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                                                       2022 MUSKEGON
                                          INDIVIDUAL INCOME TAX RETURN
                                                     FORMS AND INSTRUCTIONS
                                                                      FORM CF-M1040

                                     ALL PERSONS HAVING $600.00 OR MORE OF MUSKEGON
                                     TAXABLE INCOME DURING 2022 MUST FILE A RETURN
            You havea choice of three different donation programs. You can only donate to one program. You must check the box for the
            o r p a r g m h t y t a ou wa o t t n supp . t r o Yo r u ch c i o es : e r a 1. Lakeshore Trail Improvements: You can h p l e p c r u hase ad o i t i d n g i s l a ns
DONATION    and materials for the trail that winds along the lake with spectacular views.    2. Muskegon Farmer’s Market Capital
INFO        Improvement Fund:             Donations will help make capital improvements to the downtown Farmer’s Market. 3. Muskegon’s
            Dog Beach: Donations will help maintain this popular stretch of the beach along Lake Michigan for pet lovers and their four 
            legged friends.

TAX FORMS   Tax forms are available online at: http://www.shorelinecity.com/incometax.asp

            WHY USE DIRECT DEPOSIT:
DIRECT      • Faster refunds                                           • Payment more secure (no check to get lost)
DEPOSIT     • More convenient, no trip to the                          • Saves tax dollars.A refund by direct deposit costs
            bank to deposit your check                                   less thana check.
            RESIDENT: One percent (1% or .01)
TAX RATE    NON-RESIDENT: One-half of one percent (.5% or .005)

            Your return must be led by May 1, 2023. Penalty and interest, as provided by law ($2.00 minimum), will be assessed on all late
FILING DATE payments.
            Tax due, if one dollar ($1.00) or more, must be paid with your return.
PAYMENT OF  Make check or money order payable to: City of Muskegon
TAX DUE     Mail return and payment to the address below.
            Income Tax Department
MAILING     P.O. Box 29
ADDRESS     Muskegon, Michigan 49443-0029

DECLARATION If you are paying $100.00 or more with your 2022 return, you may need to filea Declaration of Estimated Income Tax
OF ESTIMATED
INCOME TAX  Form M-1040ES, for 2023. See Instructions for Filinga Declaration on page 1.
FOR         For assistance, visit the Income Tax Department, City Hall, 933 Terrace, Muskegon, Michigan or call the Income Tax Department
ASSISTANCE  at (231) 724-6770.

            Failure to attach documentation or attaching incorrect or incomplete documentation
            will delay the processing of the return or result in corrections being made to the return.

                                                       We can assist with any questions, but
                                                                  cannot prepare your return.



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                  2022 CF-M1040  INSTRUCTIONS FOR RESIDENTS, NONRESIDENTS AND PART-YEAR RESIDENTS
WHO MUST FILE A RETURN                                                            Married with Different Residency Status. If you were married in 2022 
If you had Muskegon taxable income greater than the total of your                 and had a different residency status from that of your spouse, file 
personal and dependency exemptions, you must file a tax return— even              separate returns or file a resident return using Form Schedule PY to 
if  you  did  not  file  a  federal  tax  return.  See  Exemptions  schedule  for compute the tax.
more information on your allowable exemption total. You are required              FILING STATUS
to file a tax return and pay tax even if your employer did not                    Indicate filing status by marking (X) the proper box. If married filing 
withhold Muskegon tax from your paycheck. You will be required to                 separately, enter spouse’s Social Security number in the spouse’s SSN 
make estimated income tax payments if you work for an employer not                box and enter the spouse’s full name in the filing status box.
withholding Muskegon tax from your 2022 wages.
                                                                                  INCOME EXEMPT FROM CITY TAX
ESTIMATED TAX PAYMENTS                                                            Muskegon does not tax the following types of income:
When your total income tax is greater than the amount of tax withheld             1  Social security, pensions  and  annuities  (including  disability 
plus  other  credits  by  $100  or  more,  you  may  be  required  to  make       pensions), Individual Retirement Account (IRA) distributions received 
quarterly estimated tax payments. File Form M-1040ES (available on                after reaching age 59½.
the Muskegon website) by April 30 of the tax year and pay at least                2.  Proceeds of insurance where the taxpayer paid policy premiums. 
one-fourth (¼) of the estimated tax. The remaining estimated tax is due           (Payments from a health and accident policy paid by an employer are 
in three equal payments on June 30 and September 30 of the tax year               taxed the same as under the Internal Revenue Code).
and January 31 of the following year. Adjust the remaining quarterly              3.  Welfare relief, unemployment compensation and supplemental 
payments if your income increases or decreases during the year.                   unemployment benefits.
Failure to make required estimated tax payments or underpayment                   4. Interest from obligations of the United States, the states or 
of estimated tax will result in assessment of penalty and interest.               subordinate units of government of the states and gains or losses on 
If you have made estimated tax payments and do not owe more tax for               the sales of obligations of the United States.
the year, you still must file a tax return.                                       5.  Military pay of members of the armed forces of the United States, 
DUE DATE AND EXTENSIONS                                                           including Reserve and National Guard pay.
Returns are due on or before May 1, 2023. The due date of the annual              6.  Michigan Lottery prizes won on or before December 30, 1988. 
income tax return may be extended for a period not to exceed six                  (Michigan lottery prizes won after December 30, 1988 are taxable.)
months. To apply for an extension, use the Application for Extension of           7.  Sub-chapter S corporation dividends. 
Time to File a Muskegon Income Tax Return. Applying for a federal                 8.  City, state and federal refunds.
extension does not satisfy the requirement for filing a city extension.           ITEMS NOT DEDUCTIBLE ON THE CITY RETURN
Application for an extension must be made and the tentative tax due               Muskegon does not allow deductions for items such as taxes, interest, 
must be paid (MCL 141.664). Filing an extension with payment is not a             medical expenses, charitable contributions, casualty and theft losses, 
substitute for making estimated tax payments.  An extension does not              etc. In addition, the following federal adjustments are not deductible on 
extend the time for paying the tax due.                                           the Muskegon return: student loan interest, Archer MSA deduction, self- 
AMENDED RETURNS                                                                   employed health insurance deduction, one-half or self employment tax, 
If a change on your federal return affects Muskegon taxable income, you           and penalty for early withdrawal of savings.
must file an amended return within 90 days of the change and pay the tax          FORM CF-M1040, PAGE 1, INSTRUCTIONS
due. All schedules supporting the changes should accompany the filing.            TOTAL INCOME AND TAX COMPUTATION
Every change must be explained. Mail amended returns to: Muskegon 
Income Tax, P.O. Box 29, Muskegon, Michigan 49443-0029                            Round all figures to the nearest dollar.
CHARGES FOR LATE PAYMENTS                                                         Lines 1 – 16, Columns A & B – Federal Data and Exclusions
All tax payments remaining unpaid after they are due are liable for a             This tax form is designed for use by residents, nonresidents and part- 
penalty of 1% per month, not to exceed a total penalty of 25%, and bear           year residents. The form starts with federal return data in column A; 
interest at the rate of 1% above the prime rate on an annual basis. The           adjusts the data in column B for income taxable on the federal return that 
minimum combined charge for interest and penalty is $2.00.                        is nontaxable by Muskegon and vise versa; and reports income taxable 
                                                                                  by Muskegon in column C. Exclusions and adjustments (column B) must 
DISCLAIMER                                                                        be explained by completing and attaching applicable exclusion or 
These instructions are interpretations of the Uniform City Income Tax             adjustment  schedules  or  by  attaching  a separate explanation  to the 
Ordinance, MCLA 141.601 et seq. The City of Muskegon Ordinance will               return. See exclusions and adjustments instructions in the resident and 
prevail in  any  disagreement between  these instructions  and  the               nonresident sections. Attach copies of federal schedules to support all 
Ordinance.                                                                        entries on lines 6, 7, 8, 11 and 13 of Column A.
COMPLETING YOUR RETURN                                                            NOTE: Schedules, attachments and other documentation that support 
NAME, ADDRESS, SOCIAL SECURITY NUMBER                                             tax withheld, exclusions, adjustments or deductions must be provided. 
  Always write your social security number(s) on the return. Your                Failure to attach or attaching incomplete supporting information will delay 
  social security number must agree with the SSN on the Form(s) W-2               processing  of  your  return  or  result  in  tax  withheld,  exclusions, 
  attached to your return.                                                        adjustments or deductions being disallowed.
Enter your name and, if a joint return, your spouse’s name.                     Lines 1 - 16, Column C – Figure Taxable Income
If the taxpayer or spouse is deceased: attach a copy of federal Form            Subtract  column  B from column  A  and  enter difference  in  column C. 
  1310 or a copy of the  death  certificate; write  deceased in the               Support figures with schedules.
  signature area; and enter the date of death in the box on the signature         Line 17 – Total Additions
  line of return.                                                                 Add lines 2 through 16.
Enter your current address under Present home address. If using a               Line 18 – Total Income
  P.O. Box, or an address that is not your legal residence, you must              Add lines 1 through 16.
  add an attachment that states your actual residence.
Mark the box to indicate your filing status.                                    Line 19 – Total Deductions
                                                                                  Enter the total deductions from line 7 of Deductions schedule, page 2.
RESIDENCY STATUS
Indicate your residency status by marking (X) in the proper box.                  Line 20 – Total Income after Deductions
                                                                                  Subtract line 19 from line 18.
Resident – a person whose domicile (principle residence) was in the 
City of Muskegon all year. File as a resident if you were a resident the          Line 21 – Exemptions
entire year.                                                                      Enter the total number of exemptions (page 2, Exemptions Schedule, 
                                                                                  line  1h)  on  line  21a  and  multiply  line  21a  by  $600.00  and  enter  the 
Nonresident – a person whose domicile (principle residence) was                   product on line 21b.
outside the City of Muskegon all year. File as a nonresident if you were 
a nonresident the entire year.                                                    Line 22 – Total Income Subject to Tax
                                                                                  Subtract line 21b from line 20. If line 21b is greater, enter zero.
Part-Year Resident – a  person who changed their domicile (primary 
residence)  during  the  year  from  one  inside  Muskegon  to  one  outside      Line 23 – Tax
Muskegon or vice versa. If you were a resident for only part of 2022, use         Multiply line 22 by the appropriate tax rate to compute tax liability, and 
Schedule PY to calculate the tax and attach it to the CF-M1040.                   enter it on line 23b. (The resident tax rate is 1.0%. The nonresident rate 
                                                                                  is  0.5  %.)  If  you  were  a  resident  for  only  part  of  the  year  and  used 
                                                                                  Schedule PY to compute your tax mark (X) line 23a and attach Schedule 
                                                                                  PY to the return. 



