PDF document

- 1 -

MH-1065 MUSKEGON HEIGHTS INCOME TAX
EXTENSION NUMBER
CITY OF PARTNERSHIP RETURN Do Not Write in this Space
MUSKEGON for the calendar year 20___
HEIGHTS or other taxable period beginning .......... __________ ending . . . .__________

NAME OF PARTNERSHIP
Date business commenced
PLEASE NUMBER and STREET Number of employees on December 31, 2013
TYPE Number of partners
OR CITY, TOWN or POST OFFICE STATE ZIP CODE Type of Return – Check One:
PRINT Information only Payment on behalf of All Partners

Federal Employer
Identification Number
A. B. C.
NAME, SOCIAL SECURITY NUMBER AND HOME ADDRESS OF EACH PARTNER CHECK COLUMN A OR B RESIDENT NON- IF RESIDENT
OR FILL IN COLUMN C FULL RESIDENT PART OFYEAR
YEAR FULLYEAR INDICATE TIME PERIOD
(a) S.S. #

(b) S.S. #

(d) S.S. #

(e) S.S. #

REALTY PARTNERSHIPS: COMPLETE TOP OF PAGE 4
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 (a) COLUMN 5 (b) COLUMN 6
TOTAL INCOME DIVIDEND EXCLUSION EXEMPTIONS TAXABLE INCOME RESIDENT TOTALTAX NON-RESIDENT TOTALTAX CREDITS
(FROM PAGE 4,SCHEDULE E, COLUMN 7) AND OTHER DEDUCTIONS (SEE NOTE 1 BELOWAND (COLUMN 1 LESS (MULTIPLY COLUMN 4 (MULTIPLY COLUMN 4 (SEE INSTRUCTIONS)
(SEE NOTES 1AND 2 BELOW) (EXPLAIN IN STATEMENT) INSTRUCTIONS) COLUMNS 2AND 3) BY 1%) BY 1/2%)
1. (a ) $ $$$$$$
2. ( b )
3. (c )
4. ( d )
5. ( e )
6. TOTALS
7. TOTAL TAX – Column 5(a) plus Column 5(b) • Do Not Write in Space Below
PAYMENTS AND CREDITS File ITEMS
8. a.Tax paid with tentative return $
b. Payments and credits on 20___ Declaration of Estimated Muskegon Heights Income Tax CODE
c. Other Credits – explain in attached statement AUDIT RESULTS
9. Total – add Lines 8. a, b, and c (This total must agree with the total of Column 6 above) •
TAX DUE OR REFUND
10. If your payments (Line 9) are larger than your tax (Line 7) enter amount of OVERPAYMENT • $
11. If your tax (Line 7) is larger than your payments (Line 9) enter amount of BALANCE DUE •
PAY IN FULL WITH THIS RETURN TO “CITY TREASURER” AND MAIL TO: Auditor
CITY INCOME TAX ADMINISTRATOR, 2724 PECK STREET, MUSKEGON HEIGHTS, MICHIGAN 49444
Approval
12. Amount on Line 10 is to be: (A) Credited on 20___ Estimated Tax (B) Refunded
NOTE 1 – A partner who has other income in addition to the partnership income must file an individual return and show on such return the amounts entered above in Columns 1,
2 and 6. A partner who is claiming his exemption as a member of another partnership is NOT to claim his exemption in this partnership return in Column 3.
NOTE 2 – The partnership may pay tax partners only if it pays for ALL partners subject to the tax. If the partnership elects to use this return as an information return, complete
Pages 2, 3 and 4, and fill in Column 1 above, it will not be necessary to fill in Columns 2 through 6 since a computation of the tax need not be made.
I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct and complete. If prepared by
a person other than taxpayer, his declaration is based on all information of which he has any knowledge.

SIGN HERE
SIGNATUREOF PARTNER OR MEMBER DATE

SIGN HERE
SIGNATURE OF PREPARER OTHER THAN PARTNER OR MEMBER ADDRESS DATE
MAILTO: City IncomeTax Administrator, 2724 Peck Street, Muskegon Heights, Michigan 49444

- 2 -

SCHEDULEC–INCOME FROM PARTNERSHIP
IF A COPY OF YOUR U.S. PARTNERSHIP RETURN OF INCOME IS ATTACHED, OMIT THIS SCHEDULE
For the Year Ending ________________________ 20 ______

A. Name as shown on Page 1 of Form MH-1065

B. Principal Business Activity

C. Business Location
NUMBER AND STREET OR RURAL ROUTE CITY OR POST OFFICE STATE ZIP CODE
D. Telephone No. Name of person in charge of records

ORDINARY INCOME FROM BUSINESS
1. Gross receipts after deducting allowances, rebates and returns 1. $
2. Inventory at beginning of year (if different than last year's closing inventory attach explanation) 2. $
3. Merchandise purchased $ less any items withdrawn from business
for personal use $ 3.
4. Cost of labor (do not include amounts paid to partners) 4.
5. Material and supplies 5.
6. Other costs (explain in attached statement) 6.
7. TOTAL of Lines 2 through 6 7.
8. Inventory at end of year 8.
9. Cost of goods sold (Line 7 less Line 8) 9.
10. Gross profit (Subtract Line 9 from Line 1) 10.
11. Miscellaneous income (do not include any items included on Lines 25 through 31) 11.
12. TOTAL INCOME (Lines 10 and 11) 12.

