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Michigan Department of Treasury
5029 (Rev. 12-21) MI-1041 Schedule W
2021 MICHIGAN Fiduciary Withholding Tax Schedule
Issued under authority of Public Act 281 of 1967, as amended.
Type or print in blue or black ink.
If Michigan fiduciary income tax was withheld in 2021, complete a Fiduciary Withholding Tax Schedule (Form MI-1041 Schedule W) to
claim the withholding on the Fiduciary Income Tax Return (MI-1041, line 20). Include the completed MI-1041 Schedule W and all
supporting withholding documents with Form MI-1041. If additional space is needed, include another MI-1041 Schedule W.
1. Name of Estate or Trust 2. Federal Employer Identification No. (FEIN)
TABLE 1: MICHIGAN TAX WITHHOLDING
A B C D
Payer’s Federal Identification No. Michigan Income
(Example: 38-1234567) Payer’s Name Income Amount Tax Withheld
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
3. TOTAL. Add column D. Enter here and carry to MI-1041, line 20.................................................. 3. 00
Instructions for MI-1041 Schedule W, Fiduciary Withholding Tax Schedule
MI-1041 Schedule W is designed reportto Michigan fiduciary Withholding on income of a trust or estate must be claimed
income tax withholding. If withholding is claimed and the by the trust or estate and cannot be claimed by a beneficiary.
MI-1041 Schedule W is not provided, the processing of the Fiduciaries may provide a Form MI W-4P to notify pension
return may be delayed. administrators of the correct amount of Michigan income
Completing the Withholding Table tax, if any, to withhold from pension or annuity distributions
made to the trust or estate.
Complete the withholding table from W-2s, 1099s, and
any other documents that report Michigan tax withheld. If
additional space is needed, include another copy of the MI-1041
Schedule W.
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