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City of Grand Rapids                       GRAND RAPIDS                                             
Income Tax Department                AMENDED INDIVIDUAL INCOME 
300 Monroe Ave NW 
Grand Rapids, Michigan 49503         TAX RETURN FORMS 
                                     AND INSTRUCTIONS 
                                     Residents, part-year residents and                             
Form GR-1040X                        nonresidents use this form to correct                          
                                     individual income tax return 
 
  RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS USE THIS FORM 
              TO CORRECT INDIVIDUAL INCOME TAX RETURN, FORM GR-1040 
 
 MAILING             All amended individual income tax returns to: 
 ADDRESS             Grand Rapids Income Tax, P.O. Box 347, Grand Rapids, MI  49501-0347 
 
                                     TAX YEARS             TAX YEAR          TAX YEARS
                     FILING STATUS   1996 TO 2009           2010              2011 AND AFTER 
  
 TAX RATES           Resident:       1.30%                  1.40%            1.50%
                     Nonresident:    0.65%                  0.70%            0.75%
                     Part-year residents: Use appropriate tax rate for portion of tax year as resident and nonresident. 
                     For tax year 2010, see special instructions. 
 
                                     TAX YEARS              TAX YEARS        TAX YEAR               TAX YEARS
 EXEMPTIONS                          2001 TO 2004           2005 TO 2009     2010                   2011 AND AFTER
                     EXEMPTION VALUE $1,000                       $750       $675                   $600 
 
 PAYMENT             Tax due, if one dollar ($1.00) or more, must be paid with the amended return. 
 OF TAX DUE          Make check or money order payable to: GRAND RAPIDS CITY TREASURER 
 
 FILING AN  
 AMENDED             Amended returns may only be filed on paper forms. 
 RETURN 

                     For assistance call (616) 456-3415; visit Grand Rapids Income Tax Department, City Hall, 300 Monroe NW, Grand Rapids, 
 CONTACT US          Michigan; or find us online: www.grcity.us/incometax.  
                     Mail all tax correspondence to: Grand Rapids Income Tax, P.O. Box 347, Grand Rapids, MI 49501-0347 
                      Failure to attach documentation or attaching incorrect or incomplete documentation 
                       will delay processing of the return or result in corrections being made to the return. 
 