OTHER BUSINESS DEDUCTIONS
13. Salaries and wages not included on Line 4 (exclude any paid to partners) 13. $
14. Payments to partners – salaries and interest - enter here and on Page 3, Schedule E, Column 2 14.
15. Rent on business property 15.
16. Losses of business property (attach statement listing items and location) 16.
17. Depreciation 17.
18. Taxes 18.
19. Other business expenses (attach statement) 19.
20. TOTALof Lines 13 through 19 20.
21. Ordinary income from business – Line 12 less Line 20 21.
22. Add City of Muskegon Heights and Michigan income tax if included in Line 20 above 22.
23. Add interest and other costs included in Line 20 which were incurred in connection with the production of tax exempt income or
partners' personal expenses which were charged to the business 23.
24. Total adjusted ordinary income from business for the year (add Lines 21 through 23). Enter here and on Pg. 3, Sch. E, Col. 1 24.

OTHER PARTNERSHIP INCOME OR LOSS
(taxable or non-taxable depending on residency of partners)

25. Dividends $ Interest $ (enter total of dividends and interest) 25.
26. Income (or loss) from other partnerships and other income 26.
*27. Net gain (or loss) from sale or exchange of property other than capital assets (See Note) 27.
*28. Net short term gain (or loss) from sale or exchange of capital assets (See Note) 28.
*29. Net long term gain (or loss) from sale or exchange of capital assets (See Note) 29.
*30. Net gain (or loss) from sale or exchange of property under Section 1231 (See Note) 30.
31. Rents $ Royalties $ (enter total of rents and royalties) 31.
32. TOTAL partnership income to account for (add Lines 24 through 31) 32.
*NOTE: The amounts on Lines 27, 28, 29 and 30 should agree with the amounts reported on Schedule D of your Federal Partnership Form 1065.

THE FOLLOWING SCHEDULES B AND E, ON PAGE 4, ARE TO BE USED TO COMPUTE THE
TAXABLE PORTION OF THE INCOME OF THE PARTNERSHIP AS SHOWN ON LINE 32 ABOVE.

- 3 -

REALTY PARTNERSHIP
If the principal business activity of this partnership is rental property, indicate below the complete street address of
each property and the gain or loss for each property.
                                      STREET ADDRESS                                                                   GAIN OR (LOSS)
Property A                                                                                                          $
Property B
Property C
Property D
TOTAL                                                                                                               $

SCHEDULE D – BUSINESS ALLOCATION FORMULA                                        LOCATED                       LOCATED IN
                                                                                EVERYWHERE                    MUSKEGON HTS.        PERCENTAGE
                                                                                I                                   II             II÷I

1. Average net book value of real and tangible personal property                $$
   a. Gross annual rent paid for real property only multiplied by 8
   b.      TOTAL (Add Lines 1 and 1a)                                                                                                        %
2. Total wages, salaries, commissions and other compensation of all employees
   (exclude partners)                                                                                                                        %
3. Gross receipts from sales made or services rendered                                                                                       %
4. Total percentages – add the three percentages computed for Lines 1b, 2 and 3 which you entered in the last column
   (you must compute a percentage for each of lines 1b, 2 and 3)                                                                             %
5. Average percentage (one-third of Line 4) - enter here and on Page 4, Schedule E, Column 4 (see note below)                                %
   NOTE: In determining the average percentage (Line 5), a factor shall be excluded from the computation only when such factor
   does not exist anywhere insofar as the taxpayer's business operation is concerned and, in such cases, the sum of the
   percentages shall be divided by the number of factors actually used.
In case of a taxpayer authorized by the Income Tax Administrator to use one of the special formulae, attach explanation and use the
lines provided below:
      a. Numerator                    c. Percentage (a ÷ b) here                and on Page 3, Sch.E Col.4
      b.Denominator                   d. Date of Administrator's approval letter

SCHEDULE D – BUSINESS ALLOCATION FORMULA

The business allocation percentage is to be applied by NON-             gross annual rent multiplied by 8 for rented real property located in
RESIDENT partners to their distributive share of business income if     the City of Muskegon Heights. Gross annual rent refers to real
business activity of the partnership is conducted both within and       property only, rented or leased, and should include the actual sums
without the City of Muskegon Heights.                                   of money or other consideration payable, directly or indirectly, by the
                                                                        taxpayer for the use or possession of such real property.
Line 1. Enter in Column I the average net book value of all real and
tangible personal property owned by the business, regardless of         Line 2. Enter in Column I the total compensation paid to all employ-
location:and in Column II show the average net book value of the real   ees during the year and in Column II show the amount of compensa-
and tangible personal property owned and located or used in the City    tion paid to employees for work done or for services performed within
of Muskegon Heights.The average net book value of real and tangi-       the City of Muskegon Heights during the year.
ble personal property may be determined by adding the net book
                                                                        Line 3. Enter in Column I the total gross receipts from all sales made
values at the beginning of the year and the net book values at the end
                                                                        or services rendered during the year and in Column II show the
of the year and dividing the sum thus obtained by two. Any other
                                                                        amount of gross receipts from sales made or services rendered in
method which will accurately reflect the average net book value for
                                                                        the City of Muskegon Heights during the year.
the year will also be permitted.
Line 1a. Enter in Column I the gross annual rent multiplied by 8 for all
rented real property regardless of location. In Column II show the