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Line 24a – Total Tax Withheld by Employers                                     Direct Deposit Refund.  To have your refund deposited directly into 
The Muskegon tax withheld by each of your employers is to be reported          your bank account, on line 31a, mark (X) the box “Refund (direct 
on page 2 on the Excludible Wages and City Tax Withheld Schedule.              deposit)”  and  enter  the  bank  routing  number  on  line  31c;  the  bank 
Total Muskegon tax withheld, line 11 of this schedule, is reported on line     account number on line 31d; and the account type on line 31e.
24a. The Form W-2 (Wage and Tax Statement) you received from each 
employer shows the tax withheld in box 19 and locality name in box 20.         FORM CF-M1040, PAGE 2 INSTRUCTIONS
You must attach an original copy of each Form W-2 showing the                  EXEMPTIONS SCHEDULE
amount of MUSKEGON tax withheld and the locality name as                       Complete the Exemptions  schedule to  report and claim  the total 
Muskegon (or an equivalent indicating the tax was withheld for                 exemption amount allowed. Everyone who files a city return gets a 
Muskegon). Credit for Muskegon tax withheld will not be allowed without        personal exemption of $600 for 2022. You may claim an exemption 
a supporting original Form W-2.                                                even if someone else claims you as a dependent on their return.
Line 24b – Other Tax Payments                                                  Lines 1a - 1c – You and Spouse. Enter your date of birth and mark (X) 
                                                                               in the exemption boxes that apply to you. If filing jointly, complete line 1b 
Enter the total of the following: estimated tax paid, credit forward from      for spouse. If you are age sixty-five or older, or are blind, deaf or 
past tax year, tax paid with an extension, tax paid on your behalf by a        permanently disabled you get an additional exemption. Mark (X) in the 
partnership attach copy of K-1.                                                boxes that apply, and enter on line 1e the total number of exemption 
Line 24c – Tax Credit for Tax Paid to Another City (Residents only)            boxes marked.
Enter on line 24c the credit for income taxes paid to another city. If you     Lines 1d – Dependents. Determine dependents using the same rules 
had income subject to tax in another city while you were a resident of         as on the federal return. If you cannot claim a dependent on the federal 
Muskegon,  you  may  claim  this  credit.  The  credit  IS  NOT                return, you cannot claim them on a city return. Enter the names of your 
NECESSARILY the tax paid to the other city. This credit must be based          dependent children that live with you, then the namesof other 
on income taxable by both cities, and the credit may not exceed the tax        dependents and their relationship to you. Provide dependents’ Social 
that a nonresident of Muskegon would pay on the same income. Base              Security numbers and dates of birth. Enter totals on 1f and 1g.
the credit on the amount actually paid to another city, not the amount         Lines 1e - 1h – Total Exemptions. Add the amounts on 1e, 1f and 1g, 
withheld. You must attach a copy of the income tax return filed with           and enter the total exemptions on line 1h and on page 1, line 21a.
the other city to receive this credit.                                         EXCLUDED WAGES SCHEDULE
Line 24d – Total Payments and Credits                                          If any wages reported on page 1, line 1, column A, are not taxable, the 
Add lines 24a through 24c. Enter the total on line 24d.                        Excluded Wages schedule must be completed. The data to complete 
Line 25 – Interest and Penalty for Failure to Make Estimated Tax               this schedule comes  from  the  Excludible  Wages, Salaries, Tips, Etc. 
Payments; Underpayment of Estimated Tax; or Late Payment of                    schedule.
Tax                                                                            DEDUCTIONS SCHEDULE
Nonpayment or underpayment of estimated income tax and late                    You may deduct amounts that directly relate to income that is taxable by 
payment of tax is subject to interest and penalty. You may calculate the       Muskegon,  prorating  where  necessary. Allowable  deductions  include 
amounts and enter interest on line 24a, penalty on 25b, and the total          the following line number items:
interest and penalty on line 25c or the city may calculate and assess it.      Line 1 – Individual Retirement Account (IRA) Contributions
Calculate estimated tax interest and penalty using Form L-2210.                Contributions to an IRA are deductible to the same extent deductible 
TAX DUE OR REFUND                                                              under the Internal Revenue Code.  Attach schedule 1 of federal 
Line 26 – Tax Due and Payment of Tax                                           return and evidence of contribution, which includes, but is not limited 
If the tax on line 23b plus the interest and penalty on line 25c exceeds       to, one of the following: a copy of receipt for IRA contribution, a copy of 
the total Payments and Credits on line 24, enter the difference, the tax       federal Form 5498, a copy of a cancelled check that clearly indicates it 
due, on line 26. The tax due must be paid with the return when filed.          is for an IRA contribution. ROTH IRA contributions are not deductible.
The due date for the return is May 1, 2023.                                    Line 2 – Self-Employed SEP, SIMPLE and Qualified Plans
Pay by  Check  or  Money  Order  Make  the  check  or  money  order            Self-employed SEP, SIMPLE and qualified retirement plan deductions 
payable to CITY OF MUSKEGON, and mail with the return to Muskegon              may be entered on page 2, Deductions schedule, line 2.
Income  Tax,  P.O.  Box  29,  Muskegon,  Michigan  49443-0029. Do not          Line 3 – Employee Business Expenses
send cash for your tax payment.                                                Employee business expenses are deductible only when incurred in the 
Pay by Credit Card,     call 231-724-6770 or pay in person. There is a         performance of service for an employer and only to the extent not 
2.8% fee for all cards. All forms must be submitted prior to making a          reimbursed  by the  employer.  Meal expenses  are not subject to the 
payment.                                                                       reductions and limitations of the Internal Revenue Code. Under the 
Pay by Direct Withdrawal from Bank Account To have your payment                Muskegon Income Tax Ordinance meals must be incurred while away 
directly  withdrawn  from  your  bank  account,  complete  line  31.  On  line from home overnight on business.
31b, mark (X) the box “Pay Tax Due (direct withdrawal)” and enter the          BUSINESS EXPENSES ARE LIMITED TO THE FOLLOWING:
bank routing number on line 31c; the bank account number on line 31d; 
and the account type on line 31e. The tax is due at the time of filing the      A. Expenses of transportation, but not to and from work.
return. Direct withdrawal payments will be processed as soon as                 B. Expenses of travel, meals and lodging while away from
possible after receipt.                                                         home overnight on business for an employer.
                                                                                C. Expenses incurred as an “outside salesperson” away from the
Line 27 – Overpayment                                                           employer's place of business. This does not include driver-
If the total payments and credits on line 24 exceed the tax on line 23            salesperson whose primary duty is service and delivery.
plus the interest and penalty on line 25c, enter the difference, the            D. Expenses reimbursed by employer from an expense account or
overpayment, on line 27. Use lines 28 through 31 to indicate what you           other arrangement if included in gross earnings.
want done with the refund. You must file the return even if there is no tax 
due, no overpayment or only a slight overpayment.
Line 28 – Donations                                                            Attach a detailed list of your employee business expenses.
You  may donate your  overpayment, or  a part  of it, to the  following:       Line 4 – Moving Expenses - Armed Forces Only
Lakeshore Trail Improvement (line 28a), Muskegon Farmers Market (line          Moving expenses for moving into the Muskegon area are deductible to 
28b) or Muskegon Dog Beach (line 28c). Enter the amount of your                the same extent deductible under the Internal Revenue Code. Moving 
donation on the line for the donation(s) of your choice and enter the total    must be related to starting work in a new location. Attach a copy of 
on line 28d.                                                                   federal Form 3903 or a list of moving expenses, with the distance 
Line 29 – Credit Forward                                                       in miles from where you moved.
Enter on line 29 the amount of overpayment to credit to the next year.         Line 5 – Alimony Paid
                                                                               Separate maintenance payments, alimony, and principal sums
Line 30 – Refund                                                               payable in installments (to the extent includable in the spouse's 
Please allow 45 DAYS before calling about a refund.  You  may 
choose to receive the refund as a paper check or a direct bank deposit.        or former spouse’s adjusted gross income under the federal 
                                                                               Internal Revenue
Refund Check. If you want your refund issued as a paper check, enter 
on Line 30 the amount of the overpayment to be refunded.