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  INSTRUCTIONS FOR FORM GR-1040X, GRAND RAPIDS AMENDED INDIVIDUAL INCOME TAX RETURN 
                                    FOR FORM GR-1040X, AMENDED INDIVIDUAL INCOME TAX RETURN 
GENERAL INSTRUCTIONS                                                           DISCLAIMER 
Use form  GR-1040X to correct  your Form  GR-1040 previously filed.            These instructions are interpretations of the Grand Rapids Income Tax 
Form GR-1040X will be your new tax return. Filing of Form GR-1040X             Ordinance. The Grand Rapids Income Tax Ordinance will prevail in any 
will change the  data from  your  original return (or  your previously filed   disagreement between these instructions and the Ordinance. 
amended return for the tax year) to the new corrected information. The 
entries you make under the columns headed Correct Amount or Correct            FORM GR-1040X, PAGE 1, INSTRUCTIONS 
Number or Amount are the entries you  would  have made on  your                TAX YEAR BEING AMENDED 
original return had it been filed correctly.                                   Above the Amended Return Residence Status area, enter the tax year 
To complete form GR-1040X you will need:                                       you are amending in the box provided. The tax  year also must be 
  Form GR-1040X and these instructions;                                       entered in the header line of all other pages of the amended return. 
  A copy of the  original Grand  Rapids return  you are amending,             NAME, ADDRESS, SOCIAL SECURITY NUMBER (SSN) 
  including supporting forms, schedules and any worksheets;                    If you and your spouse are amending a joint return, list your names and 
  Notices from Grand Rapids on any adjustments to that return;                SSNs in the same order as shown on  the original return. If  you are 
  Instructions for the form you are amending.                                 changing from separate to a joint return and your spouse did not file an 
  A copy of your federal amended return, Form 1040X                           original return, enter your name and SSN first. 
File a separate form GR-1040X for each year you are amending. If you           PO Box. Enter your box number only if your post office does not deliver 
have filed (or are filing) an amended federal or Michigan return, you          mail to your home. 
may also need to file an amended Grand Rapids return.                          Foreign address. If you have a foreign address, enter the city name on 
WHO MUST FILE AN AMENDED RETURN                                                the appropriate line. Do not enter any other information on that line; 
An amended return is required to be filed to report corrections to taxable     complete the spaces below that line. Do  not abbreviate the country 
income, deductions or exemptions that result in additional tax due or an       name. Follow the country’s practice for entering the postal code and the 
overpayment of tax to be claimed as a refund or credit.                        name of the province, county, or state. 
If an audit by the Internal Revenue Service or the Michigan Department         RESIDENCY STATUS 
of  Treasury  results in a federal or  state income tax liability that also    Indicate  your correct residency status for the  tax  year by marking (X) 
affects a taxpayer’s Grand Rapids income tax liability, an  amended            the proper box.  If residency is different than  reported on  your original 
return is required to be filed  within 90 days from the date of the final      return, in Part III (page 2 of  Form GR-1040X)  you must explain the 
federal or state tax determination.                                            change and attach documents supporting the change. Documents 
A taxpayer is not allowed to change their method of accounting or              acceptable to support a change of residency on an amended return are 
method of apportionment of net profits after the due date, or the              a property tax bill or a copy of your lease agreement clearly stating date 
extended due date, for filing the original return.                             of occupancy. 
An amended  return is not required  when the Income Tax Department             Check residency. To check if an address is located in Grand Rapids, 
adjusted your return and informed you of the correction.                       visit the website located at www.grcity.us/incometax, or call the Income 
WHEN TO FILE AN AMENDED RETURN                                                 Tax Department a phone number (616) 456-3415. 
File Form GR-1040X only after you have filed your original return for the      FILING STATUS 
tax year. Generally  for a  credit or  refund Form 1040X  must  be filed       Mark (X) the box that corresponds to your filing status on this return. If 
within 4 years of the due date (including extensions) or within 4 years        this is a change from the filing status on your original return, explain the 
after the date you paid the tax, whichever date is later.                      correction in Part III (page 2 of  Form GR-1040X). Also, the following 
INTEREST AND PENALTY                                                           may apply to you. 
Interest is due on taxes not paid by the original due date even if you had     Changing from separate returns to a joint return.       If  you and your 
an extension of time to file the return.                                       spouse are changing from separate returns to a joint return, follow these 
Penalty for late payment of tax (tax not paid by the original due date)        steps: 
may be assessed. However, penalty is normally waived for a voluntarily           Enter in column A the amounts from your return as originally filed or 
filed amended return.                                                            as previously adjusted (either by you or the Grand Rapids Income Tax 
                                                                                 Department). 
DECEASED TAXPAYER                                                                To determine the amounts to enter in column B, combine the amounts 
If the taxpayer or spouse died before filing an amended return, on page          from your spouse’s return as originally filed or as previously adjusted 
1, mark (X) the box located under the social security numbers, and, on           with any other  changes you or your spouse are making. If your 
page 2, enter the taxpayer’s or spouse’s date of death in the DOD box            spouse did not file an original return, include your spouse’s income, 
on the taxpayer’s or spouse’s signature line. If filing a joint return as the    deductions or credits in the amounts you enter in column B. 
surviving spouse, write “Filing as a  surviving spouse” in the signature         Read the instructions for column C to figure the amounts to enter in 
area on page 2 of the return form on the same line as you entered the            that column. 
person’s date of death.                                                          Both of you must sign and date Form GR-1040X. 
Claiming a refund  for a deceased taxpayer.        If  you are filing a joint  Liability for payment of taxes. Generally, if you file a joint return, both 
return as a surviving spouse, you only need to file Form GR-1040X to           you and your spouse (or former spouse) have joint and several liability. 
claim the refund. If you are a court-appointed personal representative or      This means both of you are responsible for the tax and any interest or 
any other person claiming a refund, file Form GR-1040X and attach a            penalty due on the return,  as  well as any understatement of tax that 
copy of federal Form 1310, Statement of Person Claiming Refund Due             may become due later. If one spouse does not pay the tax due, the 
a Deceased Taxpayer.                                                           other may have to pay. 
If you are filing a return for a deceased taxpayer as a court appointed        PROVIDING ADDITIONAL INFORMATION ONLY 
representative,  attach a copy of the certificate that shows your              If you are not changing any dollar amounts you originally reported, but 
appointment. All others filing a  return for a deceased taxpayer  must         are sending in only additional information, do the following: 
attach a copy of federal Form 1310, or a copy of the death certificate, if       Enter the tax year you are amending 
the taxpayer or spouse is deceased. If Form 1310 is attached, mark (X)           Complete name, address, and SSN. 
the box (located on page 1 under the social  security number  area)              Complete the residency status and the filing status. 
indicating attachment of the form.                                               Complete Part III, Explanation of Changes. 
WHERE TO FILE YOUR AMENDED RETURN                                              TOTAL INCOME AND TAX COMPUTATION 
Mail Form GR-1040X and all required attachments to.                            Round all figures to the nearest dollar ($0.01 to $0.49, drop cents; $0.50 
  Grand Rapids Income Tax Department                                           to $0.99, next dollar amount). 
  PO Box 347                                                                   Show any negative numbers (losses or decreases) in Columns A, B, or 
  Grand Rapids, MI  49501-0347                                                 C in parentheses. 
                                                                                
