Income Tax Internal Revenue

Location:

Michigan

Salary:

Posted:

April 11, 2025

Contact this candidate

Resume:

TAX YEAR: **** PROCESS DATE: **/**/****

OFFICE : 7Q00784812FC

CLIENT : ***-**-**** ANTWAN D WILLIAMS BIRTH DATE : 02/23/1988 Age:36 ADDRESS : 6326 COLFAX PREPARER : 995

: DETROIT MI 48210

Home : 313-***-****

Work :

Cell :

STATUS : SINGLE

FED TYPE: Electronic Mail

ST TYPE : Electronic Mail EFFECTIVE RATE: 0.00%

E-MAIL :

LISTING OF FORMS FOR THIS RETURN FORM 1040

FORM W-2

EARNED INCOME CREDIT WITH NO DEPENDENTS

FORM 8879 (E-FILE SIGNATURE AUTHORIZATION)

MI STATE RESIDENT RETURN

* __QUICK SUMMARY * SUMMARY FILING STATUS

TOTAL INCOME

TOTAL ADJUSTMENTS

ADJUSTED GROSS INCOME

DEDUCTIONS

EXEMPTIONS

TAXABLE INCOME

TAX

CREDITS

PAYMENTS

REFUND

AMOUNT DUE

EARNED INCOME CREDIT

FEDERAL

3844

14600

373

293

MI RESIDENT

3844

5600

230

* __W-__2 INCOME FORMS SUMMARY * FEDERAL FICA MEDICARE STATE

T/__S __EIN EMPLOYER WAGES TX/ WH TX/ WH TX/ WH TX/ WH ST 1. T 22-1970303 BURLINGTON COAT FAC 924-**-**-**-** MI 2. T 71-0794409 WAL-MART ASSOCIATES 292*-**-***-** 124 MI TOTALS 384*-**-***-** 142

a Employee’s social security number

OMB No. 1545-0008

b Employer identification number (EIN)

c Employer’s name, address, and ZIP code

d Control number

e Employee’s first name and initial Last name Suff. f Employee’s address and ZIP code

1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Allocated tips

9 10 Dependent care benefits

11 Nonqualified plans 12a

12b

12c

12d

13 Statutory

employee

Retirement

plan

Third-party

sick pay

14 Other

15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement Department of the Treasury—Internal Revenue Service a Employee’s social security number

OMB No. 1545-0008

b Employer identification number (EIN)

c Employer’s name, address, and ZIP code

d Control number

e Employee’s first name and initial Last name Suff. f Employee’s address and ZIP code

1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Allocated tips

9 10 Dependent care benefits

11 Nonqualified plans 12a

12b

12c

12d

13 Statutory

employee

Retirement

plan

Third-party

sick pay

14 Other

22-1970303

BURLINGTON COAT FACTORY

1830 ROUTE 130 NORTH

BURLINGTON NJ 08016

ANTWAN D WILLIAMS

6326 COLFAX

DETROIT MI 48210

924 10

924 57

924 13

MI 221******-***-** 924 22 MIDET

2024

***-**-****

71-0794409

WAL-MART ASSOCIATES

702 SW 8TH ST

BENTONVILLE AR 72716

ANTWAN D WILLIAMS

6326 COLFAX

DETROIT MI 48210

2920 70

2920 181

2920 42

MI 710******-**** 124 2920 70 DETROIT

2024

Form 8879

(Rev. January 2021)

Department of the Treasury

Internal Revenue Service

IRS e-file Signature Authorization

a ERO must obtain and retain completed Form 8879.

a Go to www.irs.gov/Form8879 for the latest information. OMB No. 1545-0074

Submission Identification Number (SID)

Taxpayer’s name Social security number

Spouse’s name Spouse’s social security number

Part I Tax Return Information — Tax Year Ending December 31, (Enter year you are authorizing.) Enter whole dollars only on lines 1 through 5.

Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. 1 Adjusted gross income 1 2 Total tax 2

3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 . . . . . 3 4 Amount you want refunded to you 4 5 Amount you owe 5

Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax return (original or amended) I am now authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-***-****. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

I authorize

ERO firm name

to enter or generate my PIN

Enter five digits, but

don’t enter all zeros

as my

signature on the income tax return (original or amended) I am now authorizing. I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature a Date a

Spouse’s PIN: check one box only

I authorize

ERO firm name

to enter or generate my PIN

Enter five digits, but

don’t enter all zeros

as my

Spouse’s signature a Date a

Practitioner PIN Method Returns Only—continue below Part III Certification and Authentication — Practitioner PIN Method Only ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. Don’t enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns. ERO’s signature a Date a

ERO Must Retain This Form — See Instructions

Don’t Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (Rev. 01-2021) QNA

ANTWAN D WILLIAMS ***-**-****

2024

3844

373

04/09/2025

1 3 0 5 0

X LFF VIRTUAL VITA

0 6 6 4 0 1 9 8 7 6 5

04/09/2025

Form

1040 U.S. Individual Income Tax Return 2024

Department of the Treasury—Internal Revenue Service OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space. For the year Jan. 1–Dec. 31, 2024, or other tax year beginning, 2024, ending, 20 See separate instructions. Your first name and middle initial Last name Your social security number If joint return, spouse’s first name and middle initial Last name Spouse’s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code Foreign country name Foreign province/state/county Foreign postal code Presidential Election Campaign

Check here if you, or your

spouse if filing jointly, want $3

to go to this fund. Checking a

box below will not change

your tax or refund.

You Spouse

Filing Status

Check only

one box.

Single

Married filing jointly (even if only one had income) Married filing separately (MFS)

Head of household (HOH)

Qualifying surviving spouse (QSS)

If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the qualifying person is a child but not your dependent: If treating a nonresident alien or dual-status alien spouse as a U.S. resident for the entire tax year, check the box and enter their name (see instructions and attach statement if required): Digital

Assets

At any time during 2024, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, exchange, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No Standard

Deduction

Someone can claim: You as a dependent Your spouse as a dependent Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1960 Are blind Spouse: Was born before January 2, 1960 Is blind Dependents (see instructions):

If more

than four

dependents,

see instructions

and check

here . .

(2) Social security

number

(3) Relationship

to you

(4) Check the box if qualifies for (see instructions):

(1) First name Last name Child tax credit Credit for other dependents Income

Attach Form(s)

W-2 here. Also

attach Forms

W-2G and

1099-R if tax

was withheld.

If you did not

get a Form

W-2, see

instructions.

1 a Total amount from Form(s) W-2, box 1 (see instructions) 1a b Household employee wages not reported on Form(s) W-2 1b c Tip income not reported on line 1a (see instructions) 1c d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) 1d e Taxable dependent care benefits from Form 2441, line 26 1e f Employer-provided adoption benefits from Form 8839, line 29 1f g Wages from Form 8919, line 6 1g h Other earned income (see instructions) 1h i Nontaxable combat pay election (see instructions) 1i z Add lines 1a through 1h 1z Attach Sch. B

if required.

2a Tax-exempt interest . . . 2a b Taxable interest 2b 3a Qualified dividends . . . 3a b Ordinary dividends 3b 4a IRA distributions 4a b Taxable amount 4b 5a Pensions and annuities . . 5a b Taxable amount 5b 6a Social security benefits . . 6a b Taxable amount 6b c If you elect to use the lump-sum election method, check here (see instructions) 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 7 8 Additional income from Schedule 1, line 10 8 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 9 10 Adjustments to income from Schedule 1, line 26 10 11 Subtract line 10 from line 9. This is your adjusted gross income 11 Standard

Deduction for—

• Single or

Married filing

separately,

$14,600

• Married filing

jointly or

Qualifying

surviving spouse,

$29,200

• Head of

household,

$21,900

• If you checked

any box under

Standard

Deduction,

see instructions.

