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Michigan Department of Treasury  - City Tax Administration 
5120 (Rev. 04-22) Page 1 of 3 
                                                                                                                                                       Check here if you are
2022Issued underCityauthorityofof PublicDetroitAct 284 ofPart-Year1964, as amended. Resident Income Tax Return                                         amending. List reason on
                                                                                                                                                       page 3.
Return is due April 18, 2023. 
Type or print in blue or black ink.  
1. Filer’s First Name                                    M.I.     Last Name                                                      2. Filer’s Full Social Security No. (Example: 123-45-6789) 

If a Joint Return, Spouse’s First Name                   M.I.     Last Name 
                                                                                                                                 3. Spouse’s Full Social Security No. (Example: 123-45-6789) 
Home Address (Number, Street, or P.O. Box) 

City or Town                                                                        State ZIP Code                               4. CITY RESIDENT. Return for the city of:                        City Code 
                                                                                                                                              DETROIT                                             170 
5.  2022 FILING STATUS. Check one.                                                                                     8. EXEMPTIONS. 8a-8c apply to you and your spouse only. 
a.              Single                                   * If you check box “c,” complete 
                                                         line 3 and enter spouse’s full name                              Personal Exemption  ......................................  a. 
b.              Married filing jointly                   below: 
                                                                                                                          65 and over..................................................... b. 
c.              Married filing separately* 
                                                                                                                          Deaf, Disabled or Blind...................................       c. 
6.     PART-YEAR RESIDENCY PERIOD. Enter dates of residency in  2022. 
       (Enter dates as MM-DD-YYYY, Example 04-15-2022)                                                                    Number of dependent children .......................             d. 
                             FILER                                SPOUSE 
                                            2022                                    2022                                  Number of other dependents..........................             e. 
FROM:                                                                                                                     TOTAL EXEMPTIONS.   Add lines 8a 
                                                                                    2022                                  through 8e.  ......................................................  f. 
                                            2022
  TO: 
7a.  Filer’s date of birth (MM-DD-YYYY)                  7b.      Spouse’s date of birth (MM-DD-YYYY)                  9. 2022 DEPENDENT STATUS 
                                                                                                                          Check the box if you or your spouse can be claimed 
                                                                                                                          as a dependent on another person’s tax return. 
                                                                                                                          Column A:                        Column B: 
                                                                                                                          Taxable Resident             Taxable Nonresident 
PART 1: INCOME                                                                                                                  Income                        Income

10.  Wages, salaries, tips, etc. (see instructions).  ........................................  10.                                           00                                                  00 

11.  Taxable interest  .....................................................................................  11.                             00 
                                                                                                                                                   XXXXXX 
12.  Ordinary dividends.................................................................................  12.                                 00 
                                                                                                                                                   XXXXXX 
13.  Alimony received  ...................................................................................  13.                               00 
                                                                                                                                                   XXXXXX 
14.    Net profit or (loss). Include a copy of U.S. Schedule C or Schedule F   ..  14.                                                        00                                                  00 
15.  Gain or (loss) on sale or exchange of real, tangible or intangible 
       property..................................................................................................  15.                        00                                                  00 

16.  Early distribution of IRA. ........................................................................  16.                                 00 
                                                                                                                                                   XXXXXX 
17.  Early distribution of pensions and annuities.  .........................................  17.                                            00 
                                                                                                                                                   XXXXXX 
18.    Rental real estate and royalties. Include a copy of U.S. Schedule E.  .                                     18.                        00                                                  00 

19.  Partnerships and trusts........................................................................               19.                        00                                                  00 
20.  Other income. 
       Describe: _______________________________________________  20.                                                                         00 
                                                                                                                                                   XXXXXX 
21.    SUBTOTAL. Add lines 10 through 20.                      ..................................................  21.                        00                                                  00 

+ 0000 2022 103 01 27 6                                                             Continue on page 2. This form cannot be processed if pages 2 and 3 are not completed and included. 

2022 Form 5120, Page 2 of 3 
City of Detroit Part-Year Resident Income Tax Return Filer’s Full Social Security Number 

                                                                                                                 Column A:                                      Column B: 
PART 2: SUBTRACTIONS FROM INCOME                                                                                 Taxable Resident                               Taxable Nonresident 
(All entries must be positive numbers.)                                                                                Income                                   Income 
22.  Self-employed SEP, SIMPLE, IRA, and qualified plans. Include a copy 
     of page 1 of U.S. 1040 (see instructions). .............................................  22.                                00                                                00 

23.  Employee business expenses (see instructions)...................................  23.                                        00                                                00 
24.  Work-related moving expenses for active duty military  
     (see instructions) ...................................................................................  24.                  00                                                00 