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Code) and deducted on the federal return are deductible. Child               ADDRESS SCHEDULE
support is not deductible. Attach a copy of federal schedule 1.              Every taxpayer must complete the Address schedule. Start by listing 
NOTE: The above deductions are limited to the amount claimed on              the address used on last year’s return. If this address is the same 
your federal return, except meals. The deductions are limited by             as listed on page 1, write “Same.” If no 2021 return was filed 
the extent they apply to income taxable under the Muskegon                   provide reason none was filed. Complete the schedule by listing the 
Income Tax Ordinance. Part-year residents must allocate                      addresses of the other principal residences (domiciles) occupied 
deductions the same way they allocate income.                                during 2021 Mark whether the address was for the taxpayer (T), 
                                                                             spouse (S) or both (B) and enter the beginning and ending dates of 
Line 6 – Renaissance Zone                                                    residence at each.
A Renaissance Zone deduction may be claimed by a qualified resident 
domiciled in a Renaissance Zone, an individual with income from rental       THIRD-PARTY DESIGNEE 
real estate located in a Renaissance Zone and an individual proprietor       To allow another person to discuss the tax return information with 
or  a  partner  in  a  partnership  that  has  business  activity  within  a the Income Tax Office, mark (X) the “Yes” box and enter the 
Renaissance Zone. Residents are not qualified to claim the deduction         person’s name, phone number and any five digits as their personal 
until they have been domiciled in a Renaissance Zone for 183                 identification number (PIN). To designate the tax preparer, enter 
consecutive  days.  Individuals  are  not  qualified  to  claim  the         “Preparer.” 
Renaissance Zone deduction if they are delinquent for any Michigan or        SIGN THE RETURN
Muskegon taxes. A city income tax return must be filed to qualify and        You must sign and date the return. If filing a joint return, both 
claim this deduction.                                                        spouses must sign and date the return. If someone else prepared 
Line 7 – Total Deductions                                                    the return, they must sign it and provide their address and 
Add lines 1 through 6. Enter the total on line 7 and on page 1, line 19.     telephone number.

                                                 PART-YEAR RESIDENTS
If you had income taxable as a resident and as a nonresident during the      income. Adjustments and deductions must be allocated in the same way 
year, you must file as a part-year resident. Part-year residents compute     income is allocated. Use the instructions for residents and non- 
the amount of their tax on Schedule PY, which has multiple tax rates.        residents as a guide to allocate income. 
Complete the form using the instructions for the Schedule PY.                Get forms on the website: WWW.MUSKEGON-MI.GOV, or Call (231) 
Income is allocated according to the residency status for each item of       724-6770 to have a form mailed to you.

