This form is only for a person that was a resident of Grand Rapids for all of the year 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.