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GR-1040								GRAND RAPIDS								2019												19MI-GRR-1040P-1
							INDIVIDUAL RETURN DUE APRIL 30, 2020

Taxpayer's SSN									Taxpayer's first name						Initial	Last name										PART-YEAR RESIDENT TAX FORM

Spouse's SSN									If joint return spouse's first name						Initial	Last name									Part-year resident - dates of residency (mm/dd/yyyy)
																									Part-year resident - dates of residency (mm/dd/yyyy)
																									From
																									To
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									Address line 2 (P.O. Box address for mailing use only)																		Single				Married filing jointly
side of the signature area
side of the signature area																											Married filing separately. Enter spouse's
																											Married filing separately. Enter spouse's
Mark box (X) below if form attached									City, town or post office								State		Zip code								SSN in Spouse's SSN box and Spouse's full
	Federal Form 1310																										name here.
																											name here.


									Foreign country name					Foreign province/county					Foreign postal code
	Supporting Notes and
	Statements (Attachment 22)																									Spouse's full name if married filing separately
	Statements (Attachment 22)
						ROUND ALL FIGURES TO NEAREST DOLLAR											Column A							Column B							Column C
		INCOME						(Drop amounts under $0.50 and increase									Column A							Column B							Column C
		INCOME						(Drop amounts under $0.50 and increase								Federal Return Data							Exclusions/Adjustments								Taxable Income
								amounts from $.50 to $0.99 to next dollar)								Federal Return Data							Exclusions/Adjustments								Taxable Income
								amounts from $.50 to $0.99 to next dollar)
ATTACH		1.	Wages, salaries, tips, etc. ( W-2 forms must be attached)												1					.00									.00	.00
ATTACH		2.	Taxable interest												2					.00									.00	.00
COPY OF
PAGE 1 OF		3.	Ordinary dividends												3					.00									.00	.00
FEDERAL		4.	Taxable refunds, credits or offsets of state and local income taxes 4																	.00									.00		NOT TAXABLE
RETURN
		5.	Alimony received												5					.00									.00	.00
		6.	Business income or (loss) (Attach copy of federal Schedule C)												6					.00									.00	.00
		7.	Capital gain or (loss)								Mark if federal
			(Attach copy of fed. Sch. D)							7a.	Sch. D not required				7					.00									.00	.00
		8.	Other gains or (losses) (Attach copy of federal Form 4797)												8					.00									.00	.00
		9.	Taxable IRA distributions (Attach copy of Form(s) 1099-R)												9					.00									.00	.00
		10.	Taxable pensions and annuities (Attach copy of Form(s) 1099-R)												10					.00									.00	.00
		11.	Rental real estate, royalties, partnerships, S corporations, trusts,
		11.	etc. (Attach copy of federal Schedule E)												11					.00									.00	.00
			etc. (Attach copy of federal Schedule E)