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               INSTRUCTIONS FOR FORM GR-1040X, GRAND RAPIDS AMENDED INDIVIDUAL INCOME TAX RETURN 
                                  FOR FORM GR-1040X, AMENDED INDIVIDUAL INCOME TAX RETURN 
If you were a full year resident or nonresident of Grand Rapids during        On page 1, column B, line 21, enter the amount from page 2, Part II, 
the tax year being amended, use the following instructions to file your       Exemptions Schedule, line 6,  column B. See instructions for the 
amended return. If you were a part-year resident during the tax year          Exemptions Schedule (Part II) under the page 2 instructions. 
being amended, use Schedule TCX to complete lines 1 through 23                Refer to Appendix A for a listing of the exemption rates in effect for each 
and follow the instructions for completing Schedule TCX.                      tax year for each Grand Rapids accepting Form GR-1040X. 
If you have questions such as what income is taxable or what                  Line 22 – Total Income Subject to Tax 
deductions are allowable, refer to the instructions for Form GR-1040. To      Enter the total of line 20 less line 21.  
get prior year forms, schedules or instructions, download them from the 
Grand Rapids website.                                                         Line 23 – Tax (Round to nearest dollar) 
                                                                              Nonresidents enter the result from line 22 multiplied by the nonresident 
RESIDENT AND NONRESIDENT INSTRUCTIONS FOR LINES 1                             tax rate for the  tax  year being  amended. Refer to Appendix A for a 
THROUGH 23 OF FORM GR-1040X, PAGE 1                                           listing of the tax rates in effect for each tax year for each Grand Rapids 
If your original return was e-filed, provide a complete copy of the original  accepting Form GR-1040X. 
return including all W-2 forms and return attachments. 
                                                                              Residents enter the result from line 22 multiplied by the resident tax rate 
Generally each line on Form GR-1040X matches the line on Form GR-             for the year being amended. Refer to Appendix A for a listing of the tax 
1040.                                                                         rates in effect for each tax year for each Grand Rapids accepting Form 
A part-year resident filing an amended return uses Schedule TCX lines         GR-1040X. 
1 through 23 to compute the tax separately on taxable income while a          COLUMN C – Correct Amount 
resident and taxable income  while a nonresident. See instructions for        To figure the amounts to enter in this column:  
Schedule TCX following the resident and nonresident instructions.               Add the increase in column B to the amount in column A, or  
COLUMN A – Original Amount – or as Previously Adjusted                          Subtract the decrease in column B from the amount in column A. 
Lines 1 through 23 – Income, Deductions and Tax                               For  any item  you do not change, enter the amount from column A in 
Enter on each line of this column the amount from the original return,        column C. 
Form GR-1040, column C. If any of the amounts on any line have been 
previously adjusted by the filing of an amended return or a notice from       Example.  Andy originally reported $21,000 as his wages on his 2010 
the Grand Rapids Income Tax Department, enter the adjusted amount             Form GR-1040, line 1. He received another Form W-2 for $500 after he 
for that line.                                                                filed his return. He completes line 1 of Form GR-1040X as follows: 
                                                                                        Column A      Column B               Column C 
If the total income subject to tax on the return you are amending is $0       Line 1       21,000            500             21,500
and you are reporting corrections on Form GR-1040X on lines 1 through 
16, enter on line 22 in column A the actual taxable income instead of         Andy would also report any additional income tax withheld for the City of 
$0. Enclose a negative amount in parentheses.                                 Grand Rapids on line 24a, column B. 
Example.  Margaret showed $0 taxable income on her original return,           PAYMENTS AND CREDITS FOR AMENDED RETURNS 
even though she actually had a loss of $1,000. She later discovered she       Lines 24a through 24c 
had additional income of $2,000. Her Form GR-1040X, line 22, would            In column A enter amounts as reported on the original return. 
show ($1,000) in column A, $2,000 in column B, and $1,000 in column           In column B enter changes to the amounts in column A. 
C. If she failed to take into account the loss  she actually had on her       Line 24a – Withholding 
original return,  she would report $2,000 in column C and  possibly           If  you are changing the tax  withheld, attach to the front of  Form GR-
overstate her tax liability.                                                  1040X a copy of all additional or corrected Forms W-2 you received 
COLUMN B  –  Net Change –  amount  of increase or decrease –                  after you filed your original return. 
explain in Part III (page 2 of Form GR-1040X)                                 Line 24d – Tax Paid with Original Return and Additional Tax Paid 
Lines 1 through 16                                                            after Original Return Filed 
Each change reported on lines 1 through 16 in column B must be                In column C, Enter the total of the tax paid with the original return and 
explained in Part III, page 2. If you need more space than provided in        any tax paid after filing the original return. 
Part III, use Schedule N for the explanation not explained in Part III.. 
Attach any schedule or form relating to the change. For example, attach       Line 24e – Total Payments and Credits 
a copy of  your  corrected Schedule C if  you are amending business           Add the amounts in column C lines 24a through 24d and enter here. 
income. If you are amending your return because you received another          AMOUNT YOU OWE OR YOUR OVERPAYMENT 
Form W-2, attach a copy of the new W-2.                                       The purpose of  this section is to  figure the additional tax  you owe or 
Enter in column B, on the appropriate line, the amount of any change          excess amount you have paid (overpayment). All of your payments (for 
being made to the amount reported in column A for that line.                  the tax year you are amending) received up to the date of this amended 
                                                                              return are taken into account, as well as any overpayment on  your 
Line 17 – Total Additions                                                     original return or after adjustment by the  Grand Rapids Income Tax 
Enter the total of the amounts on lines 2 through 16.                         Department. It is as if you were using the new information to complete 
Line 18 – Total Income                                                        your original return. If the results show a larger overpayment than 
Enter the total of the amounts on lines 1 and 16.                             before, the difference between the two  becomes your new 
Line 19 – Total Deductions                                                    overpayment. You can choose to receive the overpayment as a refund 
If any deduction allowed on a Grand Rapids income tax return is               or apply it to your estimated tax for the following year. It can be used by 
changed, Part I, Deductions Schedule, (Form GR-1040X, page 2) must            the Grand Rapids Income Tax Department to pay other income tax 
be completed. Enter the total from page 2, Part 1, Deductions Schedule,       debts due Grand Rapids. If the results show that you owe, it is because 
line 7, column B. See the instructions for the Deductions Schedule (Part      you do not have enough additional  withholding  or because filing  your 
I) under the page 2 instructions,                                             original return with the information you have now would have resulted in 
                                                                              a smaller overpayment or a balance due. 
Line 20 – Total Income after Deductions                                       Line 25 – Overpayment as Shown on Original Return or Previously 
Enter the total of line 18 less line 19. 
                                                                              Adjusted 
Line 21 – Exemptions                                                          Enter the overpayment as shown on your original return, or as 
If  you are increasing or decreasing  the number of exemptions,  either       previously adjusted by the Income Tax Department. 
personal or dependent, claimed on  your original return,  you must 
complete the Exemptions Schedule (Form GR-1040X, page 2, Part II).            Line 26 – Adjusted Payments and Credits 
                                                                              Enter the total of line 24e less line 25. If less than zero (0), see line 27 
If the value of an exemption reported on  your original return is being       instructions. 
changed,  you  must complete lines 4 through 6 of the Exemptions 
Schedule.                                                                     Line 27 – Amount You Owe 
                                                                              If line 25 is larger than line 24e, line 26  will be negative.  You  owe 
                                                                              additional tax. To figure the amount owed, treat the amount on line 26  

