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CITY OF PORTLAND
259 KENT STREET
PORTLAND MI 48875

                              CITY OF PORTLAND

                                   2021
                                              RESIDENT & NONRESIDENT
                          INCOME TAX FORMS AND INSTRUCTIONS
                          FORM P-1040 -INDIVIDUAL RETURN

                 FILING DATE:      Your return must be filed by May 2, 2022

                 REMITTANCE:       Make check or money order payable to:
                                   CITY OF PORTLAND

                 MAILING:          CITY OF PORTLAND
                                   INCOME TAX DEPARTMENT
                                   259 KENT STREET
                                   PORTLAND MI 48875

                 BUSINESS HOURS:   MONDAY THROUGH FRIDAY
                                   8:00 AM TO 4:30 PM

                 TELEPHONE NUMBER: (517) 647-2941

                 WEBSITE ADDRESS:  www.portland-michigan.org

                              WHO MUST FILE A RETURN?
               Anyone who worked or lived in The City of Portland at any time during 2021 and had taxable income

               Individuals filing a resident return must include a copy of Page 1 and Page 2 of Federal Form 
               1040 along with all form W-2's.  This information is needed to verify allowable  deductions (if 
               any) from gross income in order to properly administer the Portland Income Tax Ordinance.




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                                                   2021 FILING INSTRUCTIONS FOR FORM P-1040
NEW FOR 2021
                                                                                               RESIDENCY:
 No new changes for 2021                                                                       Resident: A person who has established a true, fixed home for an
                                                                                               extended or permanent period of time in the City of Portland.
                                                                                               Non resident: A person who lived outside the city
                                                                                               but who earned taxable income in Portland in 2021.
WHO MUST FILE A RETURN                                                                         Part-Year Resident: If you were both a RESIDENT AND NON RESIDENT
Every resident or part-year resident of Portland who has taxable income in a                   in 2021.  Enter the period you were a resident during the year.
tax year must file a return.                                                                   Subtract your nonresident earnings from your total income.
Every nonresident who has taxable income derived from working or from 
sources inside the city limits must file a return.                                             Part-Year Resident who worked in Portland as both a resident and
Every taxpayer filing a resident Portland income tax return must attach                        a non resident: Complete and attach schedule P-PY to the individual
a copy of page 1 and page 2 of Federal 1040 to their Portland return.                          return.
This information is needed to verify allowable  deductions (if any) 
from gross income in order to properly administer the Portland
Income Tax Ordinance.
MARRIED PERSONS-JOINT/SEPARATE RETURNS
Married persons may file either a joint return or separate returns.  If a joint return is
filed, both names and both social security numbers must be listed, all taxable 
income of both husband and wife must be included, and the return must be signed           10   PARTNERSHIPS: All partnerships located inside the City of Portland 
by both individuals.                                                                           must file an Annual Informational City of Portland P-1065 Partnership 
TAXABLE INCOME OF RESIDENTS:                                                                   Return. (Attach Federal Schedule E and all supporting schedules.)  In 
                                                                                               addition, each individual of the partnership is required to report as 
Portland residents are required to report the following kinds of income                        income on their City of Portland P-1040 Individual Return their 
regardless of where earned. These kinds of income are taxable by the City                      distributive share of the Net Profits. If you are a Portland resident and 
of Portland to the extent and on the same basis as income subject to taxation                  had income from a partnership located outside of the City of Portland, 
by the Federal Government unless otherwise noted.                                                     you must attach a copy of your Federal Schedule K-1.
                                                                                          11   SUB CHAPTER S CORPORATION DISTRIBUTIONS: Sub Chapter S 
1 . WAGES, SALARIES, BONUSES, COMMISSIONS, FEES, TIPS,                                         Corporations are taxable under the City of Portland Income Tax 
  GRATUITIES, VACATION PAY, SICK PAY,  DISABILITY PAY,                                         Ordinance and are required to file a City of Portland P-1120 Corporate 
  AND SEVERANCE PAY.                                                                                     Return. 

2 . COMPENSATION: received in the form of merchandise or services.                             Enter on line 12, cash or property distributions from S Corporations 
  (The fair market value must be determined and reported.)                                     from page two of the Federal Schedule K-1. The Portland City Income 
                                                                                               Tax Ordinance does not recognize Subchapter S status. Distributions 
3 . NET PROFITS: from self-employment,  an unincorporated business                             from an S corporation are taxable as if paid by a regular corporation as 
  or profession. (Attach a copy of Federal Schedule C page one and                                       dividends.
  two.)
4 . INCOME FROM: Rents, Royalties, Estates, Trusts, Patents and                                If you are a shareholder in a corporation that has elected to file under 
  Copyrights.                                                                                  Subchapter S of the Internal Revenue Code, you are not required to 
                                                                                               report any distributed income from the Federal schedule K-1 page one, 
                                                                                               nor may you deduct your share of any loss or other deductions 
5 . ALIMONY RECEIVED:  Payments you receive made under a                                                 distributed by the corporation.
  divorce or separation agreement (1) executed after 2018, or (2) 
  executed before 2019 but later modified to repeal the deduction of 
  alimony payments are not included in your gross income.
                                                                                               Attach copies of pages one and two of Federal Schedule K-1 for all S 
6 . INTEREST: earned from bank accounts, credit unions, savings and                            Corporations listed on page two of your Federal Schedule E regardless 
  loan association, land contracts, notes and bonds.                                                  of whether or not the S Corporation made distributions.

7 . DIVIDENDS: Including distributions from Sub Chapter S                                 12 . GAMBLING AND LOTTERY WINNINGS.
  Corporations, taxed as dividends by the Federal Government.
                                                                                          13 . ALL OTHER INCOME: subject to tax by the Federal Government that 
8 . SALES AND EXCHANGES OF PROPERTY (CAPITAL GAINS                                             is not specifically excluded under the City of Portland Income Tax 
  AND LOSSES). Attach a copy of the Federal Schedule D and form                                          Ordinance.
  4797.  Enter the net income (or loss) from sales and exchanges of 
  property per your Federal tax return.  NOTE:  The only exception is                      TAXABLE INCOME OF A NONRESIDENT
  the sale of property purchased prior to January 1, 1984.  Gains or                       Nonresidents are required to report income earned within, 
  losses on property purchased prior to January 1, 1984 must be                            derived from or attributable to the City of Portland sources.
  determined by one of the following methods:
 a . The basis may be the adjusted fair market value of the                               1 .  COMPENSATION: received for all work or services performed in the 
  property on January 1, 1984 or;                                                                        City of Portland.
                                                                                          2 .  NET PROFITS: from the operation of a business or profession 
 b . Divide the number of months the property has been held                                    attributable to any business activity conducted in the City of Portland.
  since January 1, 1984 by the total number of months the                                 
  property was held.  Apply this fraction to the total gain or                            3 .  NET PROFITS: from the rental of real and tangible property located in 
  loss as reported on your Federal tax return.                                                           the City of Portland.
                                                                                          4 .  CAPITAL GAINS: from the sale or exchange  of real and tangible 
9 . PREMATURE DISTRIBUTIONS FROM: IRA's, Employee Savings                                                property located in the City of Portland.
  Plans, Stock Purchases, Profit Sharing Plans, and Deferred                              5 .  Premature distributions from a retirement or deferred compensation 
  Compensation.                                                                                          plan are taxable.

