Form 5049 Michigan Married Filing Separately and Divorced or Separated Claimants Schedule - Michigan

Form 5049 or the "Michigan Married Filing Separately And Divorced Or Separated Claimants Schedule" is a form issued by the Michigan Department of Treasury.

The form was last revised in April 1, 2017 and is available for digital filing. Download an up-to-date fillable Form 5049 in PDF-format down below or look it up on the Michigan Department of Treasury Forms website.

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Michigan Department of Treasury
Attachment 25
5049 (Rev. 04-17)
MICHIGAN Married Filing Separately and Divorced
Tax Year (YYYY)
or Separated Claimants Schedule, Form 5049
Filer’s First Name
M.I.
Last Name
Filer’s Full Social Security No. (Example: 123-45-6789)
PART 1: MARRIED FILING SEPARATELY AND SHARED A HOMESTEAD DURING THE YEAR
Enter dates as MM-DD-YYYY. (Example: 04-15-2017)
Skip to PART 3 if you are not including your spouse’s income.
FROM:
TO:
1. Provide the dates you and your spouse shared a homestead
during the tax year.
PART 2: INCOME BREAKDOWN
Include only the portion of your income in column A and your spouse’s income in
A. Filer
B. Spouse
column B for the period of time the homestead was shared.
2. Wages, salaries, tips, sick, strike and SUB pay, etc.
.......................................................
2.
00
00
3. All interest and dividend income (including nontaxable interest) .....................................
3.
00
00
4. Net business income (including net farm income). If negative, enter “0”.........................
4.
00
00
5.
Net royalty or rent income. If negative, enter “0”. ............................................................
5.
00
00
6. Retirement, pension, annuity, and IRA benefits. ..............................................................
6.
00
00
7. Capital gains less capital losses. .....................................................................................
7.
00
00
8. Alimony and other taxable income. Describe: _________________________________
8.
00
00
9. Social Security, SSI, and/or railroad retirement benefits. ................................................
9.
00
00
10. Child support and foster parent payments.......................................................................
10.
00
00
11. Unemployment compensation. ........................................................................................
11.
00
00
12. Gifts or expenses paid on your behalf. ............................................................................
12.
00
00
13. Other nontaxable income. Describe:________________________________________
13.
00
00
14. Workers’/veterans’ disability compensation/pension benefits..........................................
14.
00
00
15. FIP and other MDHHS benefits (do not include food assistance). ..................................
15.
00
00
16. Other adjustments. Describe: ____________________________________________
16.
00
00
17. Medical insurance/HMO premiums you paid for you and your family .............................
17.
00
00
18. Subtotal. For each column, add lines 2 through 15 then subtract lines 16 and 17 .........
18.
00
00
PART 3: EXPLANATION (
If you did not include your spouse’s income, provide an explanation.)
Reset Form
Michigan Department of Treasury
Attachment 25
5049 (Rev. 04-17)
MICHIGAN Married Filing Separately and Divorced
Tax Year (YYYY)
or Separated Claimants Schedule, Form 5049
Filer’s First Name
M.I.
Last Name
Filer’s Full Social Security No. (Example: 123-45-6789)
PART 1: MARRIED FILING SEPARATELY AND SHARED A HOMESTEAD DURING THE YEAR
Enter dates as MM-DD-YYYY. (Example: 04-15-2017)
Skip to PART 3 if you are not including your spouse’s income.
FROM:
TO:
1. Provide the dates you and your spouse shared a homestead
during the tax year.
PART 2: INCOME BREAKDOWN
Include only the portion of your income in column A and your spouse’s income in
A. Filer
B. Spouse
column B for the period of time the homestead was shared.
2. Wages, salaries, tips, sick, strike and SUB pay, etc.
.......................................................
2.
00
00
3. All interest and dividend income (including nontaxable interest) .....................................
3.
00
00
4. Net business income (including net farm income). If negative, enter “0”.........................
4.
00
00
5.
Net royalty or rent income. If negative, enter “0”. ............................................................
5.
00
00
6. Retirement, pension, annuity, and IRA benefits. ..............................................................
6.
00
00
7. Capital gains less capital losses. .....................................................................................
7.
00
00
8. Alimony and other taxable income. Describe: _________________________________
8.
00
00
9. Social Security, SSI, and/or railroad retirement benefits. ................................................