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            INSTRUCTIONS FOR FORM GR-1040X, GRAND RAPIDS AMENDED INDIVIDUAL INCOME TAX RETURN 
                                    FOR FORM GR-1040X, AMENDED INDIVIDUAL INCOME TAX RETURN 
as positive and add it to the amount on line 23 and enter the result on       column (c), and attach a copy  of the child’s birth certificate, death 
line 27. If line 26 is zero (0), enter the amount from line 23. Otherwise     certificate, or hospital medical records. The document must show the 
leave this line blank.                                                        child was born alive. 
To pay by check or money order, send  your signed Form  GR-1040X              Be sure the name and SSN entered agree with the dependent’s social 
with your payment for the full amount payable to “City Grand Rapids.”         security card. Otherwise, at the time we process your  return,  we  may 
Do not send cash. Do not attach  your payment to Form  GR-1040X.              disallow the exemption claimed for the dependent.  
Instead, enclose it in the envelope with your amended return.                 Part III – EXPLANATION OF CHANGES 
On your payment, put your name, address, daytime phone number, and            The Income Tax Department needs to know   why          you are filing Form 
SSN. If you are filing a joint amended return, enter the SSN shown first      GR-1040X. For example, you:  
on the return.  Also, enter the  tax  year  and type of return  you are         Received another Form W-2 after you filed your return, 
amending  (for  example, “2011 Form GR-1040X”). Grand  Rapids  will             Forgot to claim the IRA deduction. 
figure any interest or penalty due and send you a bill.                         Were audited by the IRS and the adjustments made by the auditor are 
                                                                                noted in the attached copy of the Revenue Auditors Report. 
To help process your payment, enter the amount on the right side of the 
                                                                              Paid Preparer. Generally, anyone you pay to prepare your return must 
check like this: $ XXX.XX. Do notXX use dashes or lines (for example, do      sign it and include their Preparer Tax  Identification Number  (PTIN) in 
not enter “$ XXX—” or “$ XXX. .” 
                                                                              the space provided. The preparer must give you a copy of the return for 
If you elected to apply any  part of an overpayment on your original          your records. Someone who prepares your return but does not charge 
return  to your next year’s  estimated tax,  you cannot reverse that          you should not sign. 
election on your amended return. 
                                                                              Assembling Your Return.   Assemble any schedules and forms behind 
Line 28 – Overpayment                                                         Form  GR-1040X in line number order. If  you have supporting 
If line 26 is larger than zero (0) and more than line 23, column C, your      statements, arrange them in the same order as the schedules or forms 
tax is overpaid; enter the overpayment, line 26 less line 23.                 they support and attach them last. Do not attach correspondence or 
Line 29 – Amount of Overpayment to be Applied as a Credit                     other items unless required to do so. 
Enter on line 29 the amount, if any, of your overpayment from line 28         Attach to the front of Form GR-1040X:  
you want applied to your estimated tax for next year. Also, enter that tax      A copy of any Forms W-2 or W-2C (a corrected Form W-2); 
year in the box indicated. You will be notified if any of your overpayment      A copy of any  Form W-2G  and  Form  1099-R that support changes 
was used to pay past due income tax, so you will know how much was              made on this return. 
applied to your estimated tax. 
                                                                              If  you owe tax,  enclose (do not attach)  your check or money in the 
Line 30 – Amount of Overpayment to be Refunded                                envelope with your amended return. See the instructions for line 27. 
Enter the portion, or all, of the amount of overpayment on line 28 you 
want to receive as a refund. If your overpayment is not used to pay past      SCHEDULE TCX INSTRUCTIONS 
due income tax, the refund amount on line 30 will be sent separately          PART-YEAR RESIDENT AMENDED RETURN 
from any refund you claimed on your original return.                          A part-year resident filing an amended  return  uses Schedule TCX to 
You will receive a check for any refund due to you. A refund on an            compute taxable income and tax for the year being amended. Schedule 
amended return cannot be deposited directly to your bank account.             TCX provides separate  three column areas for changing the  reported 
                                                                              income and computing the tax for each residence status. 
FORM GR-1040X, PAGE 2, INSTRUCTIONS                                           A part-year resident is required to compute the tax due for  each 
PART I – DEDUCTIONS SCHEDULE                                                  residence status separately. 
If  you are changing any of the deductions claimed on  your original 
return,  you must complete Part I, Deductions Schedule. The only              When using Schedule TCX to compute taxable income and tax, lines 1 
exception is for part-year residents or other taxpayers required to use       through 22 of Form GR-1040X must remain blank. 
Schedule TCX to compute taxable income and tax. Part-year residents           For income while a  RESIDENT, use columns A, B and C as noted in the 
amending a return must use the deductions schedule on Schedule TCX.           Resident and Nonresident Instructions except for the lines in these 
Use column A to report the amounts from your original return, column B        columns that are grayed out. See Appendix A for a listing of the tax 
to report any changes and column C to report the correct amount.              rates in effect for each tax year for each Grand Rapids accepting Form 
                                                                              GR-1040X. 
If you have questions about the deduction, refer to the instructions for 
the tax year you are amending.                                                For income while a  NONRESIDENT, use columns D, E and F as noted 
                                                                              in the Resident and Nonresident Instructions except for the lines in 
PART II – EXEMPTIONS SCHEDULE                                                 these columns that are grayed  out. For column  D follow the Resident 
Lines 1 through 4 – Personal and Dependent Exemptions                         and Nonresident instructions for column A; for column E use the column 
If you are changing the number of exemptions claimed on your return,          B instructions; and for column  F use the column C instructions. See 
complete lines 1 through 5, and if necessary, complete line 7. Enter the      Appendix A for a listing of the tax rates in effect for each tax year for 
totals on line 6 and also on page 1, line 21, columns A, B and C. If you      each Grand Rapids accepting Form GR-1040X. 
are using Schedule TCX to compute the taxable income and tax, enter 
the amounts from line 6 on line 21b of Schedule TCX.                          2010  Amended  Return for Grand Rapids.   When amending a 2010 
                                                                              part-year resident return, there  are two tax rate periods to consider 
Line 5 – Exemption Value                                                      because the tax rate was increased effective 7/1/2010. More than one 
Refer to Appendix A for a listing of the exemption amounts in effect for      Schedule TCX will be needed to compute your 2010 tax if you had 
each tax year for each Grand Rapids accepting Form GR-1040X.                  resident and nonresident taxable income in the same tax rate period. 
Line 6 – Total Exemption Amount                                               DEDUCTIONS SCHEDULE 
Multiply the number of exemptions on line 4 by the exemption value on         Lines 1 through 6 
line 5.                                                                       Part-year residents and others required to use Schedule TCX must use 
Line 7 – Dependents                                                           the Deductions Schedule on Schedule TCX (not the Part I Deductions 
List all dependents claimed on this amended return. This includes:            Schedule) to properly compute their deductions.  
  Dependents claimed on  your original return  who are still being           EXEMPTIONS 
  claimed on this return, and                                                 Line 21a – Number of Exemptions Claimed 
  Dependents not  claimed on  your original return  being added to this      If the number of exemptions  was changed, enter in column B the net 
  return.                                                                     change as noted in Part II, Exemptions Schedule, line 4, column B. 
If  you  are now  claiming more than 7 dependents, attach a separate 
statement with the required information.                                      Line 21b – Total Value of Exemptions 
                                                                              Enter in column B the amount from Part II, line 6, column B. 
Column (c). You must enter each dependent’s social security number 
(SSN). If the dependent child was born and died in the tax year you are       Line 21c – Value of Exemptions Against Nonresident Income 
amending and  you do not  have  an SSN for the  child, enter “Died” in        The total value of the exemptions (line 21b) may be deducted from 
                                                                              resident income. If the total value of the exemptions (line 21b) of column 
  