                                                                                                                                                                         Page 2



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NONTAXABLE INCOME

RESIDENTS AND NONRESIDENTS:                                          2 . A self-employed individual may deduct payments to a qualified 
The following kinds of income are NONTAXABLE for both                     retirement plan to the extent provided in Section 404 of the 
RESIDENTS and NONRESIDENTS by the City of Portland.                       Federal Internal Revenue Code.

. GIFTS, INHERITANCES AND BEQUESTS.                                  3 . Contributions to your Individual Retirement Account, to the extent 
                                                                          provided in Section 219 of the Federal Internal Revenue Code. 
. SOCIAL SECURITY, QUALIFIED PENSIONS AND                                 Attach page 1 of your Federal return and receipt showing the 
ANNUITIES. (INCLUDING DISABILITY PENSIONS AND                             owner of the IRA and amount contributed during the year.
RAILROAD RETIREMENT ACT BENEFITS.)
                                                                     4 . Moving expenses into the City of Portland only. (Attach Federal 
. UNEMPLOYMENT COMPENSATION,  WORKER'S                                    Form 3903.)  Only for certain Armed Forces members.  See the 
COMPENSATION, AND WELFARE  BENEFITS.                                      federal instructions to see if you qualify.

. CHILD SUPPORT                                                      5 . Payments of alimony, separate  maintenance  payments  and 
                                                                          principle sums payable in installments.  (You can't deduct these 
. INSURANCE PAYMENTS: (Except those payments from a                       payments made under a divorce or separation agreement (1) 
Health or Accident Policy paid for by your employer; these                executed after December 31, 2018, or (2) executed before 2019 
payments are taxable the same as other sick or disability pay).           but later modified to state the repeal of the deduction for alimony 
                                                                          payments.  Only the amount that is considered taxable income for 
                                                                          the spouse under the Federal  Internal Revenue Code is deductible. 
                                                                          NAME, ADDRESS and SOCIAL SECURITY NUMBER of the 
                                                                          spouse to which payments were made must be attached).
. DIVIDENDS: received from an insurance policy, when these are       NONRESIDENTS
a refund of premiums paid. (Any excess amount paid to you            The same percentages that applied when calculating your City of 
above the premiums you paid is taxable.)                             Portland taxable income must be applied to all deductions from your 
                                                                     taxable income.
. INTEREST:  from obligations of the United States, States, Cities 
or any other subordinate governmental unit of the United States.     PART-YEAR RESIDENTS
                                                                     Part-Year Residents must allocate deductions the same way they 
. COMPENSATION: received for service in the Armed Forces of          allocate income.
the United States, including Active Duty, Reserve and National 
Guard pay.
                                                                     EXEMPTIONS
NONRESIDENTS ONLY:                                                   1 . A taxpayer may deduct $1,000.00 per exemption for 2021.
The following are NOT TAXABLE to NONRESIDENTS only.                  2 . One exemption may be claimed for yourself, your spouse and each 
. INTEREST, DIVIDENDS AND ROYALTY INCOME.                                 dependent*. The City of Portland follows the same rules 
Exception: when the receipt of interest and other tangible income         established by the Federal Internal Revenue Code when 
is part of a business located in the City of Portland, such interest      determining personal and dependency exemptions.
etc. shall be considered business income taxable to                  3 . An additional  exemption(s)  may be claimed if the taxpayer  
NONRESIDENTS and reported on Federal Schedule C.                          qualifies under any of the following categories. Only ONE 
                                                                          EXEMPTION is allowed per category except as noted. (A doctor's 
                                                                          statement  must be attached to your P-1040 return when claiming 
. INCOME FROM AN ESTATE OR TRUST.                                         any of these disabilities.)
                                                                     CATEGORY I: Age 65 and older by December 31, 2021, or disabled.
. ALIMONY AND SEPARATE MAINTENANCE PAYMENTS.                                         Note: If you claim this exemption, you may not 
                                                                                     claim an additional exemption for totally and 
                                                                                     permanently disabled. However, if you are Blind, 
                                                                                     Deaf, Hemiplegic, Paraplegic or Quadriplegic you 
DEDUCTIONS FROM INCOME                                                               may claim an additional exemption.
. Ordinary, necessary, reasonable and UNREIMBURSED expenses          CATEGORY II: Blind, Hemiplegic, Paraplegic, Quadriplegic.
incurred in the performance of an employee's job to the extent 
these expenses are applicable to your taxable income. (Attach a      CATEGORY        DEAF as defined in Section 393.502 of the 
detailed list) These expenses are only allowed to the extent NOT     III:            Michigan Complied Laws.
REIMBURSED by your employer and are limited to the                     
following:                                                           4 . If you are claiming a child who is not living with you as an 
A . Expenses of travel, meals and lodging while away from home.           exemption, you must submit a copy of Federal Form 8332 or Pre-
                                                                          1985 divorce agreement allowing the exemption.
B . Expenses of an outside salesman, while away from 
employer's place of business.                                         *Please Note…
C . Expenses of transportation.                                       If an individual has taxable income and is claimed as a 
D . Reimbursed expenses which have been included in W-2               dependent on another person's Federal income tax return, 
income.                                                               they may claim a personal exemption on their own 
                                                                      Portland tax return, also.
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                    INSTRUCTIONS FOR COMPLETING YOUR CITY OF PORTLAND P-1040 RETURN
Please print or type all requested information. Refer to pages 2-5, of this 
booklet for General Information that will assist in completing this form.              Line 11 - UNEMPLOYMENT COMPENSATION
                                                                                       Nontaxable on the City of Portland tax return.
Print clearly your NAME(s), complete ADDRESS (if using a P.O. Box                      LINE 12  -SOCIAL SECURITY BENEFITS
number you must also list your physical address), and SOCIAL                           Nontaxable on the City of Portland tax return.
SECURITY NUMBER(s).
                                                                                       LINE 13 - OTHER INCOME
Check appropriate box to indicate your Residency Status. If part-year,                 This line is used to report other income including gambling and lottery 
complete and attach to the tax return 'Schedule PY'.                                   winnings, and any other income or loss reported 
                                                                                       on their federal return.
Check appropriate box to indicate your FILING STATUS. (If married 
filing separately, list spouse's full name and social security number.)                Attach a statement listing the type of income as well as the amount.
Exemptions: Please list the names of dependent children who lived with                 LINE 14  - TOTAL INCOME
you.  For other dependents please attach an explanation.                               Total Income: Add lines 1 through 13.
NON RESIDENT WAGE AND OR BUSINESS ALLOCATION:                                          DEDUCTIONS
- See page 10.
                    LINE BY LINE INSTRUCTIONS                                          LINE 15 - IRA DEDUCTION
                                                                                       IRA contributions based upon the amount allowed on the federal return.  Include 
INCOME                                                                                 Schedule 1 of Federal form 1040.
LINE 1 - WAGES, SALARIES, TIPS, ETC.
Attach page 1 and page 2 of Federal 1040 and all W-2 & 1099 forms.
                                                                                       LINE 16 -EMPLOYEE BUSINESS EXPENSES
                                                                                       The employee business expenses listed below are not subject to the same
LINE 2 - INTEREST                                                                      reductions and limitations required under the Internal Revenue Code.
Enter interest from your federal return minus interest from obligations of the United  These expenses are, however, allowed only to the extent not paid or 
States and subordinate units of government.  Interest received while a resident of     reimbursed by your employer and only when incurred in the performance of 
Portland is taxable regardless of where earned.                                        service for your employer.
                                                                                       The employee business expense deductions allowed by the City of 
LINE 3 - DIVIDENDS                                                                     Portland Income Tax Ordinance are as follows:
Enter dividends from your federal return minus dividends from obligations of the 
United States and subordinate units of government.  Interest received while a 
resident of Portland are taxable regardless of where earned.                           Under the Portland Income Tax Ordinance meals must be incurred 
                                                                                       while away from home overnight on business to be deductible.
LINE 4 - INCOME/LOSS FROM BUSINESS, ETC.                                               A.   Expenses of travel, meals and lodging while away from home, overnight on 
                                                                                       business for an employer.
Income from a business or partnership.  Attach a copy of the Federal
Schedule C.                                                                            B.   Expenses as an outside salesperson who works away from his employer's 
LINE 5 -  CAPITAL GAINS OR LOSSES                                                      place of business (does not include driver/salesperson whose primary duty is 
                                                                                       service and delivery.)
Capital gain or loss reported on the federal return.  Attach the Federal Schedule D/
form 8949
                                                                                       C.   Expenses of transportation (but not transportation to and from work.)
LINE 6 - RENTS/ROYALTIES                                                               D.   Expenses reimbursed under an expense account or other arrangement with 
Rental real estate or royalties reported on the federal return.                        your employer, if the reimbursement has been included in and reported in gross 
Attach Federal Schedule E, page 1                                                      income.