12 Standard deduction or itemized deductions (from Schedule A) 12 13 Qualified business income deduction from Form 8995 or Form 8995-A 13 14 Add lines 12 and 13 14 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 15 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2024) QNA

ANTWAN D WILLIAMS ***-**-****

6326 COLFAX

DETROIT MI 48210

3844

14600

Form 1040 (2024) Page 2

Tax and

Credits

16 Tax (see instructions). Check if any from Form(s): 1-881*-*-**** 3 .. 16 17 Amount from Schedule 2, line 3 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents from Schedule 8812 19 20 Amount from Schedule 3, line 8 20 21 Add lines 19 and 20 21 22 Subtract line 21 from line 18. If zero or less, enter -0- 22 23 Other taxes, including self-employment tax, from Schedule 2, line 21 23 24 Add lines 22 and 23. This is your total tax 24 Payments 25 Federal income tax withheld from:

a Form(s) W-2 25a

b Form(s) 1099 25b

c Other forms (see instructions) 25c d Add lines 25a through 25c 25d If you have a 26 2024 estimated tax payments and amount applied from 2023 return 26 qualifying child,

attach Sch. EIC.

27 Earned income credit (EIC) 27

28 Additional child tax credit from Schedule 8812 28 29 American opportunity credit from Form 8863, line 8 . 29 30 Reserved for future use 30

31 Amount from Schedule 3, line 15 31 32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits .. 32 33 Add lines 25d, 26, and 32. These are your total payments 33 Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid .. 34 35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a Direct deposit?

See instructions.

b Routing number c Type: Checking Savings

d Account number

36 Amount of line 34 you want applied to your 2025 estimated tax ... 36 Amount

You Owe

37 Subtract line 33 from line 24. This is the amount you owe. For details on how to pay, go to www.irs.gov/Payments or see instructions 37 38 Estimated tax penalty (see instructions) 38 Third Party

Designee

Do you want to allow another person to discuss this return with the IRS? See instructions Yes. Complete below. No Designee’s

name

Phone

no.

Personal identification

number (PIN)

Sign

Here

Joint return?

See instructions.

Keep a copy for

your records.

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here

(see inst.)

Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here

(see inst.)

Phone no. Email address

Paid

Preparer

Use Only

Preparer’s name Preparer’s signature Date PTIN Check if: Self-employed

Firm’s name Phone no.

Firm’s address Firm’s EIN

Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2024) QNA

WILLIAMS ***-**-****

293

373

X X X X X X X X X

X X X X X X X X X X X X X X X X X

04/09/25

313-***-****

04/09/25 S11065530

LFF VIRTUAL VITA

N/A - VIRTUAL ONLY NO PHYSICAL LOCATION WESTPORT CT 06880 860-***-****

Issued under authority of Public Act 284 of 1964, as amended. 2024 0 1,QGLYLGXDO,QFRPH 7D[ &HUWL FDWLRQ IRU H OH 0 127 R QRW VHQG 0 WR WKH 0LFKLJDQ 'HSDUWPHQW RI 7UHDVXU\ XQOHVV UHTXHVWHG WR GR VR 1. Filer’s First Name M.I. Last Name 2. Filer’s Full Social Security No. (Example: ***-**-****) If a Joint Return, Spouse’s First Name M.I. Last Name 3. Spouse’s Full Social Security No. (Example: ***-**-****) Home Address (Number, Street, or P.O. Box)

City or Town State ZIP Code

3$57 7$; 5(7851,1)250$7,21

The taxpayer should obtain and keep a copy of the return.

