Form Pi 017S Michigan PDF Details

Form Pi 017S Michigan is a new tax form that was released in early 2017. This form is used to claim the Michigan state income tax deduction for armed forces members who are stationed outside of Michigan. If you are an active duty member of the armed forces and you are stationed outside of Michigan, you can use this form to claim a state income tax deduction for the year. The deadline to file Form Pi 017S Michigan is April 17, 2017. Make sure to consult with a tax professional if you have any questions about filing this form.

QuestionAnswer
Form NameForm Pi 017S Michigan
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslicensing, refundable, CEO, Grower

Form Preview Example

Michigan Department of Agriculture PI-017s (05/09)

P.O. Box 30746, Lansing, MI 48909-8246517-241-6666

In accordance with 1931 Public Act 189, as amended.

Nursery Stock Dealer & Grower License Application

License Year Ending: _______Status:

 

New

 

Renewal

 

No Longer Needed

If Renewal, License No. of Establisment _______________________________________

Business Information

Business Name:__________________________________________________________

Business Address:________________________________________________________

City:________________________________________________ State: _______________

County:______________________________________________ Zip:_______________

Business Phone: (_____)_____________ Business Fax:(_____)____________________

Business Email:__________________________________________________________

Mailing address if different from above: Street or P.O. Box:___________________________

__________________________________________________________________________

______________________________

Corporate/Owner Information

 

Ownership Type:

Corporation

Sole Ownership

Partnership

L.L.C.

Other: Specify_____________________

 

Corporation Name: _______________________________________________________________________________________

 

Owner/President (CEO) Name:______________________________________________________________________________

 

Street Address of Corporation or Owner:_______________________________________________________________________

 

City:______________________________________________________________________ State: _______ Zip:_____________

 

Phone: (_____)_____________ Fax:(_____)_______________ Email:_______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell Phone: (_____)_____________ DBA Expiration Date: ____________________________

Federal/Tax ID #

 

 

 

 

 

 

 

 

 

 

 

 

(Submit copy of DBA w/ application.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Fees (NON-REFUNDABLE)

 

 

 

 

 

 

 

 

 

 

Grower License

 

AOBJ: 0185

Dealer License

 

 

AOBJ: 0342

 

 

 

 

 

 

 

 

 

General Nursery Stock Grower $100

 

Nursery Stock Dealer $100

 

(

Inspection Required

)

 

 

 

Nursery Stock Dealer Market $100

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Small Scale Grower* $40

Small Scale Grower Market* $40

 

*eligibility determined by MDA

 

Both $40 fees: AOBJ: 0341

Payment Method: Check/Money Order No. _________________________________________ Amount enclosed: _______________

Please make check/money order payable to the State of Michigan and submit to the address at the top of the page.

Signature:__________________________________________________ Date:___________________

Please print your name here:___________________________________________________________

Title:______________________________________________________________________________

www.michigan.gov/mda-licensing

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