LINE 7 - PARTNERSHIPS                                                                  LINE 17 - MOVING EXPENSES
Partnership income reported on the federal return.  Attach Federal Schedule E, page 2. Moving expenses for certain Armed Forces members only into
                                                                                       the City of Portland that qualify under the Internal Revenue Code as a 
LINE 8 - ESTATES AND TRUSTS                                                              deduction from federal gross income may be deducted on your Portland return.
Estate or trust income.  Attach Federal Schedule E, page 2.                            You must attach a copy of Federal Form 3903 or a list of your moving 
                                                                                       expenses, including the distance in miles from where you moved.
LINE 9 - PREMATURE DISTRIBUTIONS FROM PROFIT SHARING 
PLANS, PREMATURE IRA DISTRIBUTIONS                                                     LINE 18 - NON-RESIDENT INCOME
IRA distributions received after age 59 1/2 are not taxable.                           Income that is earned outside the City of Portland by a nonresident.  This
Premature IRA distributions (those reported on Form 1099-R, box 7                      line is used for part-year residents that did not work in the City of Portland
distribution code 1) and IRA distributions made to a decedent's beneficiary other      in 2021. 
than the decedent's spouse (form 1099-R, box 7, distribution code 4) are taxable.
Enter on this line all early pension and profit sharing wthdrawals and/or
distributions subject to the 10% federal penalty.  Also report premature IRA           LINE 19 - OTHER DEDUCTIONS
distributions subject to the 10% federal penalty.                                      Other, explain and attach support.
LINE 10  - S CORPORATION DISTRIBUTIONS                                                 LINE 20 - TOTAL DEDUCTIONS 
S Corporation distributions only.  S-Corporation income (loss) is not taxable. Attach  Total deductions: Add lines 15 through 19.
Federal Schedule K-1