)RUP 0 Individual Income Tax Return

4. Total federal adjusted gross income from line 10 4. 00 5. Total Michigan income tax from line 20 5. 00 6. Michigan tax withheld from line 30 6. 00 7. Tax due from line 34 7. 00 8. Refund from line 37 8. 00

)RUP 0 5 Homestead Property Tax Credit Claim 9. Homestead Property Tax Credit from line 44 9. 00

)RUP 0 5 Home Heating Credit Claim

10. Home Heating Credit Claim from line 47 10. 00

&LW\ RI 'HWURLW 7D[ 5HWXUQ,QIRUPDWLRQ

11. Adjusted Gross Income or Wages from Form 5118, line 9, Form 5119, line 9, or Form 5120, line 10 (Column A) 11. 00 12. Tax Due from Form 5118, line 22e, Form 5119, line 24e, or Form 5120, line 41e 12. 00 13. Refund from Form 5118, line 25, Form 5119, line 27, or Form 5120, line 44 13. 00 3$57 57,),&$7,21 $1' 87+25,=$7,21

Under penalties of perjury, I declare that I have examined this return including any accompanying statements and schedules and, to the best of my knowledge and belief, it is true, correct, and complete. The tax return information in Part 1 agrees with the amounts on the corresponding lines of my Michigan and/or City of Detroit tax return. I consent to allow my Intermediate Service Provider, transmitter or Electronic Return Originator (ERO) to send my return to IRS and subsequently by the IRS to the Michigan Department of Treasury and to receive an acknowledgment of receipt or reason for rejection of the transmission.

Filer’s Signature Date Spouse’s Signature Date

3$57 7521,& 5(7851 25,*,1$725 (52 $1' 3 35(3$5(5 &(57,),&$7,21 I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the taxpayer furnished me a completed tax return, I declare that the information contained in this electronic tax return is identical to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer, I declare I have entered the paid preparer’s identifying information in the appropriate portion of this electronic return. If I am the paid preparer, under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief, it is true, correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature Date ERO is (check all that apply) ERO’s SSN or PTIN Paid Preparer Self-Employed

Firm’s Name (or yours if self-employed) FEIN

Firm’s Address (Street, City, State, ZIP Code) Firm’s Telephone Number Preparer’s Name (print or type)

Check if self-employed

Preparer’s Signature Date PTIN

Firm’s Name Firm’s EIN

Firm’s Address (Street, City, State, ZIP Code) Firm’s Telephone Number

&RPSOHWH WKLV IRUP RQO\ LI \RX DUH H OLQJ D 0LFKLJDQ RU &LW\ RI 'HWURLW XQOLQNHG VWDQGDORQH UHWXUQ Michigan Department of Treasury

2808 (Rev. 09-24)

1038

***-**-****

ANTWAN D WILLIAMS

6326 COLFAX

DETROIT MI 48210

3844

142

230

3844

04-09-25

04-09-25 S11065530

LFF VIRTUAL VITA

N/A - VIRTUAL ONLY NO PHYSICAL LOCATION, WESTPORT,CT 06880 860-***-**** Michigan Department of Treasury (Rev. 04-24), Page 1 of 3 Issued under authority of Public Act 281 of 1967, as amended. 2024 MICHIGAN Individual Income Tax Return MI-1040 Amended Return

(Include Schedule AMD)

Return is due April 15, 2025. Type or print in blue or black ink. 1. Filer’s First Name M.I. Last Name 2. Filer’s Full Social Security No. (Example: ***-**-****) If a Joint Return, Spouse’s First Name M.I. Last Name 3. Spouse’s Full Social Security No. (Example: ***-**-****) Home Address (Number, Street, or P.O. Box)

City or Town State ZIP Code 4. School District Code (5 digits) 5. STATE CAMPAIGN FUND 6. FARMERS, FISHERMEN, OR SEAFARERS Check if you (and/or your spouse, if

OLQJ D MRLQW UHWXUQ ZDQW RI \RXU WD[HV

to go to this fund. This will not increase

your tax or reduce your refund.

a. Filer

Check this box if 2/3 of your income is from farming, b. Spouse VKLQJ RU VHDIDULQJ