25.  Alimony paid. Do not include child support (see instructions).  .............                           25.                  00                                                00 

26.  Renaissance Zone deduction.   ..............................................................            26.                  00 
                                                                                                                                                                XXXXXX 
27.  Other subtractions (see instructions). 
     Describe: _______________________________________________  27.                                                               00                                                00 

28.  Total Subtractions. Add lines 22 through 27.  ......................................  28.                                    00                                                00 

PART 3: INCOME TAX CALCULATION 

29.  Total income after subtractions. Subtract line 28 from line 21. ..............  29.                                          00                                                00 

30.  Exemption allowance (see instructions). ............................................  30.                                    00                                                00 

31.  Net income.  Subtract line 30 from line 29.  ..........................................  31.                                 00                                                00 

32.  Losses transferred between columns A and B (see instructions). .........  32.                                                00                                                00 
33.  Taxable income.  Subtract line 32 from line 31. If line 32 is greater 
     than line 31, enter “0”.  ..........................................................................  33.                    00                                                00 
34.  Tax. Multiply line 33 column A by 2.4% (0.024) and enter in column A. 
     Multiply line 33 column B by 1.2% (0.012) and enter in column B.  ......  34.                                                00                                                00 

35.  Combined Total Income Tax.  Add line 34 columns A and B.  ....................................................................  35.                                            00 

PART 4: CREDITS AND PAYMENTS 

36.  Tax withheld from City Schedule W, line 5....................................................................................................  36.                             00 

37.  City estimated tax, extension payments and 2021 credit forward  ................................................................  37.                                          00 

38.  Tax paid for you by a partnership from City Schedule W, line 6  ...................................................................  38.                                       00 
39.  Credit for income taxes paid to another city while a resident taxpayer. 
     City of: _____________________________________________________________________________  39.                                                                                    00 

40.  Total Credits and Payments. Add lines 36 through 39.  .............................................................................  40.                                       00 

PART 5: REFUND OR TAX DUE 

41a. Tax Due. If line 35 is greater than line 40, subtract line 40 from line 35.  ...................................................  41a.                                         00 

41b.  Interest if applicable (see instructions)  ......................................................................................................... 41b.                     00 
41c.  Penalty if applicable (see instructions)  .........................................................................................................  41c.                     00 
41d. Underpaid estimate penalty and interest (see instructions).......................................................................... 41d. 

41e. Balance Due. Add lines 41a through 41d. ......................................................................... YOU OWE    41e.                                              00 

+ 0000 2022 103 02 27 5                              Continue on page 3. This form cannot be processed if pages 2 and 3 are not completed and included. 

2022 Form 5120, Page 3 of 3 
City of Detroit Part-Year Resident Income Tax Return              Filer’s Full Social Security Number 

42.   Overpayment. If line 40 is greater than line 35, subtract line 35 from line 40.  ............................................  42.               00 

43.   Credit Forward. Amount of line 42 to be credited to your 2023 estimated tax for your 2023 tax return  .....  43.                                 00 

44.   Refund. Subtract line 43 from line 42.  .....................................................................................   REFUND 44.       00 

PART 6: AMENDED RETURN 
45. Reason for amending: 

PART 7: CERTIFICATION 
Deceased Taxpayer. If Filer and/or Spouse died after December 31, 2021, enter dates below.      Preparer Certification.  I declare under penalty of perjury that 
ENTER DATE OF DEATH ONLY. Example: 04-15-2022 (MM-DD-YYYY)                                      this return is based on all information of which I have any knowledge.
                                                                                                Preparer’s PTIN, FEIN or SSN 
Filer                             Spouse 
Taxpayer Certification.  I declare under penalty of perjury that the information in this return Preparer’s Name (print or type) 
and attachments is true and complete to the best of my knowledge. 
Filer’s Signature                                                 Date                          Preparer’s Business Name, Address and Telephone Number 

Spouse’s Signature                                                Date 

      By checking this box, I authorize the Michigan Department of Treasury to discuss 
      my return with my preparer. 
Refund or zero returns. Mail your return to:                      Michigan Department of Treasury, Lansing, MI  48956 
Pay amount on line 41e. Mail your check and return to:  Michigan Department of Treasury, Lansing, MI  48929 
Make your check payable to “State of Michigan - Detroit.” Print the last four digits of your Social Security number and “2022 Detroit Income Tax” on 
the front of your check. If paying on behalf of another taxpayer, write the filer’s name and the last four digits of the filer’s Social Security number on 
the check. Do not staple your check to the return.  Keep a copy of your return and supporting schedules for six years. To check your refund status, have a 
copy of your Form 5120 available when you visit www.michigan.gov/citytax. 

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