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  LINE 21 - TOTAL INCOME AFTER DEDUCTIONS                                    DECEASED TAXPAYER:
  Total income after deductions: Subtract line 20 from line 14.              A return for a person who died during 2021 should be filed on the same basis as
  LINE 22 - AMOUNT OF EXEMPTIONS                                             if the person was still living.  Please attach a copy of the death certificate.  If a 
  Amount of exemptions: Number of exemptions x $1,000.00.                    refund is due and the check is to be made payable to persons other than the 
  LINE 23                                                                    surviving spouse, a letter of explanation should be attached.
  Income subject to tax: Subtract line 22 from line 21.                      Summary of Required Attachments
  LINE 24-TOTAL TAX                                                          All W-2 forms - Please note -  W-2's must have box 1, 18, 19 & 20 Completed. 
  Total Tax:  Multiply line 23 by 1% (.01) if a resident, .5% (.005) if a    Page 1 and 2 of Federal 1040. RESIDENTS ONLY
  non resident.  Attach Portland Schedule PY-if you worked in                Resident filers taking a credit for TAX LIABILITY PAID TO ANOTHER CITY:
  Portland as a resident and a nonresident.                                  Attach a copy of page one of the other city return.
  PAYMENTS/CREDITS                                                           Worksheet available on page 10.
                                                                             NONRESIDENTS: ATTACH FORMS W-2 SHOWING PORTLAND WITHHOLDING
  LINE 25 - PORTLAND TAX WITHHELD                                            If Applicable:
  On line 25 enter the amount of Portland Tax withheld as shown on           Federal Schedules: Schedule 1, Schedule C, Schedule D,
  your 2021 W-2.  The City copy of your 2021 W-2(s) clearly                  Schedule E, including Federal Schedule K-1 for all S corporations shown on Sch.E
  showing the locality as Portland and the amount of tax                     Federal Forms:  8949, 4797, 6252, 
  withheld in box 19 must be submitted with your return                      Copies of all forms 1099-R for taxpayers under age 65
  before credit can be allowed for Portland tax withheld.                    Attach additional form(s)/worksheet(s) you feel will help explain and expedite the 
  LINE 26 - PAYMENTS/CREDITS                                                 processing of your return.
  Enter any estimated payments made in 2021, payments with                   Note:  Overpayments of less than one dollar ($1.00) cannot be refunded or
  extension, and any credits carried forward from 2020.                      credited.
  LINE 27- TAX PAID TO OTHER CITY                                            ESTIMATED TAX PAYMENTS FOR 2022
  A Portland resident subject to city income tax in another city may         Estimated tax payments are REQUIRED if in 2022 you will have more than 
  claim a credit for the net amount paid to the other city on income that    $100.00 due after credits.  A Declaration of Estimated Income Tax MUST
  is taxable by both cities.  Do NOT report the amount withheld for the      be filed by May 2, 2022, and one-fourth (1/4) of the estimated tax due for 
  other city.  This credit may not exceed the tax that a nonresident         2022 must be paid with the declaration.  The three remaining estimated tax
  of Portland would pay on the same income earned in Portland.               payments are due at the end of June, September, and January.
  Use the worksheet located on page 10 to calculate this credit.             Failure to make required estimated tax payments or underpayment
  You must attach a copy of the city income tax return                       of estimated tax will result in assessment of penalty and interest.
  you filed with the other city to receive this credit.                      If at any time during the year your income increases to such a level that one
  LINE 28 - TOTAL PAYMENTS AND CREDITS                                       hundred dollars or more of tax will be due, a Declarations of Estimated Tax
  Total payments and credits: Add lines 25-27.                               must be filed at that time.
  LINE 29- TAX DUE                                                           The Declaration of Estimated Tax is available from the Portland Income Tax
  Total Tax Due: Subtract line 28 from line 24.  This is your tax due to pay Department or the City's website.
  with your return.                                                          EXTENSION OF TIME TO FILE
  Line 30-CREDIT CARRIED FORWARD                                             The due date of Portland annual returns may be extended for a period not to 
  Total Tax Credited: Subtract line 24 from line 28. This is your credit     exceed six months.  Send a copy of your federal extension along with tentative
  carried forward to 2022.                                                   tax due, by May 2, 2022.  Extensions do not extend the time to pay the tax due.
  Line 31 -CREDIT REFUNDED VIA CHECK                                         SIGNING THE RETURN
  Tax To Be Refunded:  Subtract line 24 from line 28. This is your           You must sign and date your return and the return must be received by the 
  refund amount.                                                             Portland Income Tax Department for it to be a valid return. If the return is filed
  Line 32 - CREDIT REFUNDED VIA DIRECT DEPOSIT                               jointly with your spouse, both you and your spouse must sign and date the return.
  Tax To Be Refunded:  Subtract line 24 from line 28. This is your           DISCLAIMER NOTICE
  refund amount that will be deposited to your account.                      These instructions are interpretations of the Portland Income Tax Ordinance.  The 
                                                                             Ordinance will prevail in any disagreement between forms or instructions and 
                                                                             the Ordinance.
                                               YOU MAY BE REQUIRED TO PAY ESTIMATED TAX 
 Start Here Do you expect to owe $100.00                                                       Do you expect your income 
                                                         Do you expect your income 
            or more for 2022 after                                                             tax withholding and credits 
                                                         tax withholding and credits 
            subtracting income tax             YES                                         NO  to be at least 70% of the tax 
                                                         to be at least 70% of the tax 
            withholding and credits from                                                       shown on your 2021 tax 
                                                         to be shown on your 2022 
            your total tax? (Do not subtract                                                   return?                                    NO
                                                         tax return?
            any estimated tax payments)
                                                                             YES                        YES
            NO
                           You are NOT required to pay estimated tax for                                You MUST make estimated 
                           your 2022 tax return.                                                        tax payment(s)

    WHO MUST MAKE A DECLARATION:
  1 . INDIVIDUALS AND UNINCORPORATED BUSINESSES - If                             2 . FILING and PAYMENT: The declaration vouchers, City of Portland 
    you are a resident or nonresident and expect taxable income in                     Form P-1040 EST. The estimated tax may be paid in full with the first 
    2022 from which City of Portland income tax will not be                            declaration voucher or in four equal installments paid quarterly. The 
    withheld by an employer; you must file a DECLARATION OF                            due dates as indicated on each declaration voucher are: First Quarter - 
    ESTIMATED INCOME TAX with the City of Portland. (If the                            May 2, 2022, Second Quarter - June 30, 2022, Third Quarter - 
    estimated tax is $100.00 or less, a declaration is not required.) A                September 30, 2022 and Fourth Quarter - January 31, 2023.  Vouchers 
    husband and wife may file a joint declaration.                                     can be found on page 12 of this booklet or can be printed from our 
                                                                                       website.

