LANSING                                                   Tax Year               MI-LNS-1040X-1
L-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 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:01/25/2018

                             Taxpayer's name                                              Taxpayer's SSN               Tax year                          MI-LNS-1040X-2
Form L-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                         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 Office?    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 01/25/2018

                                    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.                                     Original amountColumn D.– or as    Net changeColumn –E.  amount 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, lineD line23b plus23c)     (ColumncolumnB, lineE23blineplus23c)          (ColumncolumnC lineF line23b plus23c)

Taxpayer's name Taxpayer's SSN              Tax year
                                                    LANSING FORM L-1040X
SCHEDULE N - SUPPORTING NOTES AND STATEMENTS
                                                    Revised 12/22/2015