                                                                RESIDENTS

Line 1 – Wages, Salaries, Tips, Etc.                                         Attach a complete copy of federal Schedule C. Federal rules 
Report on line 1, column A, the amount of wages, salaries, tips, etc.        concerning passive losses are applicable to losses deducted on a city 
from your federal tax return (Form 1040).                                    return. 
Page 1 & 2 and Schedule 1 of the federal tax return must be attached         Line 7 – Capital Gain or (Loss) 
to all resident tax returns.  All W-2 forms showing wages and                The Uniform City Income Tax Ordinance follows the Internal Revenue 
Muskegon tax withheld must be attached to page 1 of the return.              Code regarding capital gains. All capital gains realized while a 
A resident is taxed on     ALL earnings, including salary, bonus,            resident are taxable regardless of where the property is located, with 
separation, and incentive payments, tips, commissions and other              the following exceptions: 
compensation for services rendered—no matter where earned.                   1.  Capital gains on sales of obligations of  the United States and 
Example: Taxpayer lives in the City of Muskegon but works in Grand 
Rapids and receives a paycheck from the home office in New York City:        subordinate units of government.
100% of this compensation is taxable.                                        2.  The portion of the capital gain or loss on property purchased prior to 
                                                                             the inception of the Muskegon income tax ordinance that is attributed 
If your employer did not withhold Muskegon tax from your paycheck,           to the time before inception ordinance.
you are still required to file and pay tax on those wages at the resident    3.  Capital  loss  carryovers  that  originated  prior  to  the  taxpayer 
tax rate. You will also be required to make estimated tax payments if        becoming a resident of Muskegon are not deductible.
your employer does not withhold Muskegon tax for you in 2023.
Report on line 1, column B, the total excluded wages. All nontaxable         Capital losses are allowed to the same extent they are allowed under 
wages must be documented   and listed, by employer, on the Excluded          the Internal Revenue Code and limited to $3,000 per year. Unused net 
Wages schedule on page 2.  A resident’s wages are generally not              capital losses may be carried over to future tax years. The capital loss 
excludible. An example of excludible (nontaxable) resident wages is          carryover for Muskegon may be different than the carryover for federal 
military pay.                                                                income tax purposes. 
Line 2 – Interest                                                            Deferred capital gain income from installment sales and like-kind 
Interest is taxable the same as on the federal return except for interest on exchanges are taxable in the  same year  reported on  the taxpayer’s 
U.S. Bonds, Treasury Bills and notes which may be excluded.                  federal income tax return. 
Report the amount of taxable interest income from federal 1040, on line      Flow through income or loss from an S corporation reported on federal 
2, column A. Report on line 2, column B, interest from U.S. Bonds and        Sch.  D  is  not  taxable. Attach  copies  of  federal  Sch.  K-1  (Form 
Treasury  Bills  and  notes;  document  this  excluded  interest  on  the    1120S). 
Excludible Interest Income schedule. S corporation flow through interest     Residents reporting capital gains or losses    must attach a copy of 
income is not taxable.                                                       federal Schedule D and supporting schedule 8949. 
Line 3 – Dividends                                                           Excluded capital gains must be explained on the Exclusions and 
Dividends are taxable. Report on line 3, column A, the total amount of       Adjustments to Capital Gains or (Losses) schedule. 
dividend income from the federal return. Report on line 3, column B,         Line 8 – Other Gains or (Losses) 
excludible dividends from U.S. Bonds, Treasury Bills and notes, and          Other gains or losses are taxable to the extent that they are taxable on 
documents on the Excludible Dividend Income schedule. S Corporation          the federal 1040. Other gains and losses realized while a resident are 
flow through dividend income is not taxable.                                 taxable regardless of where the property is located, except the portion of 
                                                                             the gain or loss on property purchased prior to the inception of the 
Line 4 – Taxable Refunds, Credits or Offsets                                 Muskegon Income Tax Ordinance. 
NOT TAXABLE. Exclude all. No explanation needed.                             Deferred other gains from installment sales and like-kind exchanges are 
Line 5 – Alimony Received                                                    taxable  in  the  year  recognized  on  the  federal  income  tax  return. 
Alimony received is taxable based on federal guidelines. Report on line      Deferred gains must be supported by attaching a copy of federal 
5, columns A and C, the amount of alimony received as reported on the        Form 6252 and/or Form 8824. 
federal return.
                                                                             Residents reporting other gains and losses     must attach a copy of 
Line 6 – Business Income                                                     federal Form 4797. 
All self-employment income is taxable regardless of where the business 
is located. Report on line 6, columns A and C, the total business income     Flow through income or loss from an S corporation reported on federal 
from the federal return.                                                     Form  4797  of  a  resident  is  not  taxable. Attach  copies  of  federal 
                                                                             Schedule K-1 (Form 1120S).



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Use the Exclusions and Adjustments to Other Gains or (Losses)                    3.  Benefits paid from a retirement annuity policy other than annuitized 
schedule to compute exclusions and adjustments to other gains and                benefits paid over the life of the individual are taxable to the same 
losses reported on your federal income tax return.                               extent taxable under the Internal Revenue Code.
Line 9 –IRA Distributions                                                        Report taxable pension and retirement income on line 10, column C. 
In column A enter the IRA distributions reported on federal Form 1040.           Line  11  –  Rental  Real  Estate,  Royalties,  S  Corporations,  Partner-
Premature IRA distributions (Form 1099-R, box 7, distribution code 1)            ships, Royalties, Estates, Trust, Etc. 
Exclude in column B, IRA distributions qualifying as retirement benefits:        All income reported on federal Schedule E may be taxable. A resident’s 
IRA distributions received after age 59½ or described by Section 72(t)           share of an S corporation’s flow through income is not taxable. Report 
(2)(A)(iv) of the IRC and all other excludible IRA distributions.  The           this income on line 11, columns A.
Exclusions and Adjustments to IRA Distributions schedule is used to              Line 12 – Subchapter S Corporation Distributions 
document excluded IRA distributions.                                             S corporation distributions received by a resident from the corporation’s 
Line 10 –Taxable Pension Distributions                                           Accumulated Adjustments Account, Other Adjustments Account and/or 
Enter on line 10, column A, pension and annuities reported on                    the Shareholder’s Undistributed  Taxable Income Previously  Taxed 
federal Form 1040. Excluded pension and retirement benefits are                  Account (federal Form 1120S, Schedule M-2, line 7) are income on a 
reported on line 10, column B and explained on the Exclusions                    city return and are to be reported on this line. These distributions are 
and Adjustments to Pension Distributions schedule.                               found on federal Schedule K-1 (1120), line 16. Report these 
Pension and retirement benefits from the following are not taxable:              distributions on the  Adjustments for  Tax Option Corporation (like 
1.  Pension plans that define eligibility for retirement and set contribution    Subchapter S Corporation) Distributions schedule. Also attach copies 
and benefit amounts in advance;                                                  of federal Schedule K-1 (Form 1120S).
2.  Qualified retirement plans for the self-employed;
3.  Distributions  from  a  401(k)  or  403(b)  plan  attributable  to  employer Line 13 – Farm Income (Or Loss) 
contributions or attributable to employee contributions to the extent            Profit or loss from the operation of a farm is taxable as reported on the 
they result in matching contributions by the employer;                           federal return regardless of where the farm is located. There are no 
4.  Benefits from any of the previous plans received on account of               exclusions. Attach a complete copy of federal Schedule F. 
disability or as a surviving spouse if the decedent qualified for the            Line 14 – Unemployment Compensation 
exclusion at the time of death;                                                  NOT TAXABLE. Exclude all. No explanation needed. 
5.  Benefits paid to an individual from a retirement annuity policy that has     Line 15 – Social Security Benefits 
been annuitized and paid over the life of the individual.                        NOT TAXABLE. Exclude all. No explanation needed. 
Pension and retirement benefits from the following are taxable:                  Line 16 – Other Income
1.  Premature pension plan distributions (those received prior to                Other income reported on the resident’s federal return is taxable except 
qualifying for retirement);                                                      for income from recoveries related to federal itemized deductions from 
2.  Amounts received from deferred compensation plans that let the               prior tax years. Report on this line a net operating loss carryover from 
employee set the amount to be put aside and do not set retirement                the previous tax year. Complete report exclusions and adjustments on 
age or requirements for years of service. These plans include, but are           p.2,  using  the  Line  16  - Exclusions  and  Adjustments  to  Other 
not limited to, plans under IRC Sections 401(k), 457 and 403(b):                 Income schedule.
          Amounts received before the recipient could retire under              Line 17 – Total Additions Add lines 2 through 16. 
           the  plan  provisions,  including  amounts  paid  on                  Line 18 – Total Income 
           separation, withdrawal or discontinuance of the plan;                 Add lines 1 through 16 of each column and enter amounts on line 18. 
           Amounts received as early retirement incentives, unless 
           the incentives were paid from a pension trust;                        Line 19 – Deductions 
                                                                                 Enter amount from Deductions schedule, page 2, line 7.