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                                                      CITY OF PORTLAND INDIVIDUAL 
    CITY    OF PORTLANDP-1040                                           RETURN                                           For year January 1-December 31, 2021                            2021
Your Social Security Number                     Spouse's Social Security Number                           RESIDENCY STATUS
                                                                                                                RESIDENT            NON-RESIDENT              PART-YEAR RESIDENT       FROM____________TO_________
First Name and Initial                          Last Name                                                 FILING STATUS
                                                                                                          SINGLE         MARRIED FILING JOINTLY               * MARRIED FILING SEPARATELY
If Joint, Spouse's First Name and Initial       Last Name                                                 EXEMPTIONS      65 OR OVER BLIND  DEAF     DISABLED
                                                                                                          A   □ YOURSELF          □        □              □
Mailing Address ( If using a PO Box you must also list your physical home address )                       B  □  SPOUSE       □      □        □              □                      D. NUMBER OF OTHER DEPENDENTS (EXPLAIN)
                                                                                                          C.  NAMES OF DEPENDENT CHILDREN WHO LIVED WITH YOU
City / Town                                     State                                             Zip Code
                                                                                                                                                                                                                                                                                                                                                   TOTAL NUMBER OF EXEMPTIONS CLAIMED ON BOXES A,B,C, & D
 RESIDENTS     INCOME
    ATTACH     1.      Wages, salaries, tips, etc.                                                                                                                                 1.
    COPY OF    2.      Taxable interest.                                                                                                                                           2.
    PAGE 1     3.      Ordinary dividends.                                                                                                                                         3.
 AND PAGE 2    4.      Income/loss from business - attach Federal Schedule C                                                                                                       4.
FEDERAL 1040   5.      Income/loss from sale or exchange of property (Capital gains) - attach Federal Schedule D/Form 8949                                                         5.
               6.      Income/loss from rents/royalties - attach Federal Schedule E, page 1                                                                                        6.
               7.      Income/loss from partnerships - attach Federal Schedule E, page 2                                                                                           7.
               8.      Income from estates/trusts - attach Federal Schedule E, page 2                                                                                              8.
               9.      Premature distributions from profit sharing plans, pension plans and/or IRAs                                                                                9.
               10.     Distributions from Subchapter S corporations - attach Federal Schedule K-1                                                                                  10.
 W-2 & 1099-R  11.     Unemployment compensation.                                                                                                                                  11.             NOT TAXABLE
    FORMS      12.     Social security benefits.                                                                                                                                   12.             NOT TAXABLE
    HERE       13.     Other income (gambling winnings, taxable scholarships, etc.)                                                                                                13.
               14.           Total income.  Add lines 1 through 13.                                                                                                                14.
               DEDUCTIONS                 See instructions.  Deductions must be allocated on the same basis as related income.
               15.     IRA Deduction - attach Schedule 1 of Federal 1040     (No deduction is allowed for contributions to a ROTH IRA)                                             15.
               16.     Employee business expenses - see instructions and attach detailed list                                                                                      16.
               17.     Moving expenses.  -see instructions and attach Federal 3903                                                                                                 17.
               18.     Non-Resident Income (For part-year residents that did not work in Portland)                                                                                 18.
               19      Other Deductions                                                                                                                                            19.
               20.     Total deductions.  Add lines 15 through 19                                                                                                                  20.
               21.     Total income after deductions.  Subtract line 20 from line 14                                                                                               21.
               22.     Amount from exemptions  ( Number of Exemptions, __________ times $1,000.00 )                                                                                22.
    ATTACH     23.     Total income subject to tax.  Subtract line 22 from line 21                                                                                                 23.
    CHECK      24.     TAX -MULTIPLY LINE 23 BY YOUR TAX RATE   RES. = 1% (.01), NON-RES. = 1/2% (.005), PART YEAR RES.- ATTACH P 'SCH PY' ( PG 8 )                                24.
       OR      PAYMENTS AND CREDITS
    MONEY      25.     Portland tax withheld by your employer  (ATTACH W-2 FORMS showing tax withheld)                                                                             25.
    ORDER      26.     Payments on 2021 Declaration of Estimated Income Tax, payments with an extension and carry forward credits.                                                 26.
    HERE       27.     Credit for tax paid to another city and for tax paid by a partnership.  Copy of other cities tax return must be attached for credit. (Worksheet on page 10) 27.
               28.           Total payments and credits.  Add lines 25 through 27                                                                                                  28.
               TAX DUE                    29    If tax (line 24) is larger than payments (line 28) you owe tax.(If over $100.00 see page 5)  PAY WITH RETURN >>>                   29.
               CREDIT TO 2022             30.   If payments (line 28) are larger than tax (line 24) enter overpayment to be credited forward to 2022                               30.
               REFUND CHECK               31.   If payments (line 28) are larger than tax (line 24) enter overpayment to be refunded via a refund check                            31.
               DIRECT DEPOSIT             32.   If payments (line 28) are larger than tax (line 24) enter overpayment to be refunded via direct deposit                            32.
                                          32 A.        Check box for direct deposit of refund.  List bank account information below.
                                          32 B.  Routing number                                            * 32 C. Type of Account: CHECKING         SAVINGS * If type of account is not checked a 
                                          32 D.  Account number                                                                                               check will be mailed 
                       PLEASE SIGN YOUR RETURN BELOW
                       If joint return, both husband and wife must sign.
                       I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct and complete. 
                       If prepared by a person other than taxpayer, the preparer's declaration is based on all information of which he/she has any knowledge. 
                       ====>
                                                                                                           SIGNATURE OF PREPARER OTHER THAN TAXPAYER
                       SIGN                                                                        
                               X X
                       HERE    TAXPAYER'S SIGNATURE                                               DATE                                     
                         ====> X                                                                          PREPARER'S ADDRESS
                               SPOUSE'S SIGNATURE
                                                      PHONE #                                             PREPARER'S PHONE NUMBER: 
                       MAKE CHECK OR MONEY ORDER PAYABLE TO:  CITY OF PORTLAND      MAIL TO:  CITY INCOME TAX DEPARTMENT, 259 KENT ST. PORTLAND, MI 48875

