Enlarge image | PH-1040X CITY OF PORT HURON TAX YEAR being amended: AMENDED INDIVIDUAL INCOME TAX RETURN Revised 11/20 Your first name and initial Last name Your social security number If a joint return, spouse's first name and initial Last name Spouse's social security number Home address (number and street or PO Box) Apartment number Is this the same name and address as your original return? City, town or post office, state and ZIP code Yes No RESIDENCY STATUS Resident Nonresident Partial Resident If a PARTIAL RESIDENT, enter the dates you lived in the city: On original return FROM: TO: On this return FROM: TO: FILING STATUS Single Married filing joint return Married filing separate return Note: you cannot change from joint to separate On original return returns after the due date for filing has passed On this return A. B. C. On Original Return Net Change Correct Amount Increase or AMOUNT OF TAX (Decrease) 1. Total income . . . . . . . . . . . . . . . . . . . . . . . . 1 2. Exemption credit. If changing, fill out part I on the back . . . . . . . 2 3. Taxable income. Subtract line 2 from line 1. If less than zero, enter -0- 3 4. Tax. Residents 1% (.01), nonresidents ½ of 1% (.005), or Schedule L 4 PAYMENTS 5. Total Port Huron tax withheld . . . . . . . . . . . . . . . . . 5 6. Estimated tax payments and amounts carried forward from last year 6 7. Other credits . . . . . . . . . . . . . . . . . . . . . . . . 7 8. Amount paid with your original return plus any additional tax paid after it was filed . . . . . . . . . . . . . . 8 9. Total payments and credits. Add lines 5 through 8 in column C . . . . . . . . . . . . . . . . . . . . . . 9 REFUND OR BALANCE DUE 10. Refund, if any, shown on your original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11. Subtract line 10 from line 9, this is the net tax you paid to the city . . . . . . . . . . . . . . . . . . . . . 11 12. If line 4 is more than line 11, subtract line 11 from line 4. This is your tax due .............................. PAY BALANCE DUE 12 13. If line 11 is more than line 4, subtract line 4 from line 11. This is the amount you overpaid ................ OVERPAYMENT 13 Be sure to complete the back of the return I declare, under penalty of perjury, that the information in this return and attachments is true and I declare under penalty of perjury, that this return is based on all complete to the best of my knowledge. information of which I have knowledge. Your signature Date Preparer's name, address and ID number X Spouse's signature - if a joint return BOTH MUST SIGN Date X Preparer's signature Date Make checks payable to: City of Port Huron Mail to: Income Tax Division If paying in person, pay at the City Treasurer's Office. 100 McMorran Blvd. To pay online, go to www.porthuron.org. Port Huron, MI 48060 X |
Enlarge image | PART I - Exemptions Complete this section if you are changing the number of exemptions claimed. Show the CORRECT information below. Check all boxes that apply: extra exemptions if: extra exemptions if: 65 or older blind deaf disabled 65 or older blind deaf disabled You: Spouse: Dependents First name Last name Social security number Relationship to you Number of exemptions claimed on your original return: Number of exemptions claimed on this return: Difference: PART II - Explanation of Changes Explain why this return is being amended below. |