RESIDENT INCOME TAX FORM - 1040EZ

This form is only for a person that was a resident of Grand Rapids for all of 2016 with income only derived from wages, interest or dividends with none of the income being excludable from the Grand Rapids Income tax return. 

You cannot use this form if you received alimony payments, had Grand Rapids business income (Schedule C), sold or exchanged property (Schedule D or 4797), had taxable IRA distributions, taxable pension/annuity distributions, supplemental income (Schedule E or F), miscellaneous income, exclusions, or adjustments, or Credits paid by a Corporation.

 

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Are you filing jointly? *

Income Information

4. Add Lines 1,2, and 3. This is your total Grand Rapids Income.
0
6. Exemption total
0
7. Total Income subject to tax (subtract Line 6 from Line 4)
0
8. Total Tax Due
0

Payments and Credits







12. Total Credits and Payments
0

Refund or Tax Due

13. Tax Due or Refund (refunds will be a negative number)
0
14. Is #13 a positive number? *
Payment
Refund
Donation

Acknowledgement and Agreement

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.

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Please print this page before you submit (ctrl P).  Once you have submitted this form you will receive a reference number.  You cannot return to print this form later. 
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