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                                                   CITY OF PORTLAND INDIVIDUAL 
    CITY    OF PORTLANDP-1040                                            RETURN                                          For year January 1-December 31, 2021                            2021
Your Social Security Number                  Spouse's Social Security Number                              RESIDENCY STATUS
                                                                                                                RESIDENT            NON-RESIDENT              PART-YEAR RESIDENT         FROM____________TO_________
First Name and Initial                          Last Name                                                 FILING STATUS
                                                                                                          SINGLE         MARRIED FILING JOINTLY               * MARRIED FILING SEPARATELY
If Joint, Spouse's First Name and Initial       Last Name                                                 EXEMPTIONS      65 OR OVER BLIND DEAF      DISABLED
                                                                                                          A   □ YOURSELF          □        □              □
Mailing Address ( If using a PO Box you must also list your physical home address )                       B  □  SPOUSE       □      □        □              □                      D. NUMBER OF OTHER DEPENDENTS (EXPLAIN)
                                                                                                          C.  NAMES OF DEPENDENT CHILDREN WHO LIVED WITH YOU
City / Town                                  State                                                Zip Code
                                                                                                                                                                                                                                                                                                                                                   TOTAL NUMBER OF EXEMPTIONS CLAIMED ON BOXES A,B,C, & D
 RESIDENTS     INCOME
    ATTACH     1.      Wages, salaries, tips, etc.                                                                                                                                 1.
    COPY OF    2.      Taxable interest.                                                                                                                                           2.
    PAGE 1     3.      Ordinary dividends.                                                                                                                                         3.
 AND PAGE 2    4.      Income/loss from business - attach Federal Schedule C                                                                                                       4.
FEDERAL 1040   5.      Income/loss from sale or exchange of property (Capital gains) - attach Federal Schedule D/Form 8949                                                         5.
               6.      Income/loss from rents/royalties - attach Federal Schedule E, page 1                                                                                        6.
               7.      Income/loss from partnerships - attach Federal Schedule E, page 2                                                                                           7.
               8.      Income from estates/trusts - attach Federal Schedule E, page 2                                                                                              8.
               9.      Premature distributions from profit sharing plans, pension plans and/or IRAs                                                                                9.
               10.     Distributions from Subchapter S corporations - attach Federal Schedule K-1                                                                                  10.
 W-2 & 1099-R  11.     Unemployment compensation.                                                                                                                                  11.             NOT TAXABLE
    FORMS      12.     Social security benefits.                                                                                                                                   12.             NOT TAXABLE
    HERE       13.     Other income (gambling winnings, taxable scholarships, etc.)                                                                                                13.
               14.           Total income.  Add lines 1 through 13.                                                                                                                14.
               DEDUCTIONS                 See instructions.  Deductions must be allocated on the same basis as related income.
               15.     IRA Deduction - attach Schedule 1 of Federal 1040     (No deduction is allowed for contributions to a ROTH IRA)                                             15.
               16.     Employee business expenses - see instructions and attach detailed list                                                                                      16.
               17.     Moving expenses.  -see instructions and attach Federal 3903                                                                                                 17.
               18.     Non-Resident Income (For part-year residents that did not work in Portland)                                                                                 18.
               19      Other Deductions                                                                                                                                            19.
               20.     Total deductions.  Add lines 15 through 19                                                                                                                  20.
               21.     Total income after deductions.  Subtract line 20 from line 14                                                                                               21.
               22.     Amount from exemptions  ( Number of Exemptions, __________ times $1,000.00 )                                                                                22.
    ATTACH     23.     Total income subject to tax.  Subtract line 22 from line 21                                                                                                 23.
    CHECK      24.     TAX -MULTIPLY LINE 23 BY YOUR TAX RATE   RES. = 1% (.01), NON-RES. = 1/2% (.005), PART YEAR RES.- ATTACH P 'SCH PY' ( PG 8 )                                24.
       OR      PAYMENTS AND CREDITS
    MONEY      25.     Portland tax withheld by your employer            (ATTACH W-2 FORMS showing tax withheld)                                                                   25.
    ORDER      26.     Payments on 2021 Declaration of Estimated Income Tax, payments with an extension and carry forward credits.                                                 26.
    HERE       27.     Credit for tax paid to another city and for tax paid by a partnership.  Copy of other cities tax return must be attached for credit. (Worksheet on page 10) 27.
               28.           Total payments and credits.  Add lines 25 through 27                                                                                                  28.
               TAX DUE                    29 If tax (line 24) is larger than payments (line 28) you owe tax.(If over $100.00 see page 5)     PAY WITH RETURN >>>                   29.
               CREDIT TO 2022             30. If payments (line 28) are larger than tax (line 24) enter overpayment to be credited forward to 2022                                 30.
               REFUND CHECK               31. If payments (line 28) are larger than tax (line 24) enter overpayment to be refunded via a refund check                              31.
               DIRECT DEPOSIT             32. If payments (line 28) are larger than tax (line 24) enter overpayment to be refunded via direct deposit                              32.
                                          32 A.     Check box for direct deposit of refund.  List bank account information below.
                                          32 B.  Routing number                                            * 32 C. Type of Account: CHECKING         SAVINGS * If type of account is not checked a 
                                          32 D.  Account number                                                                                               check will be mailed 
                       PLEASE SIGN YOUR RETURN BELOW
                       If joint return, both husband and wife must sign.
                       I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct and complete. 
                       If prepared by a person other than taxpayer, the preparer's declaration is based on all information of which he/she has any knowledge. 
                       ====>
                                                                                                           SIGNATURE OF PREPARER OTHER THAN TAXPAYER
                       SIGN                                                                        
                               X X
                       HERE    TAXPAYER'S SIGNATURE                                               DATE                                     
                         ====> X                                                                          PREPARER'S ADDRESS
                               SPOUSE'S SIGNATURE
                                                   PHONE #                                                PREPARER'S PHONE NUMBER: 
                       MAKE CHECK OR MONEY ORDER PAYABLE TO:  CITY OF PORTLAND      MAIL TO:  CITY INCOME TAX DEPARTMENT, 259 KENT ST. PORTLAND, MI 48875

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- 8 -
              CITY OF PORTLAND                                                                      Schedule PY 

PART-YEAR RESIDENT TAX CALCULATION
                             ATTACH THIS SCHEDULE TO YOUR P-1040 FORM
Taxpayer's social security #                        Spouse's social security # 

First Name and Initial                                                         Last Name          

PART-YEAR RESIDENT                    From              To
Taxpayer
Spouse
FORMER ADDRESS
Taxpayer
Spouse
                                                    COMPUTATION OF TAXABLE INCOME
                                                                                                                    COLUMN 1                    COLUMN 2                   
                                                                                                    PORTLAND INCOME ALL INCOME EARNED PORTLAND INCOME 
 INCOME                                                                                             TAX WITHHELD    WHILE A RESIDENT  WHILE A 
                                                                                                                    OF PORTLAND       NONRESIDENT
     EMPLOYER'S NAME                                          ADDRESS OF ACTUAL WORK STATION
1.
2.
3.
4.
5.
6.
Total compensation and Portland tax withheld. (Add lines 1 through 6)  Enter on line 30 of P-1040.
7. Interest Income
8. Dividend income from federal return.
9a. Business income/loss
9b. Sale and exchange of property.                                                                                                    NOT TAXABLE
9c. Rental Real Estate, Royalties, Partnerships, trust, etc.
9d. Unemployment compensation.                                                                                      NOT TAXABLE       NOT TAXABLE
10. Social security benefits.                                                                                       NOT TAXABLE       NOT TAXABLE
11. Other income.  Attach statement listing type and amount. 
12.  Total income.  Add lines 1 through 11.
DEDUCTIONS         See instructions.  Deductions must be allocated on the same basis as related income.
13  Individual Retirement Account deduction.   (Attach Schedule 1 of Federal 1040)
14  Employee business expenses              (see instructions and attach detailed list)
15  Moving expenses.  -Into Portland only- See instructions       (ATTACH FEDERAL FORM 3903.)
    Alimony paid.  DO NOT INCLUDE CHILD SUPPORT           (ATTACH  PG 1 2 OF FED. TAX RETURN ALONG WITH THE 
16  NAME, ADDRESS AND SSN OF PERSON YOU ARE PAYING.)  See new rules if divorce filed after 12/31/18.
17  Other, explain and attach forms/schedules
18       Total deductions.  Add lines 13 through 17
19       Total income after deductions.  Subtract line 18 from line 12
20  Exemption Amount   (Number of Exemptions,_____times $1000.00)  
21      Total income subject to tax   Subtract line 20 from line 19 
22a Tax at resident rate.     (MULTIPLY LINE 21 BY 1% (.01))
22b Tax at nonresident rate.               (MULTIPLY LINE 19 Column 2 BY 1/2% (.005))
23  Total tax.  Add lines 22a and 22b  (ENTER HERE AND ON PAGE ONE OF THE P-1040, LINE 24)