7. 2024 FILING STATUS. Check one. 8. 2024 RESIDENCY STATUS. Check all that apply. a. Single * If you check box “c,” complete

line 3 and enter spouse’s full name

below:

a. Resident

* If you check box “b” or

“c,” you must complete

and include Schedule

NR.

b. 0DUULHG OLQJ MRLQWO\ b. Nonresident *

c. 0DUULHG OLQJ VHSDUDWHO\ c. Part-Year Resident * 9. EXEMPTIONS. NOTE:,I VRPHRQH HOVH FDQ FODLP \RX DV D GHSHQGHQW FKHFN ER[ H HQWHU RQ OLQH D DQG HQWHU RQ OLQH H VHH LQVWU a. Number of exemptions (see instructions) 9a. x 5,600 9a. 00 b. Number of individuals who qualify for one of the following special exemptions: deaf, blind, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled 9b. x 3,300 9b. 00 c. 1XPEHU RI TXDOL HG GLVDEOHG YHWHUDQV 9c. x 500 9c. 00 d. 1XPEHU RI &HUWL FDWHV RI 6WLOOELUWK IURP 0'++6 VHH LQVWUXFWLRQV 9d. x 5,600 9d. 00 e. Claimed as dependent, see line 9 NOTE above 9e. 9e. 00 f. Add lines 9a, 9b, 9c, 9d and 9e. Enter here and on line 15 9f. 00 10. Adjusted Gross Income from your U.S. Form 1040 (see instructions) 10. 00 11. Additions from Schedule 1, line 9. Include Schedule 1 11. 00 12. Total. Add lines 10 and 11 12. 00 13. Subtractions from Schedule 1, line 31. Include Schedule 1 13. 00 14. Income subject to tax. Subtract line 13 from line 12. If line 13 is greater than line 12, enter “0” 14. 00 15. Exemption allowance. Enter amount from line 9f or Schedule NR, line 19 15. 00 16. Taxable income. Subtract line 15 from line 14. If line 15 is greater than line 14, enter “0” 16. 00 17. Tax. Multiply line 16 by 4.25% (0.0425) 17. 00 Continue on page 2. This form cannot be processed if pages 2 and 3 are not completed and included.

+103*-****-**-** 27 0

ANTWAN D WILLIAMS ***-**-****

6326 COLFAX

DETROIT MI 482**-*****

X X

1 5600

5600

3844

5600

2024 MI-1040, Page 2 of 3

Filer’s Full Social Security Number

NON-REFUNDABLE CREDITS AMOUNT CREDIT

18. Income Tax Imposed by government units outside Michigan. Include a copy of the return (see instructions) 18a. 00 18b. 00 19. Michigan Historic Preservation Tax Credit (see instructions). 19a. 00 19b. 00 20. Income Tax. Subtract the sum of lines 18b and 19b from line 17. If the sum of lines 18b and 19b is greater than line 17, enter “0” 20. 00 21. Voluntary Contributions from Form 4642, line 6. Include Form 4642 21. 00 22. 3HQDOW\ IRU QRQTXDOL HG ZLWKGUDZDO IURP )RUP Michigan First-Time Home Buyer Savings Program, line 5 22. 00 23. USE TAX. Use tax due on Internet, mail order or other out-of-state purchases from Worksheet 1 (see instructions) 23. 00 24. Total Tax Liability. Add lines 20 through 23 24. 00 REFUNDABLE CREDITS AND PAYMENTS

25. Property Tax Credit. Include MI-1040CR or MI-1040CR-2 25. 00 26. Farmland Preservation Tax Credit. Include MI-1040CR-5 26. 00 FEDERAL MICHIGAN