                                                                NONRESIDENTS

NONRESIDENT INCOME SUBJECT TO TAX:
1.  Compensation for work done or services performed in the city, which          and listed, by employer, on the Excluded Wages schedule on page 2 of 
includes, but is not limited to, the following: salaries, wages, bonuses,        the tax form on line 1-10. On the Excludible Wages, Salaries, Tips, Etc. 
commissions, fees, tips, incentive payments, severance pay, vacation             schedule, lines 7 and 8, list the reason the wages are excludible and the 
pay and sick pay.                                                                address of the work station where work was performed for the employer. 
2.  Net profits of from the operation of an unincorporated business,             Do not use box 18 of W-2 form to report taxable wages or to 
profession or other activity attributable to business activity conducted         allocate wages: use box 1 wages only.   A separate wage allocation 
in Muskegon, whether or not such business is located in Muskegon.                must be completed for each employer. Wages are normally allocated 
3.  Gains or losses from the sale or exchange of real or tangible personal       using the actual number of days or hours worked in and outside the city 
property located in Muskegon.
4.  Net profits from the rental of real or tangible personal property located    during the tax year for an employer.  Vacation time, sick time and 
in Muskegon.                                                                     holidays are not included in total days worked in arriving at the wage 
5.  Premature distributions from an Individual Retirement Account (IRA)          allocation percentage. Vacation pay,holiday pay, sick pay, bonuses, 
where a deduction was claimed on a current or previous year’s city               severance pay, etc. aretaxable to same extent as normal earnings.
income tax return.                                                               100% Earned in Muskegon.  All wages, salaries, tips, sick pay, 
6.  Premature distributions from a pension plan attributable to work             bonuses,  deferred  compensation,  severance  pay,  and  other 
performed in Muskegon.                                                           compensation (Form W-2, box 1) is taxable to nonresidents who worked 
7.  Deferred compensation earned in Muskegon before retirement.                  100% of the time in the city.
Line 1 – Wages, Salaries, Tips, Etc.                                             Allocate Total Wages.  Nonresidents who performed only part of their 
All wages taxed on the federal return are to be reported on page 1, line 1,      services for an employer in the city must allocate their wages using the 
column A of the city return. All W-2 forms showing income earned in              W-2 form box 1 amount, not box 18.  Compute excludible wages using 
Muskegon and or tax withheld for Muskegon must be attached to the                the Nonresident and Part-Year Resident Wage Allocation section of the 
return.                                                                          Excludible Wages, Salaries, Tips, Etc. schedule.
                                                                                 Wage Allocations on Commissions, Etc.   A nonresident salesperson 
Page 1 & 2 and Schedule 1 of the federal tax return must be                      paid on a commission basis or other results achieved should allocate 
attached to all resident tax returns.                                            wages based on commissions received or other results achieved 
                                                                                 attributable to efforts expended in Muskegon. A nonresident insurance 
Report  on  page  1,  line  1,  column  B,  the  total  excluded  wages. All     salesperson paid sales commissions and renewal commissions should 
excluded  wages must  be  documented  on  the  Excludible  Wages,                allocate compensation on the following basis: Allocate commissions
Salaries, Tips, Etc. schedule



- 6 -
from life,  health,  accident  and  vehicle  (auto)  insurance based  on  the Line 10 – Taxable Pension Distributions 
location (residence) of the purchaser. Allocate commissions from group        Premature pension plan distributions (those received by a nonresident 
insurance  based  on  the  location  of  the  group. Allocate  commissions    prior  to  qualifying  for  retirement)  are  taxable  to  the  same  extent  the 
from  fire  and  casualty  insurance  based  on  the  location  of  the  risk normal wages from the employer are taxable.
insured. Nonresidents working totally outside the city for an employer        A nonresident remaining employed by the particular employer in 
should exclude all of these wages.                                            Muskegon may not exclude amounts received from deferred 
Line 2 – Interest                                                             compensation plans that let the employee set the amount to be put 
NOT TAXABLE. Exclude all interest income. No explanation needed.              aside and do not set retirement age or requirements for years of 
Line 3 – Dividends                                                            service.  These plans include, but are not limited to, plans under 
NOT TAXABLE. Exclude all dividend income. No explanation needed.              Sections 401(k), 457 and 403(b) of the Internal Revenue Code (IRC): 
Line 4 – Taxable Refunds, Credits or Offsets                                  Amounts received before the recipient could retire under the plan 
NOT TAXABLE. Exclude all. No explanation needed.                              provisions,  including  amounts  paid  on  separation,  withdrawal  or 
                                                                              discontinuance  of  the plan.  Amounts  received  as early  retirement 
Line 5 – Alimony Received                                                     incentives, unless the incentives were paid from a pension trust. See 
NOT TAXABLE. Exclude all. No explanation needed.                              Line 10 under “Residents”  for additional information on nontaxable 
Line 6 – Profit (Or Loss) from a Business, Etc.                               pension and retirement benefits. 
Profit (or loss) from the operation of a business or profession is taxable    Excludible pension distributions are listed on the Exclusions and 
to the extent it results from work done, services rendered or other           Adjustments to Pension Income schedule. Enter the total excluded 
business activities conducted in Muskegon. Report on page 1, line 6,          pension distributions on the last line of the schedule and also enter the 
column A, business income reported taxable on your federal return.            amount on page 1, line 10, column B. 
The Exclusions and Adjustments to Business Income schedule is used            Line 11 – Rental Real Estate,Royalties, Partnerships, S Corporations, 
to exclude business income. The total excluded business income from           Estates, Trusts, Etc. 
line 5 of this schedule is also entered on page 1, line 6, column B. If a     All income  reported on the federal Schedule E that comes from 
business operates both in and outside of the city, the taxable profit or      business activity in Muskegon or property located in Muskegon is 
loss is determined using the three factor Business Allocation formula.        taxable to nonresidents. When an estate or trust has taxable income 
Where no work is done, services rendered or other business activity is        inthe city,  the  estate  or trust  must file a  return  and  pay  tax  on 
conducted in Muskegon, the profit or loss is entirely excluded. Complete      distributions to nonresidents and on undistributed taxable income. 
the Exclusions and  Adjustments to Business Income schedule to                The following income reported on federal Schedule E is excludable: 
exclude profit or loss from the operation of a business.                      income from business activity or property outside Muskegon; S 
A Muskegon net operating loss carryover from the previous tax year is         corporation flow through income or loss reported on Schedule E; and 
reported on page 1, line 16, column C. See instructions for line 16.          income from estates and trusts. 
Line 7 – Capital Gains or Losses                                              Explain all exclusions on the Exclusions and Adjustments to Income 
Capital gains or losses of a nonresident are included in taxable income       from Rental Real  Estate, Royalties, Partnerships, S Corporations, 
to the extent the gains or losses are from property located in Muskegon.      Trusts, Etc. schedule. Enter the total of the exclusions and adjustments 
Capital losses from property located in the city are allowed to the same      listed on this schedule on line 6 and also on page 1, line 11, column B
extent they are allowed under the Internal Revenue Code. Unused               Line 12 – Subchapter S Corporation Distributions
capital losses may be carried over to future tax years. The capital loss      None of these distributions are taxable to a nonresident.
carryover for Muskegon may be different than the carryover for federal 
income tax purposes.                                                          Line 13 – Farm Income or (Loss) 
                                                                              A nonresident’s profit or loss from a farm are included in city income to 
Deferred capital gain income from installment  sales and like-kind            the extent the profit or loss results from work done, services rendered or 
exchange  of  property  located  in Muskegon  are  taxable  in the  year      other activities conducted in Muskegon. The portion of the profit or loss 
recognized on the taxpayer’s federal income tax return.                       reported on the city return is determined by use of the three factor Farm 
Flow  through  income  or  loss  from an  S corporation  reported  on  a      Allocation Percentage formula. Where no work is done, services 
nonresident’s  federal  Schedule  D  is  excluded  on  the  Exclusions  and   rendered or other business activity is conducted in Muskegon, the entire 
Adjustments to Capital Gains or (Losses) schedule  Attach copies of           farm profit or loss is excluded, using the Exclusions and Adjustments to 
federal Schedule K-1 (Form 1120S).                                            Farm Income schedule. 
Use the Exclusions and  Adjustments to Capital Gains or (Losses)              Sales of crops at the produce market, any of the farmer’s markets or a 
schedule to compute exclusions and adjustments to capital gains.              produce stand located in the city are Muskegon business activity and 
NOTE: A common error on a nonresident return is failure to complete           subject to Muskegon income tax.
the  Exclusions  and Adjustments  schedule  to  exclude  the  capital  loss   Line 14 – Unemployment Compensation
carryover reported on the taxpayer’s federal income tax return.               NOT TAXABLE. Exclude all. No explanation needed. 
Line 8 – Other Gains and Losses                                               Line 15 – Social Security Benefits 
A nonresident’s other gains and losses are included in taxable income to      NOT TAXABLE. Exclude all. No explanation needed. 
the extent the gains or losses are from property located in Muskegon. 
Deferred other gains and losses from installment sales and like-kind          Line 16 – Other Income 
exchanges of property located in the city are taxable in the year             Other income is taxable if it is from work performed or other activities 
recognized on the taxpayer’s federal income tax return. Deferred other        conducted in Muskegon. Use the Exclusions and Adjustments to Other 
gains must be supported by attaching a copy of federal Form 6252              Income schedule to document exclusions and adjustments. Report on 
and/or Form 8824.                                                             this line a Muskegon-related net operating loss carryover from previous 
                                                                              year.
Flow through income or loss from an S corporation reported on federal                                   Add lines 2 through 16
Form  4797  is  excluded  on  the  Exclusions  and Adjustments  to  Other     Line 17 – Total Additions 
Gains and (Losses) schedule. Attach copies of federal Schedule K-1            Line 18 – Total Income 
(Form 1120S).                                                                 Add lines 1 through 16 of each column and enter amounts on line 18.
Nonresidents reporting other gains and losses must attach a copy of           Line 19 – Total Deductions
federal Form 4797.  Use the Exclusions and Adjustments to Other               Enter amount from Deductions schedule, page 2, line 7. A nonresident’s 
Gains and Losses schedule to compute exclusions and adjustments to            deductions are limited by the extent they relate to income taxable under 
other gains and losses reported on the federal income tax return.  On         the Muskegon Income  Tax Ordinance.  Nonresidents must allocate 
line 4 of the schedule enter the total excluded other gains or losses and     deductions the same way related income is allocated. See Deductions 
also enter this total on page 1, line 8, column B.                            schedule (page 2 instructions) for a list of allowable deductions.
Line 9 – IRA Distributions 
That portion of a premature IRA distribution that was deducted from a 
city’s taxable income in the current or a prior tax year (reported on Form 
1099-R, box 7, distribution code 1) are taxable to a nonresident. IRA 
distributions received after age 59½ or described by Section 
72(t)(2)(A)(iv) of the IRC are not taxable.