		12.	Reserved												12
ATTACH		13.	Farm income or (loss) (Attach copy of federal Schedule F)												13					.00									.00	.00
ATTACH		14.	Unemployment compensation												14					.00									.00		NOT TAXABLE
W-2		14.	Unemployment compensation												14					.00									.00		NOT TAXABLE
FORMS		15.	Social security benefits												15					.00									.00		NOT TAXABLE
HERE		16.	Other income (Attach statement listing type and amount)												16					.00									.00	.00
		16.	Other income (Attach statement listing type and amount)												16					.00									.00	.00
		17.		Total additions (Add lines 2 through 16)											17					.00									.00	.00
		18.		Total income (Add lines 1 through 16)											18					.00									.00	.00
		19.		Total deductions (Subtractions) (Total from page 2, Deductions schedule, line 7)																									19	.00
		20.		Total income after deductions (Subtract line 19 from line 18)																									20	.00
		21.	Exemptions					(Enter the total exemptions, from Form GR-1040, page 2, box 1h, in line 21a and multiply this
								number by $600 and enter on line 21b)																21a					21b	.00
																								21a					21b	.00
		22.		Total income subject to tax (Subtract line 21b from line 20)																									22	.00
								(Multiply line 22 by Grand Rapids resident tax rate of 1.5% (0.015) or nonresident tax rate of
		23.	Tax at {tax rate}					0.75% (0.0075) and enter tax on line 23b, or if using Schedule TC to compute tax, mark (X) box
								23a and enter tax from Schedule TC, line 23c)																23a					23b	.00
			Payments					Grand Rapids tax withheld				Other tax payments (est, extension,								Credit for tax paid						Total
		24.	and									cr fwd, partnership & tax option corp)								to another city						payment
		24.	and				24a				.00	24b				.00		24c					.00			payment			24d	.00
			credits				24a				.00	24b				.00		24c					.00			s &			24d	.00
		25.	Interest and penalty for: failure to make												Interest						Penalty					Total
			estimated tax payments; underpayment of									25a				.00		25b					.00			interest &			25c	.00
			estimated tax; or late payment of tax									25a				.00		25b					.00			penalty			25c	.00
ENCLOSE		TAX					Amount you owe (Add lines 23b and 25c, and subtract line 24d) MAKE CHECK OR MONEY ORDER																		PAY WITH
ENCLOSE		TAX				26. PAYABLE TO: CITY OF GRAND RAPIDS, OR TO PAY WITH A DIRECT WITHDRAWAL, mark (X) pay																			PAY WITH
CHECK OR		DUE																							RETURN				26	.00
CHECK OR							tax due, line 31b, and complete lines 31c, d & e)
MONEY
MONEY
ORDER		OVERPAYMENT 27.								Tax overpayment (Subtract lines 23b and 25c from line 24d; choose overpayment options on lines 28 - 30)																			27	.00
		28.	Amount of				Flags for Veterans graves in GR						Grand Rapids Childrens Fund													Total
		28.	overpayment								.00					.00										donation				.00
			donated				28a				.00	28b				.00		28c								s			28d	.00
		29.	Amount of overpayment credited forward to 2020																			Amount of credit to 2020 >>							29	.00
		30.	Amount of overpayment refunded (Line 27 less lines 28d and 29) (For refund to be directly deposited to
		30.	your bank account, mark refund box, line 31a, and complete line 31 c, d & e)																				Refund amount >>						30	.00


										31a	Refund				31c	Routing
			Direct deposit refund							31a	(direct deposit)				31c	number
		31.	(Mark (X) box 31a and							31b	Pay tax due				31d	Account
		31.	complete lines 31c, 31d							31b	Pay tax due				31d	Account
			and 31e)								(direct withdrawal)					number
															31e	Account Type:				Checking				Savings

MAIL REFUND & CREDIT FORWARD RETURNS TO: GRAND RAPIDS INCOME TAX DEPT, PO BOX 106, GRAND RAPIDS, MI 49501-0106 Revised: 08/25/2014

MAIL TAX DUE & OTHER RETURNS TO: GRAND RAPIDS INCOME TAX DEPARTMENT, PO BOX 107, GRAND RAPIDS, MI 49501-0107

FAILURE TO

ATTACH W-2

FORMS TO PAGE

1 WILL DELAY

PROCESSING OF RETURN. WAGE INFORMATION STATEMENTS PRINTED FROM TAX PREPARATION SOFTWARE ARE NOT ACCEPTABLE.

W-2

GR-1040, PAGE 2

Taxpayer's name

Taxpayer's SSN

19MI-GRR-1040P-2

EXEMPTIONS

Date of birth (mm/dd/yyyy)

Regular

65 or over

Blind

SCHEDULE

1a. You

1e.

Enter the number of

boxes checked on

1b. Spouse

lines 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

dependent children

listed on line 1d

1g.

Enter number of other

dependents listed on

line 1d

1h.