27. Earned Income Tax Credit. Multiply line 27a by 30% (0.30) and enter result on line 27b. 27a. 00 27b. 00 28. Michigan Historic Preservation Tax Credit (refundable). Include Form 3581. 28. 00 29. &UHGLW IRU DOORFDWHG VKDUH RI WD[ SDLG E\ DQ HOHFWLQJ ÀRZ WKURXJK HQWLW\ VHH LQVWUXFWLRQV 29. 00 30. Michigan tax withheld from Schedule W, line 6. Include Schedule W (do not submit W-2s) 30. 00 31. Estimated tax, extension payments and 2023 credit forward 31. 00 32. 2024 AMENDED RETURNS ONLY. Taxpayers completing an original 2024 return should skip to line 33. Amended returns must include Schedule AMD (see instructions). 32c. 00

If you had a refund and/or credit forward on the original return, check box 32a and enter this amount as a 32a. negative number on line 32c.

If you paid with the original return, check box 32b and enter the amount paid with the original return, plus 32b. DQ\ DGGLWLRQDO WD[ SDLG DIWHU OLQJ DV D SRVLWLYH QXPEHU RQ OLQH F 'R QRW LQFOXGH LQWHUHVW RU SHQDOW\ 33. Total refundable credits and payments. Add lines 25, 26, 27b, 28, 29, 30, 31 and 32c 33. 00 Continue on page 3. This form cannot be processed if pages 2 and 3 are not completed and included.

+103*-****-**-** 27 8

***-**-****

293 88

142

230

2024 MI-1040, Page 3 of 3

Filer’s Full Social Security Number

REFUND OR TAX DUE

34. If line 33 is less than line 24, subtract line 33 from line 24. If applicable, see instructions. Include interest 00 and penalty 00 YOU OWE 34. 00 35. Overpayment. If line 33 is greater than line 24, subtract line 24 from line 33 35. 00 36. Credit Forward. Amount of line 35 to be credited to your 2025 estimated tax for your 2025 tax return ... 36. 00 37. Subtract line 36 from line 35. REFUND 37. 00 DIRECT DEPOSIT

'HSRVLW \RXU UHIXQG GLUHFWO\ WR \RXU QDQFLDO

institution! See instructions and complete a, b

and c.

a. Routing Transit Number b. Account Number c. Type of Account 1. Checking 2. Savings

Deceased Taxpayer. If Filer and/or Spouse died after December 31, 2023, enter dates below. ENTER DATE OF DEATH ONLY. Example: 04-15-2024 (MM-DD-YYYY) 3UHSDUHU &HUWL FDWLRQ I declare under penalty of perjury that this return is based on all information of which I have any knowledge. Filer Spouse

Preparer’s PTIN, FEIN or SSN

7D[SD\HU &HUWL FDWLRQ I declare under penalty of perjury that the information in this return and attachments is true and complete to the best of my knowledge. Preparer’s Name (print or type)

Filer’s Signature Date Preparer’s Signature

Spouse’s Signature Date Preparer’s Business Name, Address and Telephone Number By checking this box, I authorize Treasury to discuss my return with my preparer. Refund, credit, or zero returns. Mail your return to: Michigan Department of Treasury, Lansing, MI 48956 Pay amount on line 34 (see instructions). Mail your check and return to: Michigan Department of Treasury, Lansing, MI 48929

+103*-****-**-** 27 6

***-**-****

230

04-09-2025

S11065530

LFF VIRTUAL VITA

N/A - VIRTUAL ONLY NO PHYSICAL LOCATION

WESTPORT CT 06880-

Michigan Department of Treasury (Rev. 03-24), Page 1 Schedule W 2024 MICHIGAN Withholding Tax Schedule

Issued under authority of Public Act 281 of 1967, as amended. Type or print in blue or black ink. Attachment 13

INSTRUCTIONS: If you had Michigan income tax withheld in 2024, you must complete a Withholding Tax Schedule (Schedule W) to claim the withholding on your Individual Income Tax Return 0 OLQH 5HSRUW PLOLWDU\ SD\ LQ 7DEOH DQG PLOLWDU\ UHWLUHPHQW EHQH WV DQG WD[DEOH UDLOURDG UHWLUHPHQW EHQH WV ERWK 7LHU DQG 7LHU LQ 7DEOH HYHQ LI QR 0LFKLJDQ WD[ ZDV ZLWKKHOG,QFOXGH \RXU FRPSOHWHG 6FKHGXOH : ZLWK )RUP 0 See complete instructions on page 2 of this form. If you need additional space, include another Schedule W.