- 7 -
CF-M1040                               MUSKEGON                                                              2022
                                       INDIVIDUAL RETURN DUE MAY 1, 2023
Taxpayer's SSN                                   Taxpayer's first name                Initial  Last name                                                     RESIDENCE STATUS
                                                                                                                                                                 Resident     Nonresident                  Part-year
                                                                                                                                                                                                           resident
Spouse's SSN                                     If joint return spouse's first name  Initial  Last name                                                 Part-year resident - dates of residency (mm/dd/yyyy)
                                                                                                                                                         From
Mark (X) box if  deceased                        Present home address (Number and street)                                   Apt. no.                     To
Taxpayer                   Spouse                                                                                                                            FILING STATUS
Enter date of death on page 2, right side  Address line 2 (P.O. Box address for mailing use only)                                                                Single       Married filing jointly
of the signature area
                                                                                                                                                                 Married filing separately. Enter spouse's 
Mark box (X) below if                            City, town or post office                                 State   Zip code                                      SSN in Spouse's SSN box and Spouse's full 
Federal Form 1310                                                                                                                                                name here.   
                                                 Foreign country name                Foreign province/county       Foreign postal code
                           on                                                                                                                                Spouse's full name if married filing separately
                           2021
                           ROUND ALL FIGURES TO NEAREST DOLLAR
          INCOME                               (Drop amounts under $0.50 and increase                       Column A                                      Column B             Column C
                                           amounts from $.50 to $0.99 to next dollar)                 Federal Return Data      Exclusions/Adjustments                         Taxable Income
          1.   Wages, salaries, tips, etc. ( W-2 forms must be attached)                    1 
SEND      2.   Taxable interest                                                             2 
COPY OF
PAGE 1 OF 3.   Ordinary dividends                                                           3 
FEDERAL
RETURN    4.   Taxable refunds, credits or offsets of state and local income taxes 4                                                                                          NOT TAXABLE
          5.   Alimony received                                                             5 
          6.   Business income or (loss) (Attach copy of federal Schedule C)                6 
          7.   Capital gain or (loss)
               (Attach copy of fed. Sch. D)              7a. Mark if federal                7 
                                                             Sch. D not required
          8.   Other gains or (losses) (Attach copy of federal Form 4797)                   8 
          9.   Taxable IRA distributions (Attach copy of Form(s) 1099-R)                    9 
          10. Taxable pensions and annuities (Attach copy of Form(s) 1099-R) 10 
          11.  Rental real estate, royalties, partnerships, S corporations, 
               trusts, etc. (Attach copy of federal Schedule E)                             11 
          12. Subchapter S corporation distributions  (Attach federal Sch. K-1) 12                     NOT APPLICABLE
          13. Farm income or (loss) (Attach copy of federal Schedule F)                     13 
          14. Unemployment compensation                                                     14                                                                                NOT TAXABLE
SEND W-2
FORMS     15. Social security benefits                                                      15                                                                                NOT TAXABLE
          16. Other income (Attach statement listing type and amount)                       16 
          17.          Total additions (Add lines 2 through 16)                             17 
          18.          Total income (Add lines 1 through 16)                                18 
          19.          Total deductions (Subtractions) (Total from page 2, Deductions schedule, line 7)                                                                   19
          20.          Total income after deductions (Subtract line 19 from line 18)                                                                                      20
          21. Exemptions                       (Enter the total exemptions, from Form CF-M1040, page 2, box 1h, in line 21a and multiply this 
                                               number by the value of an excemption and enter on line 21b)                                               21a              21b
          22.          Total income subject to tax (Subtract line 21b from line 20)                                                                                       22
                                               (Multiply line 22 by Muskegon resident tax rate of 1.% (0.01) or nonresident tax rate of 0.5% (0.005) 
          23. Tax at {tax rate}                and enter tax on line 23b, or if using Schedule PY to compute tax, check box 23a and enter tax 
                                               from Schedule PY, line 23c)                                                                               23a              23b
          24. and                                                           cr fwd, partnership & tax option corp)    Credit for tax paidto another city     Total 
               Payments                           Muskegon tax withheld     Other tax payments (est, extension,
                                                                                                                                                             payments  
               credits                 24a                                  24b                              24c                                             & credits     24d
          25.  Interest and penalty for: failure to make                                     Interest                        Penalty                         Total  
               estimated tax payments; underpayment of                                                                                                       interest & 
               estimated tax; or late payment of tax                        25a                              25b                                             penalty      25c
ENCLOSE                    26.         Amount you owe (Add lines 23b and 25c, and subtract line 24)                                                      PAY WITH
CHECK OR  TAX DUE                      MAKE CHECK OR MONEY ORDER PAYABLE TO: CITY OF MUSKEGON                                                            RETURN           26
MONEY 
ORDER     OVERPAYMENT                                    27.  Tax overpayment (Subtract lines 23b and 25c from line 24d; choose overpayment options on lines 28 - 30) 27
               Amount of                   Lakeshore Trail Improvement          Muskegon Farmers Market              Muskegon Dog Beach
          28. overpayment                                                                                                                                    Total 
               donated                 28a                                  28b                              28c                                             donations    28d
          29.  Amount of overpayment credited forward to 2023                                                                                 Amount of credit to 2023 
          30.  Amount of overpayment refunded (Line 27 less lines 28d and 29) (For refund to be directly deposited to   
               your bank account, mark refund box, line 31a, and complete line 31 c, d & e)                                                              Refund amount >>  30
               Direct deposit refund  or                 31a Refund                    31c     Routing 
               Direct withdrawal payment                     (direct deposit)                  number
                                                             Pay Tax Due
          31. (Markand complete(X) box 31alinesor31c,31b 31b (direct withdrawal)      31d      Account 
                                                                                               number
               31d, and 31e)                                                          31e      Account Type:          Checking                            Savings
          MAIL TO: MUSKEGON INCOME TAX DEPARTMENT, P.O. BOX 29, MUSKEGON, MICHIGAN 49443-0029                                                                                 Revised: 12/14/2022