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       INSTRUCTIONS FOR FORM GR-1040X, GRAND RAPIDS AMENDED INDIVIDUAL INCOME TAX RETURN 
                         FOR FORM GR-1040X, AMENDED INDIVIDUAL INCOME TAX RETURN 
B or column C exceeds the total income after deductions (line 20) the 
column, the amount of the excess (the difference) is entered on line 
21c, columns E and F. Otherwise, line 21c, columns E and  F remain 
blank. 
TAXABLE INCOME 
Line 22a – Income Subject to Tax as a Resident 
In column B enter the result from subtracting line 22a from line 20. 
Line 22b – Income Subject to Tax as a Nonresident 
In column E enter the result from subtracting line 22b from line 20. 
TAX 
Line 23a – Tax Rate 
In column B enter the resident tax rate for the tax year being amended. 
In column E enter the nonresident tax rate for the tax  year being 
amended. Refer to Appendix A for a listing of the tax rates in effect for 
each Grand Rapids accepting the Form GR-1040X. 
Line 23b – Tax at the Resident Rate (Round to nearest dollar) 
In column B enter the tax resulting from multiplying line 22a by the tax 
rate on line 23a. 
Line 23c – Tax at the Nonresident Rate (Round to nearest dollar) 
In column E enter the tax resulting from multiplying line 22b by the tax 
rate on line 23b. 
Line 23d – Total Tax 
In column B enter the total from adding column B, line 23b, to column F, 
line 23c. Also enter the totals from column A, B and C on  Form GR-
1040X, page 1, line 23.  
                                               Revised 04/27/2016 

