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Free Michigan 3924 Template in PDF

The Michigan 3924 form, also known as the Withholding Tax Schedule, is a document required by the Michigan Department of Treasury for individuals who had state income tax withheld during the tax year. This form allows taxpayers to report the amount of tax withheld on their income, which can then be claimed on their Individual Income Tax Return (MI-1040). Completing and attaching this form is essential to ensure that your tax return is processed efficiently and accurately.

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Structure

The Michigan 3924 form, also known as the Withholding Tax Schedule, plays a crucial role for individuals who had Michigan income tax withheld during the tax year. This form is essential for claiming withholding amounts on your Individual Income Tax Return, specifically on line 34 of the MI-1040. To ensure a smooth filing process, it is important to attach the completed Schedule W to your MI-1040 or MI-1040X as required. The form requires basic personal information, including names and Social Security numbers for both the filer and spouse if applicable. It consists of two main tables: Table 1 captures Michigan tax withheld from W-2, W-2G, or corrected W-2 forms, while Table 2 focuses on tax withheld from 1099 and 4119 forms. Completing these tables accurately is vital, as they summarize your taxable income and the corresponding taxes withheld. Furthermore, the instructions emphasize the importance of not submitting W-2 or 1099 forms with your return, but rather keeping them for your records. By following the guidelines provided on the form, you can ensure that your tax return is processed efficiently and without unnecessary delays.

Form Example

	Michigan Department of Treasury	Schedule W
	3924 (Rev. 9-09), Page 1	Schedule W
	3924 (Rev. 9-09), Page 1
	2009 MICHIGAN Withholding Tax Schedule
	Issued under authority of Public Act 281 of 1967.

INSTRUCTIONS: If you had Michigan income tax withheld in 2009, you must complete a Withholding Tax Schedule (Schedule W) to claim the withholding on your Individual Income Tax Return (MI-1040, line 34). Attach your completed Schedule W to Form MI-1040 or MI-1040X where applicable. See complete instructions on page 2 of this form. Type or print in blue or black ink.

Print numbers like this : 0123456789 - NOT like this:					1 4								Attachment 13
													Attachment 13
Filer’s First Name			M.I.	Last Name			4Filer’s Social Security Number (Example: 123-45-6789)



If a Joint Return, Spouse’s First Name			M.I.	Last Name				Spouse’s Social Security Number (Example: 123-45-6789)




TABLE 1: MICHIGAN TAX WITHHELD ON W-2, W-2G or CORRECTED W-2 FORMS
4A		4B		C		D				4E			F
Enter “X”
if for:		Box b - Employer’s federal				Box 1 - Wages, tips,				Box 17 - Michigan			Box 19 - City
You or Spouse		identiication number		Employer’s name		other compensation				income tax withheld		income tax withheld

									00		00			00
									00		00			00
									00		00			00
									00		00			00
									00		00			00
									00		00			00
									00		00			00
									00		00			00
Enter Table 1 Subtotal from additional Schedule W forms (if applicable)											00			00
1. SUBTOTAL. Enter total of Table 1, columns E and F. Carry total of column F to
	the City Income Tax Worksheet in the MI-1040 Instruction Booklet ........................ 1.										00			00

IMPORTANT: If you have no entries for Table 2, carry total of line 1, column E, to line 3 below.

TABLE 2: MICHIGAN TAX WITHHELD ON 1099 and 4119 FORMS

4A	4B	C	D		4E		F
Enter “X”			Taxable pension
if for:	Payer’s federal		distribution, misc.		Michigan income		Box 7 - Distribution
You or Spouse	identiication number	Payer’s name	income, etc. (see instr.)		tax withheld		Code (1099-R only)

				00		00
				00		00
				00		00
				00		00
				00		00
				00		00
Enter Table 2 Subtotal from additional Schedule W forms (if applicable)						00
2. SUBTOTAL. Enter total of Table 2, column E			2.			00

3. TOTAL. Add line 1 and line 2, column E. Carry total to your MI-1040, line 34

43.

+ 0000 2009 57 01 27 3

2009 Schedule W, Page 2

Instructions for Schedule W

Withholding Tax Schedule

Schedule W is designed to report State of Michigan and Michigan city income tax withholding. Schedule W is

imaged to enable us to process your individual income tax return more eficiently.

Attach the completed Schedule to your return.An attachment number is listed in the upper right corner to help you assemble your form in the correct order behind your MI-1040 Individual Income Tax Return. If a Schedule W is not

attached when required, the processing of your return

may be delayed. Do not submit W-2 and/or 1099 forms with your return. If you are iling an MI-1040X because you received a corrected W-2 you must complete a Schedule

W.Keep copies of your W-2s with your tax records for six years and have them available if requested by the Department of Treasury.

Michigan Residents. If you paid income tax to a governmental unit outside of Michigan, see instructions for

Schedule 2, line 5.

Completing the Withholding Tables

Lines not listed are explained on the form.

Complete the withholding tables using information from your W-2, 1099 and 4119 forms, and any other documents

that contain Michigan tax withheld. If you need additional space, attach another Schedule W.

Column D

Table 1: From W-2s, enter wages, tips, military pay, and other compensation.

Table 2: From 1099 or 4119 forms, or other withholding documents, enter unemployment compensation, taxable interest, ordinary dividends, miscellaneous income, bartering, taxable pension distributions in excess of contributions, state and local income tax refunds, credits or offsets, rents, royalties, and/or other taxable income from which Michigan tax was withheld.

Column F

Table 1: Enter city income tax withheld from Michigan

cities only.

Table 2: Enter Distribution Code from your 1099-R (if

applicable).

Line 1: Subtotal. Enter the total of Table 1, columns E and

F.Carry total from Table 1, column F, to the City Income Tax Worksheet in the MI-1040 Instruction Booklet. If you have no entries for Table 2, carry the amount from line 1, Column E, to line 3.

Line 3: Total. Enter total of line 1 from Table 1 and line 2 from Table 2 on line 3 and carry total to Form MI-1040, line 34.

Sample W-2

b. Employer Identiication Number

1. Wages, tips, other comp.

c. Employer’s name, address and ZIP code
	17. State income tax	19. Local income tax
Form W-2 Wage and Tax Statement	2009	OMB No. 1545-0008
Copy C for EMPLOYEE’S RECORDS	2009	Department of Treasury - Internal Revenue Service

4A	4B	C	D	4E	F
Enter “X”
if for:	Box b - Employer’s federal		Box 1 - Wages, tips,	Box 17 - Michigan	Box 19 - City
You or Spouse	identiication number	Employer’s Name	other compensation	income tax withheld	income tax withheld

▼ Michigan 3924 PDF Form

Document Specs

Fact Name	Description
Form Title	Michigan Department of Treasury Schedule W 3924
Revision Date	Revised in September 2009
Governing Law	Issued under authority of Public Act 281 of 1967
Purpose	Used to report Michigan income tax withheld for the year
Filing Requirement	Must be completed if Michigan income tax was withheld in 2009
Attachment	Attach Schedule W to Form MI-1040 or MI-1040X
Completion Instructions	Type or print in blue or black ink; format numbers correctly
Tables Included	Contains two tables for reporting tax withheld on W-2 and 1099 forms
Record Keeping	Keep copies of W-2s for six years for tax records

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