Michigan Department of Treasury (Rev. 10-23), Page 1 of 3 Issued under authority of Public Act 281 of 1967, as amended. 2023 MICHIGAN Individual Income Tax Return MI-1040 Amended Return (Include Schedule AMD) Return is due April 15, 2024. 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: 123-45-6789) If a Joint Return, Spouse’s First Name M.I. Last Name 3. Spouse’s Full Social Security No. (Example: 123-45-6789) Home Address (Number, Street, or P.O. Box) City or Town State ZIP Code 4. School District Code (5 digits) 5. STATE CAMPAIGN FUND Check if you (and/or your spouse, if a. Filer filing a joint return) want $3 of your taxes to go to this fund. This will not increase b. Spouse your tax or reduce your refund. 6. FARMERS, FISHERMEN, OR SEAFARERS Check this box if 2/3 of your income is from farming, fishing, or seafaring. 7. 2023 FILING STATUS. Check one. a. Single * If you check box “c,” complete line 3 and enter spouse’s full name b. Married filing jointly below: c. Married filing separately* 8. 2023 RESIDENCY STATUS. Check all that apply. a. Resident * If you check box “b” or “c,” you must complete b. Nonresident * and include Schedule NR. c. Part-Year Resident * 9. EXEMPTIONS. NOTE: If someone else can claim you as a dependent, check box 9e, enter 0 on line 9a and enter $1,500 on line 9e (see instr.). a. Number of exemptions (see instructions)............................................................. 9a. x $5,400 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 $3,100 c. Number of qualified disabled veterans ................................................................. 9c. x $400 d. Number of Certificates of Stillbirth from MDHHS (see instructions) ..................... 9d. x $5,400 e. Claimed as dependent, see line 9 NOTE above .................................................. 9e. f. Add lines 9a, 9b, 9c, 9d and 9e. Enter here and on line 15 ............................................................................. 10. Adjusted Gross Income from your U.S. Form 1040 (see instructions) .................................................... 10. 11. Additions from Schedule 1, line 9. Include Schedule 1 ............................................................................ 11. 12. Total. Add lines 10 and 11.......................................................................................................................... 12. 13. Subtractions from Schedule 1, line 31. Include Schedule 1 .................................................................... 13. 14. Income subject to tax. Subtract line 13 from line 12. If line 13 is greater than line 12, enter “0” ............ 14. 15. Exemption allowance. Enter amount from line 9f or Schedule NR, line 19.............................................. 15. 16. Taxable income. Subtract line 15 from line 14. If line 15 is greater than line 14, enter “0” ...................... 16. 17. Tax. Multiply line 16 by 4.05% (0.0405) ..................................................................................................... 17. 9a. 9b. 9c. 9d. 9e. 9f. 00 00 00 00 00 00 00 00 00 00 00 00 00 00 Continue on page 2. This form cannot be processed if pages 2 and 3 are not completed and included. + 0000 2023 05 01 27 2 Reset Form

00 00 00 00 2023 MI-1040, Page 2 of 3 Filer’s Full Social Security Number NON-REFUNDABLE CREDITS 18. Income Tax Imposed by government units outside Michigan. Include a copy of the return (see instructions)........................ 18a. 19. Michigan Historic Preservation Tax Credit (see instructions). 19a. 20. Income Tax. Subtract the sum of lines 18b and 19b from line 17. AMOUNT 00 18b. 00 19b. If the sum of lines 18b and 19b is greater than line 17, enter “0” ............................................................... 20. 21. Voluntary Contributions from Form 4642, line 6. Include Form 4642........................................................ 21. 22. Penalty for nonqualified withdrawal from Form 5792, Michigan First-Time Home Buyer Savings Program, line 5 ........................................................................................................................................... 22. 23. USE TAX. Use tax due on Internet, mail order or other out-of-state purchases from Worksheet 1 (see instructions) ................................................................................................................... 23. CREDIT 24. Total Tax Liability. Add lines 20 through 23 ................................................................................... 24. REFUNDABLE CREDITS AND PAYMENTS 00 00 25. Property Tax Credit. Include MI-1040CR or MI-1040CR-2 ..................................................................... 25. 26. Farmland Preservation Tax Credit. Include MI-1040CR-5 ..................................................................... 26. FEDERAL MICHIGAN 27. Earned Income Tax Credit. Multiply line 27a by 30% (0.30) and enter result on line 27b. .................................................... 27a. 00 28. Michigan Historic Preservation Tax Credit (refundable). Include Form 3581............................................ 29. Credit for allocated share of tax paid by an electing flow-through entity (see instructions)........................ 30. Michigan tax withheld from Schedule W, line 6. Include Schedule W (do not submit W-2s) ................. 31. Estimated tax, extension payments and 2022 credit forward..................................................................... 32. 2023 AMENDED RETURNS ONLY. Taxpayers completing an original 2023 return should skip to line 33. Amended returns must include Schedule AMD (see instructions). 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. any additional tax paid after filing, as a positive number on line 32c. Do not include interest or penalty. 33. Total refundable credits and payments. Add lines 25, 26, 27b, 28, 29, 30, 31 and 32c .................. 33. 27b. 28. 29. 30. 31. 32c. 00 00 00 00 00 00 00 Continue on page 3. This form cannot be processed if pages 2 and 3 are not completed and included. + 0000 2023 05 02 27 0 00 00 00

2023 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 and 00 penalty 00 ......................... YOU OWE 34. 35. Overpayment. If line 33 is greater than line 24, subtract line 24 from line 33 ................................ 35. 36. Credit Forward. Amount of line 35 to be credited to your 2024 estimated tax for your 2024 tax return ... 37. Subtract line 36 from line 35.......................................................................................REFUND 37. 00 00 36. 00 00 DIRECT DEPOSIT Deposit your refund directly to your financial 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, 2022, enter dates below. ENTER DATE OF DEATH ONLY. Example: 04-15-2023 (MM-DD-YYYY) Preparer Certification. 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 Taxpayer Certification. 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 + 0000 2023 05 03 27 8