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                                                                        GRAND RAPIDS                                            Tax Year                            MI-GRR-1040X-1
GR-1040X                                      AMENDED INCOME TAX RETURN
A1  Taxpayer's SSN                       B1  Taxpayer's first name               B2  Initial   B3  Last name                                 C. AMENDED RETURN RESIDENCE STATUS
                                                                                                                                                         Resident    Nonresident Part-yearresident
A2  Spouse's SSN                         B4  If joint return spouse's first name B5  Initial   B6  Last name                                         Part-year resident - dates of residency (mm/dd/yyyy)
                                                                                                                                                     From
Mark (X) box if  deceased                B7  Present home address (Number and street)                               B8  Apt no.                      To
    A3                       A4                                                                                                                      AMENDED RETURN FILING STATUS
    Taxpayer                 Spouse
Enter date of death on page 2, right     B9  Address line 2 (PO Box address for mailing use only)                                                        D1  Single  D2  Married filing jointly
side of the signature area
                                                                                                                                                         D3  Married filing separately Enter spouse's 
Mark box (X) below if form attached      B10  City, town or post office                                B11  State B12  Zip code                          SSN in Spouse's SSN box and Spouse's full 
    A5  Federal Form 1310                                                                                                                                name here   
                                         B13  Foreign country name              B14  Foreign province/county      B15  Foreign postal code
    A6  Supporting Notes and                                                                                                                         D4  Spouse's full name if married filing separately
    Statements (Attachment 22)
E. Did you e-file your original return for tax year noted above?                 E1       Yes                E2   No
If yes, provide a complete copy of original return including all W-2 forms and return attachments.
INCOME AND                     ROUND ALL FIGURES TO NEAREST                               Column A. Original Amount             Column B. Net change –               Column C.                  
DEDUCTIONS                     DOLLAR ($0.50  and up next dollar)                         or as previously adjusted (see        amount of increase or                Correct Amount             
                                                                                               instructions)                    decrease – explain in Part III
  1. Wages, salaries, tips, etc. (Attach W-2's not filed with original return.)  1                                  .00                                  .00                                            .00
  2. Taxable interest                                                            2                                  .00                                  .00                                            .00
  3. Ordinary dividends                                                          3                                  .00                                  .00                                            .00
  4. Taxable refunds, credits or offsets                                         4                                  .00                                  .00         NOT TAXABLE
  5. Alimony received                                                            5                                  .00                                  .00                                            .00
  6. Business income or (loss)                                                   6                                  .00                                  .00                                            .00
  7. Capital gain or (loss)                                                      7                                  .00                                  .00                                            .00
  8. Other gains or (losses)                                                     8                                  .00                                  .00                                            .00
  9. Taxable IRA distributions                                                   9                                  .00                                  .00                                            .00
10. Taxable pensions and annuities                                               10                                 .00                                  .00                                            .00
11. Rental real estate, royalties, partnerships, S corps., trusts, etc.          11                                 .00                                  .00                                            .00
12. Reserved                                                                     12                                 .00                                  .00                                            .00
13. Farm income or (loss)                                                        13                                 .00                                  .00                                            .00
14. Unemployment compensation                                                    14                                 .00                                  .00         NOT TAXABLE
15. Social security benefits                                                     15                                 .00                                  .00         NOT TAXABLE
16. Other income                                                                 16                                 .00                                  .00                                            .00
17. Total additions (Add lines 2 through 16.)                                    17                                 .00                                  .00                                            .00
18. Total income (Add lines 1 through 16.)                                       18                                 .00                                  .00                                            .00
19. Total deductions (Subtractions) (If changing, complete Part I on back.)      19                                 .00                                  .00                                            .00
20. Total income after deductions (Subtract line 19 from line 18.)               20                                 .00                                  .00                                            .00
21. Exemptions (If changing, complete Part II on the back.)                      21                                 .00                                  .00                                            .00
22. Total income subject to tax (Subtract line 21 from line 20.)                 22                                 .00                                  .00                                            .00
TAX
23. Tax                                                                          23                                 .00                                  .00                                            .00
PAYMENTS AND CREDITS
24a Tax withheld by your employer for Grand Rapids                               24a                                .00                                  .00                                            .00
24b Estimated payments, extension payment and credit forward                     24b                                .00                                  .00                                            .00
24c.Credit for tax paid to another city and tax paid by a partnership            24c                                .00                                  .00                                            .00
24d Tax paid with original return and additional tax paid after original return was filed                                                                24d                                            .00
24e. Total payments and credits  (Add lines 24a through 24d)                                                                                             24e                                            .00
AMOUNT YOU OWE OR YOUR OVERPAYMENT
25. Overpayment as shown on original return or as previously adjusted                                                                                    25                                             .00
26. Adjusted payments and credits (Line 24e less line 25; if less than zero, see line 27 instructions)                                                   26                                             .00
27. Amount you owe (If line 26 larger than zero and less than line 23, column C, subtract line 26 from line 23, column C, and enter the 
    difference; if line 26 is zero or less than zero, a negative amount, treat the amount as a positive and add it to the amount on line 23, 
    column C, and enter the result; otherwise leave blank)                                                                                               27                                             .00
28. Overpayment (If line 26 is larger than zero and more than line 23, column C, subtract line 23, column C, from line 26 and enter the difference)      28                                             .00
29. Amount of overpayment to be applied to your (enter tax year):                         29.a                                         estimated tax     29b                                            .00
30. Amount of overpayment to be refunded                                                                                                                 30                                             .00
Mail amended return to:Grand Rapids Income Tax Department, PO Box 347, Grand Rapids, MI  49501-0347                                                                  Revised: 12/07/2015



