           Employer’s Name                        Where employed (City and State)         WITHHELD                (COL.I)                      (COL. II)

                                                                                  $                            $                              $

 2.  TOTALS Enter on line 16a, page 1 of H-1040(R)
    return the total amount of withholding shown ..............................   $                            $                              $
  3  Deductions from resident long form, Schedule M, page 2, Line 5 ..............................
 4.  Total (line 2 less line 3) ....................................................................           $                              $
 5.  Other income (attach explanation)
   a. Dividends .............................................................................                                                 XXXXXXXXXXXXXXXXXXXX
    b. Interest and Royalties ..................................................................                                              XXXXXXXXXXXXXXXXXXXX
   c. Rents ................................................................................
    d. Gain (or loss) on sale or exchange of property ............................................
    e. Net income (or loss) from estates and trusts ..............................................                                            XXXXXXXXXXXXXXXXXXXX
    f.  Net income (or loss) from partnerships ...................................................                                            XXXXXXXXXXXXXXXXXXXX
    g.  Net income (or loss) from business or profession ..........................................
    h  Miscellaneous income or net operating loss carryover  .....................................

 6.  Total income (or loss) in each column .......................................................             $                              $
 7.  Less: losses transferred from cols. I and II (if neither column I Nor column II shows
    a loss on line 6, enter zero on this line in column I and column II. Otherwise
    see instructions.) .........................................................................
 8.  Net income (or loss) in each column - line 6 less line 7 .......................................          $                              $
 9.  Less: Exemptions - Fill in Exemption Schedule A on page 1 of form H-1040(R) and
    enter number of exemptions here...................Multiply by $600 each .....................
 10. Taxable income while a RESIDENT (col. I, line 8, less col. I, line 9). If line 9 exceeds
    the amount on line 8, col. I, enter zero ......................................................            $
 11. If the amount of line 9 exceeds the amount of income in col. I line 8, enter here the
    amount of the unused portion of your exemptions, if any ................................................................
12. Taxable income while a NONRESIDENT (col. II, line 8, less col. II, line 11) If line 11 exceeds line 8, col. II
    enter zero .........................................................................................................                      $

                                                COMPUTATION OF TAX

13. City of Hamtramck tax while a resident (col.I lne 10 x 1%). If line 10, col. I is zero, enter zero ...................................... $

14. City of Hamtramck tax while a nonresident (col.II, line 12 x 1/2%). If line 12, col. II is zero, enter zero .............................

15. Total City of Hamtramck tax(combine lines 13 and 14). Enter here and on Page 1, line 14 of Resident
    Long Return, H-1040(R) .................................................................................................................  $

                                                             SEE SEPARATE INSTRUCTIONS






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