- 4 -

                                                                                                   COLUMN 5                     TAXABLE TO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      COLUMN 7    TOTAL INCOME
                                                                                                            PORTION OF COLUMN 3                           NON-RESIDENT PARTNERS
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              (ADD COLUMNS 5, 6aAND 6b                                AND ON PAGE 1, COLUMN1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FOR EACH PARTNER - ENTER HERE                                                                 $

                                                   DISTRIBUTION OF COLUMN 3
                                                                                                   COLUMN 4
                                                                                                            EXCLUDABLE PORTION                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  COLUMN 6(b)                       TAXABLE TO
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (TOTAL MUST EQUAL
                                       ETC.                                                                                     OF COLUMN 3 - NOT TAXABLE TO NON-RESIDENT PARTNERS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NON-BUSINESS INCOME                             NONRESIDENT PARTNERS
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     LINE 10, COLUMN 5, SCHEDULE B)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $

                                       ROYAL TIES,                                                 COLUMN 3                     APPLICABLE TO
          –                                                                                                 PORTION OF COLUMN 1                           NON-RESIDENT PARTNERS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 COLUMN 6(a)                       TAXABLE TO
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            NON-BUSINESS INCOME                             RESIDENT PARTNERS                                        COLUMN 2, SCHEDULE B)
          LOSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            (TOT AL MUST EQUAL LINE 10,
                                 RENTS,
                                 ,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            C                                                                                                                                                         $
        OR
                                                                           DISTRIBUTION OF COLUMN 1
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           AND
                                                                                                   COLUMN 2                     APPLICABLE TO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             B
                                                                                                            PORTION OF COLUMN 1                           RESIDENT PARTNERS
        INCOME                   PROPERTY                                                                                                                                                                                                                                                                                             $$$                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      E                                COLUMN 5
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ALLOCATED INCOME
                                 OF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               (COLUMN 3 × % IN COLUMN 4)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      %
                                                                                                            TOT AL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               SCHEDULES
                                                                                                   COLUMN 1
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               SCHEDULE        OF
        NON-BUSINESS             EXCHANGE                                                                                                                                                                  $
        –                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       COLUMN 4
        B                        OR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ALLOCA TION % FROM    PAGE 3, SCHEDULE D,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            APPL Y ONL Y TO NON-RESIDENTS (ENTER 100% FOR RESIDENTS)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        SUMMARY
                             SALE

SCHEDULE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                COLUMN 3
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            INCOME SUBJECT        TO ALLOCATION
                             DIVIDENDS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     (ADD COLUMNS 1AND 2)
                     ,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1990

                     INTEREST
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                COLUMN 2                                                    (FROM PAGE 2,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            PAYMENT TO PARTNERS - SALARIES AND INTEREST                                   SCHEDULE C, LINE 14)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   the period after January 1,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       (Lines 3, 5, 6 and 9)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                COLUMN 1    INCOME FROM
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       TOTALS               Only the totals of Columns 2 and 5 should be distributed in Schedule E below, in Columns 6a and 6b                                                                                              (FROM PAGE 2,
                                                                                                                                                                                                            T otal interest and dividends from Line 25, Page 2, Schedule C Less: Interest from obligations of U.S. governmental units Net interest and dividend income                               T otal gain (or loss) – T otal of Lines 27, 28, 29 and 30, Page 2, Schedule C Gain (or loss) attributable to                      Net income (or loss) from rents and royalties from Line 31, Page 2, Schedule C                                                      Income (or loss) from other partnerships and other income from Line 26, Page 2, Schedule C Less exempt income Net income (or loss) from other partnerships and other income                                                                                                                                                                                            BUSINESS OPERA TIONS                                    SCHEDULE C, LINE 24)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $
                                                                                                                                                                                   INTEREST AND DIVIDENDS:  1.                                                             2.                                                         3.                               SALE OR EXCHANGE OF PROPERTY: 4.                                                                            5.                             RENTS AND ROYALTIES: 6.                                                                             INCOME FROM OTHER PARTNERSHIPS, ESTATES,TRUSTS, ETC. 7.                                                                                         8.                 9.                                                            10.                  NOTE:                                                                                                                                                                                                                                                                                  (a)     (b) (c) (d) (e) TOTALS

PDF file checksum: 3655300944

(Plugin #1/9.12/13.0)