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                             Taxpayer's name                                              Taxpayer's SSN             Tax year                            MI-GRR-1040X-2
Form GR-1040X
Part I    Deductions Schedule  (See instructions)                               COLUMN A. ORIGINAL AMOUNT          COLUMN B. NET CHANGE                  COLUMN C. CORRECT AMOUNT
  1. IRA deduction                                                            1                          .00                             .00                                      .00
  2. Self Employed SEP, SIMPLE and qualified plans                            2                          .00                             .00                                      .00
  3. Employee business expenses                                               3                          .00                             .00                                      .00
  4. Moving expenses  (Moving into city area only)                            4                          .00                             .00                                      .00
  5. Alimony paid                                                             5                          .00                             .00                                      .00
  6. Renaissance Zone deduction                                               6                          .00                             .00                                      .00
  7. Total deductions (Add lines 1 - 6 and enter here and on page 1, line 19) 7                          .00                             .00                                      .00
Part II   Exemptions Schedule                                                                                        COLUMN A.           COLUMN B.                           COLUMN C. 
Complete this part only if you are increasing or decreasing the number of exemptions (personal or                    EXEMPTIONS          NET CHANGE         CORRECT NUMBER 
dependents) claimed on line 21a or equivalent line of the return you are amending                                    (Number or amount                                       OR AMOUNT
                                                                                                                     reported or as      
See Form GR-1040 and Form GR-1040X instructions                                                                      previously adjusted)
  1. Yourself and, if joint return, spouse                                                                         1 
  2. Your dependent children                                                                                       2 
  3. Other dependents                                                                                              3 
  4. Total number of exemptions                                                                                    4 
  5. The exemption value for the tax year you are amending                                                         5 
  6. Total exemption amount (Multiply line 4 by line 5 enter here an on page 1, line 21)                           6 
  7. List ALL dependents (children and others) claimed on this amended return and complete other information requested for each.  If more than 7, attach additional schedule 
    COL. 1 - FIRST NAME                      COL. 2 - LAST NAME                            COL 3 - SSN               COL 4 - DEPENDENT'S RELATIONSHIP       COL 5 - DATE OF BIRTH
7a. 
7b.
7c.
7d.
7e.
7f.
7g.
Part II   Explanation of Changes  (In the space provided below, tell us why you are filing Form GR-1040X)
▶ Attach any supporting documents and new or changed forms and schedules
▶ If more space is needed, attach one or more additional pages of explanation