- 8 -
                                                             Taxpayer's name                                                                                 Taxpayer's SSN
CF-M1040, PAGE 2
                                                                                                                                                                                                                            2022
EXEMPTIONS                                                              Date of birth (mm/dd/yyyy)                                     Regular  65 or over      Blind       Deaf Disabled
                                             1a. You                                                                                                                                                    1e.     Enter the number of  
SCHEDULE                                                                                                                                                                                                        boxes checked on  lines 
                                             1b. Spouse                                                                                                                                                         1a and 1b
1d.                     List Dependents      1c.           Check box if you can be claimed as a dependent on another person's tax return
#                                 First Name                    Last Name                                             Social Security Number             Relationship        Date of Birth              1f.     Enter number of 
1                                                                                                                                                                                                               dependent children 
                                                                                                                                                                                                                listed on line 1d 
2.                                                                    `
3.                                                                                                                                                                                                      1g.     Enter number of other 
                                                                                                                                                                                                                dependents listed on   
4.                                                                                                                                                                                                              line 1d 
5.
6.                                                                                                                                                                                                      1h.     Total exemptions (Add 
                                                                                                                                                                                                                lines 1e, 1f and 1g; enter 
7.                                                                                                                                                                                                              here and also on page 1, 
8.                                                                                                                                                                                                              line 21a)      
EXCLUDED WAGES AND TAX WITHHELD SCHEDULE (See instructions. Resident wages generally not excluded) 
W-2                     Col. A                COLUMN B                                          COLUMN C                              COLUMN D                                             COLUMN E                         LOCALITYCOLUMNNAMEF
#                       T or S    SOCIAL(FormSECURITYW-2, boxNUMBERa) EMPLOYER'S ID NUMBER                             (AttachEXCLUDEDExcludedWAGESWages Sch)    FAILURE TO               MUSKEGON(Form W-2,WITHHELDbox 19) (Form W-2, box 20)
                                                                                               (Form W-2, box b)                                                 ATTACH W-2 
 1.                                                                                                                                                          FORMS TO PAGE 
 2.                                                                                                                                                              1 WILL DELAY 
 3.                                                                                                                                                          PROCESSING OF 
                                                                                                                                                                 RETURN.  WAGE 
 4.                                                                                                                                                              INFORMATION 
 5.                                                                                                                                                              STATEMENTS 
 6.                                                                                                                                                              PRINTED FROM 
                                                                                                                                                                      TAX 
 7.                                                                                                                                                              PREPARATION 
 8.                                                                                                                                                              SOFTWARE ARE 
 9.                                                                                                                                                                   NOT 
                                                                                                                                                                 ACCEPTABLE.
10.
11.                     Totals (Enter here and on page 1; part-yr residents on Sch PY)                                                                       << Enter on pg 1,ln 1, col B                                   Enter on pg 1, ln 24a
DEDUCTIONS SCHEDULE (See instructions; deductions allocated on the same basis as related income)                                                                                                                     DEDUCTIONS
 1.                     IRA deduction  (Attach copy of Schedule 1 of federal return & evidence of payment)                                                                                   1 
 2.                     Self-employed SEP, SIMPLE and qualified plans  (Attach copy of Schedule 1 of federal return)                                                                         2 
 3.                     Employee business expenses  (Attach copy of CF-2106 and detailed list)                                                                                               3 
 4.                     Moving expenses (Into city area only, Military ONLY) (Attach copy of federal Form 3903)                                                                              4 
 5.                     Alimony paid  (DO NOT INCLUDE CHILD SUPPORT.  Attach copy of Schedule 1 of federal return)3                                                                          5 
 6.                     Renaissance Zone deduction  (Attach Schedule RZ OF 1040)                                                                                                             6 
 7.                               Total deductions (Add line 1 through line 6, enter total here and on page 1, line 19)                                                                      7 
ADDRESS SCHEDULE (Where taxpayer (T), spouse (S) or both (B) resided during year and dates of residency)
MARK                              List all residence (domicile) addresses (Include city, state & zip code). Start with address used on last year's return. If the address on page 1 of                          FROM                   TO
                                  this return is the same as listed on last year's return, print "Same." If no return filed last year, list reason. Continue listing this tax year's residence 
T, S, B                           addresses. If address listed on page 1 of this return is in care of another person, enter current residence (domicile) address.                                           MONTH           DAY MONTH      DAY

THIRD PARTY DESIGNEE
Do you want to allow another person to discuss this return with the Income Tax Office?                                                          Yes, complete the following       No
Designee's                                                                                                                                                   Phone                        Personal identification 
name                                                                                                                                                         No.                          number (PIN)
                                  Under the penalty of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief it is 
                                  true, correct and complete.  If I am a resident claiming a credit for taxes paid to another city, I acknowledge and consent to the City’s verification of unrefunded payment
                                  to that city.  If prepared by a person other than taxpayer, the preparer’s declaration is based on all information of which preparer has any knowledge.
SIGN                              TAXPAYER'S SIGNATURE - If joint return, both spouses must sign                     Date (MM/DD/YY)  Taxpayer's occupation                  Daytime phone number                           If deceased, date of death 
HERE 
===>
                                  SPOUSE'S SIGNATURE                                                                 Date (MM/DD/YY)  Spouse's occupation                                                                   If deceased, date of death 