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                                            INSTRUCTIONS FOR COMPLETING THE P-PY
GENERAL INFORMATION                                                      SALES OR EXCHANGES WHILE A RESIDENT
The purpose of Schedule PY is to help the part-year resident who         All gains or losses from the sale of both tangible and intangible property
earned income both as a Portland resident and as a nonresident           are taxable to residents regardless of where the property is located.
working in Portland.  Certain kinds of income are taxed differently to   The Portland Income Tax Ordinance follows the Internal Revenue Code 
residents of Portland and nonresidents working inside Portland.          except for gains on the sales of obligations of the United States
                                                                         (and subordinate units of government) and gains from the sales or exchanges
Schedule PY must be filed with a Portland Resident Individual Tax        of property purchased prior to January 1, 1984.
Return (P-1040).  Instructions for the resident individual return apply
to income earned while a resident.  Instructions for the Nonresident     SALES OR EXCHANGES WHILE A NONRESIDENT
apply to income earned in Portland while a nonresident.                  Only that portion of a gain or loss from the sale of tangible real and personal 
                                                                         property located in Portland occurring after January 1, 1984, is taxable to a 
COMPUTATION OF TAXABLE INCOME                                            nonresident.  The gain or loss from the sale of intangible property is not taxable 
Lines 1-16 of schedule PY describe the kinds of income subject to        to a nonresident.
tax.  Column 1 is for income earned while a resident of Portland.  Column
2 is for income earned while a non resident.                             LINE 9c- INCOME (OR LOSS) FROM RENTAL REAL ESTATE, ROYALTIES, 
                                                                         PARTNERSHIPS, TRUSTS, ETC.
The following instructions for specific kinds of income must be used     RENTAL AND ROYALTY INCOME
together with the instructions for the P-1040.                           Rental and royalty income earned while a resident must be reported regardless
                                                                         of the location of the property.  Nonresidents must report only that portion of 
LINES 1-6    WAGES, SALARIES, COMMISSIONS,                               rental income derived from the rental of real and tangible personal property 
TIPS, SICK PAY, ETC.                                                     located in Portland.
All wages earned while a resident must be reported in column 1
regardless of where earned.  To determine resident wages use a           PARTNERSHIP, ESTATE AND TRUST INCOME (OR LOSS)
check stub close to the date of move as a guide.  Nonresident wages      Partnership, trust and other similar income of a resident must be reported 
for an employer equal box #1 of the W-2 form (total wages) less          regardless of where located.  Attach a copy of federal Schedule K-1.  A 
resident wages reported in column 1.  Taxable nonresident wages          nonresident must report only that portion of partnership income (or loss) 
earned in Portland are calculated for each employer as follows:          allocated to Portland on the partnership's Portland Partnership Return (P-1065).
1.  Compute the number of actual days worked in Portland as a            If there is no partnership return on file the processing of the individual return 
nonresident for the employer.                                            will be delayed until a partnership return is filed.  Income from estates, trusts, 
2.  Compute the total number of days worked while a nonresident          etc. is not taxable to a nonresident.
for the employer.
3.  Divide the days worked in Portland by the total days worked as a     LINE 11.- OTHER INCOME
nonresident to compute the percentage of nonresident wages earned        Other income of a resident is taxable.  See resident return instructions.  Other
in Portland.                                                             income of a nonresident earned in Portland is taxable.  See nonresident
4.  Multiply the wages as a nonresident by the percentage earned         instructions for line 9, rental real estate, partnership and other income, for 
in Portland (number 3 above) to calculate nonresident wages              taxability of a nonresident's other income.
earned in Portland.
5.  Enter the nonresident wages earned in Portland in column 2 for       LINE 13-17   DEDUCTIONS
each employer.                                                           With the exception of the KEOGH, SEP, and SIMPLE retirement deduction
                                                                         residents and nonresidents are limited to the deductions listed on lines 13-18.
LINE 7- INTEREST INCOME                                                  The KEOGH, SEP or SIMPLE retirement deduction must be included on line 9a.
Interest received while a resident (minus interest from government       Nonresidents must allocate deductions in the same manner they allocate their
obligations) is taxable and must be entered in column 1.  Interest       income.  (See instructions to nonresidents.)
received while a nonresident is not taxable.
                                                                         LINE 20- PERSONAL EXEMPTIONS
LINE 8 - DIVIDEND INCOME                                                 Complete the exemption section of the P-1040 and multiply the number
Dividends received while a resident (minus interest from government      of exemptions by $1,000.00.  
obligations) are taxable and must be entered in column 1.  Dividends
received while a nonresident are not taxable.                            LINE 21 - TOTAL INCOME SUBJECT TO TAX
                                                                         Subtract line 20 from line 19.
LINE 9a -BUSINESS INCOME/LOSS
Business, professional, and farm income earned while a resident          LINE 22a- TAX A RESIDENT RATE  1%
of Portland is taxable, regardless of where the business or profession   Multiply Line 22 by 1% (0.01)
is conducted.
Nonresident business, profession and farm income earned in Portland      LINE 22b-TAX AT NONRESIDENT RATE  .5% 
is taxable.                                                              Multiply Line 20 Column 2 by .5% (0.005). 
The KEOGH, SEP, or SIMPLE retirement deduction is subtracted from        LINE 23- TOTAL TAX
business, professional, and farm income prior to the income being        Add the resident rate and nonresident rates together. (Lines 22a and 22b.)
entered on line 9a. This deduction must be allocated between resident    Enter this amount on the P-1040, Line 24
and nonresident status in the same manner as income.  Attach
supporting schedules detailing computation of this deduction.

                                                                                                                                                            Page 9



- 10 -
                                                Attach this sheet to the P-1040 Form

P-1040 FORM, NONRESIDENT WAGE ALLOCATION
This schedule to be completed by nonresidents who performed part of their services in Portland and the other part outside of the City of 
Portland on the same job.   (When husband and wife both have income subject to allocation figure separately.)
                                                                                                       YOURSELF             SPOUSE
A.  Total income subject to allocation from W-2(s)                                     A . $                        A . $
B . Figure percentage of wages earned in Portland                                      B .                       %  B .                  %
    1 . Total number of days worked everywhere in 2021.                                    1 .                          1 .
    2 . Actual number of days worked in Portland.                                          2 .                          2 .
                                 * ATTACH STATEMENT FROM YOUR EMPLOYER -                                REQUIRED
    3 . Divide line 2 by line 1, enter percentage on line B.
C . Multiply line A by percentage on line B                                            C .                          C .
D.  Add all other W-2 income earned in Portland not allocated.                         D .                          D .
E . Total income subject to Portland tax. (Add C and D.)                               E .                          E .
    (Enter on P-1040 form, line 1, in the taxable to Portland column).

