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.

*Due to the high volume of returns it can take 2-4 weeks to process your payment or refund.  Once you 

receive your confirmation we have received your return.  If there are any issues you will receive a phone call, 

email, or letter in the mail.


Are you filing jointly? *

Income Information

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

Payments and Credits

12. Total Credits and Payments

Refund or Tax Due

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

You may need to make quarterly estimated payments.

If you expect to owe more than $100 you will need to make quarterly payments. You'll make four payments per tax year. The first three payments are made during the same year. The fourth will be the year after. These payments are due on or before April 30, June 30, September 30, and January 31. 

If this is not the first year of owing more than $100 please contact our office to find out what your penalty and interest due is at 616-456-3415 option 0.


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.

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. We have received your form once you receive a reference
number you will NOT receive an email from us.  It can take 2-4 weeks to process a check or refund.
Thank you.
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