Total exemptions (Add

lines 1e, 1f and 1g;

enter here and also on

page 1, line 21a)

EXCLUDED WAGES AND TAX WITHHELD SCHEDULE (See instructions. Resident wages generally not excluded)

Col. A

T or S

COLUMN B

SOCIAL SECURITY NUMBER

(Form W-2, box a)

COLUMN C

EMPLOYER'S ID NUMBER

(Form W-2, box b)

COLUMN D

EXCLUDED WAGES

(Attach Excluded Wages Sch)

COLUMN E

GRR TAX WITHHELD

(Form W-2, box 19)

COLUMN F

LOCALITY NAME (Form W-2, box 20)


1.		.00		.00
2.		.00		.00
3.		.00		.00
4.		.00		.00
5.		.00		.00
6.		.00		.00
7.		.00		.00
8.		.00		.00
9.		.00		.00
10.		.00		.00
	11. Totals (Enter here and on page 1; part-yr residents on Sch TC)	.00	<< Enter on pg 1,ln 1, col B	.00	<< 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 page 1 of federal return & evidence of payment)	1	.00
2.	Self-employed SEP, SIMPLE and qualified plans (Attach copy of page 1 of federal return)	2	.00
3.	Employee business expenses (See instructions and attach deduction worksheet)	3	.00
4.	Moving expenses (Into Grand Rapids area only) (Attach copy of federal Form 3903)	4	.00
5.	Alimony paid (DO NOT INCLUDE CHILD SUPPORT. Attach copy of page 1 of federal return)	5	.00
6.	Renaissance Zone deduction (Attach Schedule RZ OF 1040)	6	.00
7.	Total deductions (Add line 1 through line 6, enter total here and on page 1, line 19)	7	.00

ADDRESS SCHEDULE (Where taxpayer (T), spouse (S) or both (B) resided during year and dates of residency)

MARK

T, S, B

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 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 addresses. If address listed on page 1 of this return is in care of another person, enter current residence (domicile) address.

FROM

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 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

HERE

===>

Date (MM/DD/YY)

Taxpayer's occupation

Daytime phone number

If deceased, date of death

SPOUSE'S SIGNATURE

Date (MM/DD/YY)

Spouse's occupation

Daytime phone number

If deceased, date of death

PREPARER'S

SIGNATURE

SIGNATURE OF PREPARER OTHER THAN TAXPAYER

FIRM'S NAME (or yours if self-employed), ADDRESS AND ZIP CODE

Date (MM/DD/YY)

PTIN, EIN or SSN

Preparer's phone no.

NACTP	GRR19
software	GRR19
number

Revised: 09/19/2016

Taxpayer's name

Taxpayer's SSN

2019 GRAND RAPIDS

SCHEDULE TC, PART-YEAR RESIDENT TAX CALCULATION - GR-1040, PAGE 1, LINES 23A AND 23B	ATTACHMENT 1
A part-year resident is required to complete and attach this schedule to the Grand Rapids return:	Revised 09/30/2019

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 Grand Rapids

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
	Capital gain or (loss)				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)

12.	Reserved					12							.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 page 1 of				1				.00			.00		.00	.00
		federal return & evidence of payment)

	2.	Self-employed SEP, SIMPLE and qualified				2				.00			.00		.00	.00
		plans (Attach copy of page 1 of fed. return)
	3.	Employee business expenses (See				3									.00	.00
		instructions & att. deduction worksheet)
	4.	Moving expenses (Into Grand Rapids area				4				.00			.00		.00	.00
		only)	(Attach copy of federal Form 3903)

	5.	Alimony paid (DO NOT INCLUDE CHILD				5				.00			.00		.00	.00
		SUPPORT. (Att. copy of page 1 of fed. return)
	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 GR-1040, page 2, box 1h, on line 21a;									21a	21b		.00
			multiply line 21a by $600; and enter on line 21b)
			multiply line 21a by $600; and enter on line 21b)
			(If the amount on line 21b exceeds the amount of resident income on line 20c, enter
													21c			.00
			unused portion 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 1.5% (0.015) THE RESIDENT TAX RATE)								23a		.00
23b. Tax at nonresident rate					(MULTIPLY LINE 22B BY 0.75% (0.0075), THE NONRESIDENT TAX RATE)								23b			.00
23c. Total tax (Add lines 23a and 23b)					(ENTER HERE AND ON FORM GR-1040, PAGE 1, LINE 7.)								23c		.00

Question	Answer
Form Name	Gr 1040 Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	grand rapids locat tax form, 2019 grand rapids city tax forms, grand rapids city tax forms, grand rapids income tax forms

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