LANSING Tax Year MI-LNS -1040X-1 L-1040X 1 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 residentPart-year 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. Subchapter S corporation distributions (Att. copy of fed. Sch. K-1) 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 Lansing 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 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: Lansing Income Tax Department,124 W Michigan Ave, Lansing, MI 48933 Revised: 01/22/2020 |
Taxpayer's name Taxpayer's SSN Tax year MI- -1040X-2 Form L-1040X LNS1 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 EXEMPTIONS NET CHANGE CORRECT NUMBER or dependents) claimed on line 21a or equivalent line of the return you are amending (Number or amount OR AMOUNT reported or as See Form L-1040 and Form L-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 III Explanation of Changes (In the space provided below, tell us why you are filing Form L-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 III THIRD PARTY DESIGNEE Do you want to allow another person to discuss this return with the Income Tax Department? 1. Yes, complete the following 2. No 3. Designee's name 4. Phone number 5. Personal identification number (PIN) 1 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 LNS Revised 01/22/2020 |
Taxpayer's name Taxpayer's SSN Tax year MI-LNS-1040X-3 Schedule TCX AMENDED PART-YEAR RESIDENT TAX CALCULATION RESIDENT PORTION OF TAX YEAR NONRESIDENT PORTION OF TAX YEAR Round all numbers to nearest dollar Column A. Column B. CorrectColumnAmount C. OriginalColuamountmn D.– or as Net changeColumn – amountE. of CorrectColumnAmount F. INCOME ($0.01 to $0.49 drop cents; $0.50 to $0.99 Original amount – previously adjustedor as Net changeincrease or decrease – – amount of previously adjusted increase or decrease – next dollar; do not enter cents or $.00) (see instructions) explain in Part III (see instructions) explain in Part III 1. Wages, salaries, tips, etc. 1 2. Taxable interest 2 NOT TAXABLE 3. Ordinary dividends 3 NOT TAXABLE 4. Taxable refunds, credits or offsets 4 NOT TAXABLE NOT TAXABLE 5. Alimony received 5 6. Business income or (loss) 6 7. Capital gain or (loss) 7a Sch. D not required. 7b 8. Other gains or (losses) 8 9. Taxable IRA distributions 9 NOT TAXABLE 10. Taxable pensions and annuities 10 11. Rental real estate, royalties, partnerships, S corps., etc. 11 12. Reserved 12 13. Farm income or (loss) 13 14. Unemployment compensation 14 NOT TAXABLE NOT TAXABLE 15. Social security benefits 15 NOT TAXABLE NOT TAXABLE 16. Other income 16 17. Total additions (Add lines 2 through 16.) 17 18. Total income (Add lines 1 through 16.) 18 DEDUCTIONS SCHEDULE See instructions. Deductions must be allocated on the same basis as related income. 1. IRA deduction 1 2. Self Employed SEP, SIMPLE and qualified plans 2 3. Employee business expenses 3 4. Moving expenses 4 5. Alimony paid 5 6. Renaissance Zone deduction 6 19. Total deductions (Add lines 1 through 6.) 19 20. Total income after deductions (Line 18 less line 19.) 20 EXEMPTIONS 21a.Number of exemptions claimed 21a 21b.Total value of exemptions (See instrs. for exemption value.) 21b 21c. Value of exemptions against nonresident income 21c 22a. Income subject to tax as a resident (L 20 less L21b) 22a 22b. Income subject to tax as a nonresident (L20 less L21c) 22b TAX 23a.Tax rate (Col. B resident rate & col. E nonresident rate) 23a 23b.Tax at resident rate 23b 23c. Tax at nonresident rate 23c 23d.Total tax (Enter here and on Form L-1040X, line 23.) 23d Revised: 12/07/2015 (ColumncolumnA,Dlineline23b23c)plus (ColumncolumnB,Elineline23b23c)plus (ColumncolumnCFlineline23b23c)plus |
Taxpayer's name Taxpayer's SSN Tax year LANSING FORM L-1040X SCHEDULE N - SUPPORTING NOTES AND STATEMENTS Revised 12/22/2015 |