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,I D -RLQW 5HWXUQ 6SRXVH V )LUVW 1DPH M.I. /DVW 1DPH 6SRXVH V )XOO 6RFLDO 6HFXULW\ 1R ([DPSOH TABLE 1: MICHIGAN TAX WITHHELD OR MILITARY PAY REPORTED ON W-2, W-2G or CORRECTED W-2 FORMS AB C DE

(QWHU IRU

Filer or Spouse

(PSOR\HU V LGHQWL FDWLRQ QXPEHU

([DPSOH %R[ F PSOR\HU V QDPH

Box 1 — Wages, tips,

other compensation

Box 17 — Michigan

income tax withheld

00 00

(QWHU 7DEOH 6XEWRWDO IURP DGGLWLRQDO 6FKHGXOH : IRUPV LI DSSOLFDEOH 00 4. SUBTOTAL. (QWHU WRWDO RI 7DEOH FROXPQ ( 4. 00 TABLE 2: MICHIGAN TAX WITHHELD OR MILITARY RETIREMENT BENEFITS AND RAILROAD RETIREMENT BENEFITS (BOTH TIER 1 AND TIER 2) REPORTED ON 1099 FORMS AB C DE

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Filer or Spouse

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Michigan Department of Treasury - City Tax Administration 5118 (Rev. 03-24) Page 1 of 2

2024 City of Detroit Resident Income Tax Return

Issued under authority of Public Act 284 of 1964, as amended. Check here if you are

amending. Indicate reason

on page 2.

Return is due April 15, 2025.

Type or print in blue or black ink.

1. Filer’s First Name M.I. Last Name 2. Filer’s Full Social Security No. (Example: ***-**-****) If a Joint Return, Spouse’s First Name M.I. Last Name 3. Spouse’s Full Social Security No. (Example: ***-**-****) Home Address (Number, Street, or P.O. Box)

City or Town State ZIP Code 4. CITY RESIDENT. Return for the city of: City Code 5. 2024 FILING STATUS. Check one. 8. EXEMPTIONS. 8a-8c apply to you and your spouse only. a. Single * If you check box “c,” complete

line 3 and enter spouse’s full name

below:

Personal Exemption a. b. 0DUULHG OLQJ MRLQWO\

65 and over b. c. 0DUULHG OLQJ VHSDUDWHO\

Deaf, Disabled or Blind c. 6. 2024 DEPENDENT STATUS

Check the box if you or your spouse can be claimed as a Number of dependent children d. dependent on another person’s tax return.

7a. Filer’s date of birth (MM-DD-YYYY) 7b. Spouse’s date of birth (MM-DD-YYYY) Number of other dependents e. TOTAL EXEMPTIONS. Add lines 8a

through 8e. f. PART 1: INCOME

9. Adjusted Gross Income from your U.S. Form 1040 9. 00 10. Additions from line 29 10. 00 11. Total. Add lines 9 and 10 11. 00 12. Subtractions from line 37 12. 00 13. Income subject to tax. Subtract line 12 from line 11. If line 12 is greater than line 11, enter “0” 13. 00 14. Exemption allowance. Multiply line 8f by $600 14. 00 15. Taxable income. Subtract line 14 from line 13. If line 14 is greater than line 13, enter “0” 15. 00 16. Tax. Multiply line 15 by 2.4% (0.024) 16. 00 PART 2: CREDITS AND PAYMENTS

17. Tax withheld from City Schedule W, line 5 17. 00 18. City estimated tax, extension payments and 2023 credit forward 18. 00 19. Tax paid for you by a partnership from City Schedule W, line 6.

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