                                  SIGNATURE OF PREPARER OTHER THAN TAXPAYER                                                                                  Date (MM/DD/YY)     PTIN, EIN or SSN
                                                                                                                                                                                 Preparer's phone no.
                                  FIRM'S NAME (or yours if self-employed), ADDRESS AND ZIP CODE                                                                                           NACTP  
            PREPARER'S  SIGNATURE                                                                                                                                                         software  
                                                                                                                                                                                          number 
                                                                                                                                                                                                                                  Revised: 12/14/2022



- 9 -
Taxpayer's name                                                     Taxpayer's SSN
                                                                                                                   2022 MUSKEGON
SCHEDULE PY, PART-YEAR RESIDENT TAX CALCULATION -  CF-M1040, PAGE 1, LINES 23a AND 23b                                                                Attachment 1
A part-year resident is required to complete and attach this schedule to the Muskegon return:                                                         Revised: 12/14/2022
1. Box A to report dates of residency of the taxpayer and spouse during the tax year
2. Box B to report the former address of the taxpayer and spouse 
3. Column A to report all income from their federal income tax return 
4. Column B to report all income taxable on their federal return that is not taxable to Muskegon
5. Column C to report income taxable as a resident and compute tax due on this income at the resident tax rate 
6. Column D to report income taxable as a nonresident and compute tax due on this income at the nonresident tax rate 
A. PART-YEAR RESIDENCY PERIOD                                 From         To                 B. PART-YEAR RESIDENT'S FORMER ADDRESS
Taxpayer                                                                                      Taxpayer
Spouse                                                                                        Spouse
                                                                    Column A                     Column B                        Column C             Column D  
INCOME                                                             Federal Return Data         Exclusions and Adjustments        Taxable              Taxable
                                                                                                                                 Resident Income      Nonresident Income  
1. Wages, salaries, tips, etc. (Attach Form(s) W-2)        1                           .00                         .00                            .00                     .00
2. Taxable interest                                        2                           .00                         .00                            .00 NOT TAXABLE
3. Ordinary dividends                                      3                           .00                         .00                            .00 NOT TAXABLE
4. Taxable refunds, credits or offsets                     4                           .00                         .00           NOT APPLICABLE       NOT TAXABLE
5. Alimony received                                        5                                                       .00                            .00                     .00
6. Business income or (loss) (Att. copy of fed. Sch. C)    6                           .00                         .00                            .00                     .00
                                       Mark if Sch. 
7. Capital gain or (loss)  7a          D not               7b                          .00                         .00                            .00                     .00
    (Att. copy of Sch. D)              required
8. Other gains or (losses)  (Att. copy of Form 4797)       8                           .00                         .00                            .00                     .00
9. Taxable IRA distributions                               9                           .00                         .00                            .00                     .00
10. Taxable pensions and annuities  (Att. Form 1099-R) 10                              .00                         .00                            .00                     .00
11. Rental real estate, royalties, partnerships, S corps., 11                          .00                         .00                            .00                     .00
    trusts, etc. (Attach copy of fed. Sch. E)
    Subchapter S corporation distributions  
12. (Attach federal Sch. K-1)                              12                          .00                         .00                            .00                     .00
13. Farm income or (loss)  (Att. copy of fed. Sch. F)      13                          .00                         .00                            .00                     .00
14. Unemployment compensation                              14                          .00                         .00           NOT APPLICABLE       NOT TAXABLE
15. Social security benefits                               15                          .00                         .00           NOT APPLICABLE       NOT TAXABLE
16. Other income (Att. statement listing type and amt)     16                          .00                         .00                            .00                     .00
17.   Total additions  (Add lines 2 through 16)            17                          .00                         .00                            .00                     .00
18.   Total income (Add lines 1 through 16)                18                          .00                         .00                            .00                     .00
DEDUCTIONS SCHEDULE                          See instructions.  Deductions must be allocated on the same basis as related income.
      1. IRA deduction (Attach copy  of Schedule 1 of      1                           .00                         .00                            .00                     .00
      of federal return & evidence of payment)
      Self-employed  SEP,  SIMPLE  and  qualified 
      2. plans (Attach copy of Schedule 1 of fed.          2                           .00                         .00                            .00                     .00
      return)
      3.Employee business     expenses  (Attached          3                                                                                      .00                     .00
      CF-2106 and detailed list)
      4. Moving expenses (Into city area only)             4                           .00                         .00                            .00                     .00
      (Attach copy of federal Form 3903)
      Alimony paid (DO NOT INCLUDE CHILD
      5. SUPPORT. (Att. copy of page 1 of fed. return) 5                               .00                         .00                            .00                     .00
      6. Renaissance Zone deduction (Att. Sch. RZ)         6                                                                                      .00                     .00
19.   Total deductions (Add lines 1 through 6)                                                                     19                             .00                     .00
 20a. Total income after deductions (Subtract line 19 from line 18)                                                20a                            .00                     .00
 20b. Losses transferred between columns C and D (If line 20a is a loss in either column C or D, see instructions) 20b                            .00                     .00
 20c. Total income after adjustment (Line 20a less line 20b)                                                       20c                            .00                     .00
21. Exemptions  (Enter the number of exemptions from Form CF-M1040, page 2, box 1h, on line 21a;              21a  21b                            .00
                and multiply by the value of an exemption, and enter on line 21b)
                (If the amount on line 21b exceeds the amount of resident income on line 20c, 
                enter unused portion (line 20b less line 20c) on line 21c)                                         21c                                                    .00
 22a. Total income subject to tax as a resident (Subtract line 21b from line 20c; if zero or less,enter zero)      22a                            .00
 22b. Total income subject to tax as a nonresident (Subtract line 21c from line 20c; if zero or less,enter zero)   22b                                                    .00
 23a. Tax at resident rate                   (MULTIPLY LINE 22a BY 1.% (0.01), THE RESIDENT TAX RATE)              23a                            .00
 23b. Tax at nonresident rate                (MULTIPLY LINE 22b BY 0.5% (0.005), THE NONRESIDENT TAX RATE)         23b                                                    .00
                                             (ENTER HERE AND ON FORM CF-M1040, PAGE 1, LINE 23b, AND 
 23c. Total tax (Add lines 23a and 23b)      PLACE A MARK (X) IN BOX 23a OF FORM CF-M1040)                         23c                            .00



- 10 -
Return to:                                                                                                       PRSRT STD
                                                                                                 U.S. POSTAGE
           INCOME TAX DEPARTMENT                                                                                 PAID
           P.O. BOX 29                                                                           PERMIT NO. 467
           MUSKEGON, MICHIGAN 49443                                                              MUSKEGON, MICHIGAN

If mailing label afxed, please peel off label and place
it over address area of your Muskegon Income Tax
Return. Do not usea label containing an error.

           PLEASE REMEMBER TO:

           Sign your return.  If a joint return, both spouses must sign even if only one had income subject to 
             Muskegon income tax.

           Attach a copy of page one of your Federal Form 1040.

           Attach copies of Form(s) W-2.  If you are claiming a credit for Muskegon withholding, the locality name 
             on your W-2 must be Muskegon.

           Attach Federal Schedules and other city returns as needed.  See Summary of Required 
             Attachments on page 2 of form CF-M1040

                       See instructions to determine if you are required to file
                                                        quarterly estimated payments.

                                                        Mail all refunds, payments to:
                                                        INCOME TAX DEPARTMENT
                                                        CITY OF MUSKEGON
                                                        PO BOX 29
                                                        MUSKEGON MI  49443-0029
                                                        ALL PAYMENTS:
                                              Make checks payable to: City Of Muskegon






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