                                                                                         `

Part IV   THIRD PARTY DESIGNEE
Do you want to allow another person to discuss this return with the Income Tax Office?     1. Yes, complete the following                 2. No
3. Designee's name                                                                                               4. Phone number 5. Personal identification 
                                                                                                                                 number (PIN)

Part V    SIGNATURE, TAXPAYER AND PREPARER INFORMATION                                     Remember to keep a copy for your records
 Under the penalty of perjury, I declare that I have filed an original return and that I have examined this amended return, including accompanying schedules and statements, 
 and to the best of my knowledge and belief, this amended return is true, correct and complete.  If prepared by a person other than taxpayer, the preparer's declaration is 
 based on all information of which preparer has any knowledge.
1. TAXPAYER'S SIGNATURE - If joint return, both spouses must sign 2. Date (MM/DD/YYYY)    3. Taxpayer's occupation               4. Daytime phone number  5. If deceased, date of death 

6. SPOUSE'S SIGNATURE                                             7. Date (MM/DD/YYYY)    8. Spouse's occupation                 9. Daytime phone number  10. If deceased, date of death 

11. SIGNATURE OF PREPARER OTHER THAN TAXPAYER                                              12. Date (MM/DD/YYYY)                 13. PTIN, EIN or SSN
                                                                                                                                 14. Preparer's phone no.
15a. FIRM'S NAME (or yours if self employed)
15b. ADDRESS                                                                                                                     16. NACTP number of 
                                                                                                                                 software used to prepare 
15c. CITY, ST AND ZIP CODE                                                                                                       tax return                                  GRR16

                                                                                                                                                                             Revised 09/12/2016



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Column F.              NOT TAXABLE NOT TAXABLE NOT TAXABLE NOT TAXABLE NOT TAXABLE NOT TAXABLE Revised: 12/07/2015
Correct Amount   

MI-GRR-1040X-3

 – amount of 
Column E.   
explain in Part III 
Net change increase or decrease – 

or as
Tax year
NONRESIDENT PORTION OF TAX YEAR
Column D.
previously adjusted (see instructions)
Original amount – 

Column C.              NOT TAXABLE NOT TAXABLE NOT TAXABLE column F line 23c)
Correct Amount   (Column C line 23b plus
Taxpayer's SSN

 – amount of 

Column B.     column E line 23c)
explain in Part III (Column B, line 23b plus
Net change increase or decrease – 

or as
RESIDENT PORTION OF TAX YEAR

Column A. column D line 23c)
previously adjusted (see instructions) (Column A, line 23b plus
Original amount – 
1  2  3  4  5  6    7b 8  9  10  11  12  13  14  15  16  17  18  1  2  3  4  5  6  19  20  21a 21b 21c 22a 22b 23a 23b 23c 23d

See instructions.  Deductions must be allocated on the same basis as related income.

Sch. D not required.
Taxpayer's name
7a 

Round all numbers to nearest dollar next dollar; do not enter cents or $.00)
($0.01 to $0.49 drop cents; $0.50 to $0.99 

IRA deduction Self Employed SEP, SIMPLE and qualified plans Employee business expenses Moving expenses Alimony paid Renaissance Zone deduction
Total additions  (Add lines 2 through 16.) Total income (Add lines 1 through 16.) Total deductions (Add lines 1 through 6.) Total income after deductions (Line 18 less line 19.) Income subject to tax as a resident (L 20 less L21b) Income subject to tax as a nonresident (L20 less L21c)
AMENDED PART-YEAR RESIDENT TAX CALCULATION Wages, salaries, tips, etc. Taxable interest Ordinary dividends Taxable refunds, credits or offsets Alimony received Business income or (loss) Capital gain or (loss) Other gains or (losses) Taxable IRA distributions Taxable pensions and annuities Rental real estate, royalties, partnerships, S corps., etc. Reserved Farm income or (loss) Unemployment compensation Social security benefits Other income   1.   2.   3.   4.   5.   6.
INCOME 
Schedule TCX   1.   2.   3.   4.   5.   6.   7.   8.   9. 10. 11. 12. 13. 14. 15. 16. 17. 18. DEDUCTIONS SCHEDULE 19. 20. EXEMPTIONS 21a. Number of exemptions claimed 21b. Total value of exemptions (See instrs. for exemption value.) 21c. Value of exemptions against nonresident income 22a. 22b. TAX 23a. Tax rate (Col. B resident rate  & col. E nonresident rate) 23b. Tax at resident rate 23c. Tax at nonresident rate 23d. Total tax (Enter here and on Form GR-1040X, line 23.)



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Taxpayer's name Taxpayer's SSN                                        Amended return tax year
                                            GRAND RAPIDS FORM GR-1040X
SCHEDULE N - SUPPORTING NOTES AND STATEMENTS
                                                                      Revised 05/27/2016






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