BUSINESS ALLOCATION - NONRESIDENTS ONLY
This schedule applies to nonresidents who conducted business in the City of Portland.

A.  Total income from BUSINESS or PROFESSION.                                                          A.       $
B . Percentage earned in Portland                                                                      B .                 %
    (Attach Federal Schedule C.)
C . Multiply line A by percentage on line B.  (Enter on P-1040, line 6, Portland column.)              C .

CREDIT FOR TAX PAID TO ANOTHER CITY 
WORKSHEET FOR P-1040 FORM LINE 27  - Residents and Part-Year Residents only-
Residents and part-year residents may claim the credit for tax paid to another city  only on the portion of income 
earned while a resident of Portland.
CALCULATION FOR CREDIT (Residents or Part-Year Residents of Portland                                   COLUMN A                                                    COLUMN B                                                    
only.) Pro-rate credit for part-year residents.                                            PORTLAND RES. INCOME       OTHER TAXING CITY
1.  IDENTICAL INCOME  - TAXABLE IN BOTH CITIES                                           $                         $
2.  EXEMPTIONS PER CITY'S RETURN
3.  TAXABLE INCOME FOR CREDIT - Subtract line 2 from line 1 
in column A and column B.
4.  EACH CITY'S NONRESIDENT TAX RATE                                                                   .005  (1/2%)

5.  Multiply line 3 by line 4 in column A and in column B

CREDIT ALLOWED                                                                         Enter on Line 27
(Enter the smaller of line 5, Column A or B)

                                                                                                                                       Page  10



- 11 -
       ESTIMATED TAX WORKSHEET ( KEEP FOR YOUR RECORDS- DO NOT FILE )
1.  Taxable Income expected in _________________                                                    $________________
2.  Exemptions ( $1000 For Each Exemption )                                                         $________________
3.  Estimated Portland Taxable Income ( Line 1 less line 2 )                                        $________________
4.  Estimated Portland Income Tax           Non-resident individuals enter 1/2% of line 3           $________________
                                            all other tax payers enter 1% of line 3.
5.  ( a ) Amount of Portland Income Tax Withheld                                    $______________
     ( b ) Overpayment From Previous Year                                           $______________
     ( c ) Other Credits- Explain Here                                              $______________
             Total  (Add line 5 ( a ), ( b ), ( c ), and Enter Here                                 $________________
6.  Estimated Tax:  (Line 4 less Line 5 (*)                                                         $________________
7.  Amount to be paid for the year.  Enter here and on the vouchers.                                $________________
8.  Divide line 7 by four and enter here and on vouchers.  This is the amount to pay quarterly.     $________________
* Note:  If line 6 is $100.00 or less (Individuals or Unincorporated business) 
or $250.00 or less (Corporation), this return is not required.
                                                                    RECORD OF ESTIMATED TAX PAYMENTS

VOUCHER NO. DATE                            AMOUNT PAID THIS QUARTER                            TOTAL PAID TO DATE CHECK #
1
2
3
4
                                       TOTAL

                                                                                                                          Page 11



- 12 -
P-1040ES                                     CITY OF PORTLAND
CITY OF PORTLAND                             ESTIMATED TAX DECLARATION-VOUCHER                  VOUCHER 1
Income Tax Division                          FOR THE YEAR 2022                                  (Calendar year- Due May 2)
                                  TO BE USED FOR MAKING DECLARATION AND PAYMENT
Social Security No.      Social Security No.                                   Employer I.D. NO.

First Name               Last Name
Address (No. and Street)
                                                                               Estimated Tax……  $
City, State, and Zip Code
                                                                               Amount of this Payment..    $
RETURN THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE TO: "TREASURER, 
CITY OF PORTLAND" AND MAIL TO: Income Tax Division, 259 Kent Street, PORTLAND,
MICHIGAN 48875.                                                                SIGN HERE
                                             (DETACH HERE)

P-1040ES                                     CITY OF PORTLAND
CITY OF PORTLAND                             ESTIMATED TAX DECLARATION-VOUCHER                  VOUCHER 2
Income Tax Division                          FOR THE YEAR 2022                                  (Calendar year- Due June 30)
                                  TO BE USED FOR MAKING DECLARATION AND PAYMENT
Social Security No.      Social Security No.                                   Employer I.D. NO.
First Name               Last Name
Address (No. and Street)
                                                                               Estimated Tax……  $
City, State, and Zip Code
                                                                               Amount of this Payment..    $
RETURN THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE TO: "TREASURER, 
CITY OF PORTLAND" AND MAIL TO: Income Tax Division, 259 Kent Street, PORTLAND,
MICHIGAN 48875.                                                                SIGN HERE
                                             (DETACH HERE)

P-1040ES                                     CITY OF PORTLAND
CITY OF PORTLAND                             ESTIMATED TAX DECLARATION-VOUCHER                  VOUCHER 3
Income Tax Division                          FOR THE YEAR 2022                          (Calendar year- Due September 30)
                                  TO BE USED FOR MAKING DECLARATION AND PAYMENT
Social Security No.      Social Security No.                                   Employer I.D. NO.
First Name               Last Name
Address (No. and Street)
                                                                               Estimated Tax……  $
City, State, and Zip Code
                                                                               Amount of this Payment..    $
RETURN THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE TO: "TREASURER, 
CITY OF PORTLAND" AND MAIL TO: Income Tax Division, 259 Kent Street, PORTLAND,
MICHIGAN 48875.                                                                SIGN HERE
                                             (DETACH HERE)

P-1040ES                                     CITY OF PORTLAND
CITY OF PORTLAND                             ESTIMATED TAX DECLARATION-VOUCHER                  VOUCHER 4
Income Tax Division                          FOR THE YEAR 2022                          (Calendar year- Due January 31)
                                  TO BE USED FOR MAKING DECLARATION AND PAYMENT
Social Security No.      Social Security No.                                   Employer I.D. NO.
First Name               Last Name
Address (No. and Street)
                                                                               Estimated Tax……  $
City, State, and Zip Code
                                                                               Amount of this Payment..    $
RETURN THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE TO: "TREASURER, 
CITY OF PORTLAND" AND MAIL TO: Income Tax Division, 259 Kent Street, PORTLAND,
MICHIGAN 48875.                                                                SIGN HERE

                                                                                                                            Page  12






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