9.
00
00
10. Child support and foster parent payments.......................................................................
10.
00
00
11. Unemployment compensation. ........................................................................................
11.
00
00
12. Gifts or expenses paid on your behalf. ............................................................................
12.
00
00
13. Other nontaxable income. Describe:________________________________________
13.
00
00
14. Workers’/veterans’ disability compensation/pension benefits..........................................
14.
00
00
15. FIP and other MDHHS benefits (do not include food assistance). ..................................
15.
00
00
16. Other adjustments. Describe: ____________________________________________
16.
00
00
17. Medical insurance/HMO premiums you paid for you and your family .............................
17.
00
00
18. Subtotal. For each column, add lines 2 through 15 then subtract lines 16 and 17 .........
18.
00
00
PART 3: EXPLANATION (
If you did not include your spouse’s income, provide an explanation.)
Instructions for Married Filing Separately
and Divorced or Separated Claimants Schedule (Form 5049)
This form is intended to assist you to correctly calculate
Cathy’s Form 5049
total household resources for the Homestead Property
When
completing
Part
1
,
Cathy
would
enter
Tax Credit (MI-1040CR or MI-1040CR-2) or Home
01-01-2017 in the FROM box and enter 10-01-2017 in the
Heating Credit (MI-1040CR-7) when married filing
TO box. She would continue to Part 2 and would enter
separately or divorced during the tax year.
her income for the period the homestead was shared on
line 2 in column A, which would be $15,014. She would
Instructions for the income breakdown can be found
enter Karl’s income for the period the homestead was
in the following booklets: MI-1040, MI-1040CR-2 or
shared on line 2 in column B, which would be $18,767.
MI-1040CR-7.
Cathy would total columns A and B on line 18.
Example 1
Step 2: Before continuing to their Homestead Property
Jackie and John are married filing separately and
Tax Credit claims, Karl and Cathy would review the
maintained separate homesteads all year. Jackie is filing
example under “Separated or Divorced in 2017” in
for a Homestead Property Tax Credit. Since they did not
the MI-1040 Instruction Book as well as Michigan
share a homestead during the year she would not need to
Homestead Property Tax Credits for Separated or
include John’s income and would skip to Part 3 of Form
Divorced Taxpayers (Form 2105).
5049. She would complete the explanation box in Part 3
Example 3
indicating that she maintained a separate homestead all
year.
Ron and Tabatha are married filing separately and shared
a homestead for the entire year. The couple decides that
Example 2
Ron will claim the Homestead Property Tax Credit and
Karl and Cathy separated on October 2, 2017. Cathy
Tabatha will not.
continued to live in the home and Karl moved to an
• Ron earned $25,000 of wages for the year.
apartment on October 2. They file federal and State
• T abatha earned $7,000 of wages for the year and $500
returns as married filing separately.
of interest.
• C athy earned $20,000 of wages evenly throughout the
When completing Part 1 of Form 5049, Ron would enter
year.
01-01-2017 in the FROM box and 12-31-2017 in the TO
• Karl earned $25,000 of wages evenly throughout the
box.
year.
In column A, Ron would enter $25,000 on line 2,
• They lived together for 274 days.
representing the income he earned while they shared a
Step 1: Calculate the prorated total household resources
homestead (the entire year), and $25,000 on line 18. In
for each spouse for the 274 days they lived together.
column B, he would report $7,000 of Tabatha’s wages on
Divide each spouse’s total income by 365 days, then
line 2 and $500 of her interest on line 3, representing the
multiply that figure by 274.
income she earned while they shared a homestead (the
Cathy ($20,000/365) x 274 = $15,014
entire year). Ron would total column B and enter $7,500
on line 18. He would carry the amount from line 18,
Karl ($25,000/365) x 274 = $18,767
column B, to the “Other nontaxable income” line on his
Karl’s Form 5049
MI-1040CR with a description of “Form 5049.” He would
When completing Part 1, Karl would enter 01-01-2017
check the box for “Married filing separately” on his
in the FROM box and enter 10-01-2017 in the TO box.
MI-1040CR.
He would continue to Part 2 and would enter his income
for the period the homestead was shared on line 2 in
column A, which would be $18,767. He would enter
Cathy’s income for the period the homestead was shared
on line 2 in column B, which would be $15,014. Karl
would total columns A and B on line 18.

Download Form 5049 Michigan Married Filing Separately and Divorced or Separated Claimants Schedule - Michigan

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