Blank Michigan 4652 PDF Form

How to Use Michigan 4652

Completing the Michigan 4652 form is an important task for those responsible for reporting State and Emergency 9-1-1 charges. This form requires careful attention to detail to ensure accurate reporting and compliance with state regulations. Below are the steps to guide you through filling out the form correctly.

1. Begin with Part 1: Account Information. Fill in the Business Name and Business Address including street number, P.O. Box, city, state, and ZIP code.
2. Enter your Federal Employer Identification Number (FEIN).
3. Select the Filing Period by marking the appropriate quarter (e.g., JAN-FEB-MAR).
4. Indicate the Year for the filing period.
5. Provide the Contact Person's Name and Contact Telephone Number.
6. Move to Part 2: State 9-1-1 Charges. In Section A, report the first 10 access points or lines. For each month, list the Number of Access Points or Lines Billed, the Charge (Rate), and calculate the Total.
7. Calculate the Total State 9-1-1 Charges collected by adding the totals from Section A.
8. In Section B, report any additional access points or lines beyond the first 10. Again, for each month, list the Number of Access Points or Lines, the Charge (Rate), and calculate the Total.
9. Add the totals from Section A and Section B to find the Total State 9-1-1 Charges collected.
10. Calculate the allowable amount the service supplier may retain by multiplying the total from the previous step by 2% (0.02).
11. Determine the Total State 9-1-1 Charges Due by subtracting the retention amount from the total charges collected.
12. Proceed to Part 3: Emergency 9-1-1 Charges. Choose either the Type I or Type II Calculation method for calculating Emergency 9-1-1 Charges.
13. If using Type I, enter the total earned prepaid revenue for the period, divide by $50, and then multiply by the Emergency 9-1-1 charge to find the total due.
14. If using Type II, enter the total number of active prepaid accounts for each month, multiply by the Emergency 9-1-1 charge, and calculate the retention amount (2% of the total). Subtract the retention from the total to find the Emergency 9-1-1 Charges Due.
15. In the Summary section, add the totals from State 9-1-1 Charges Due, Emergency 9-1-1 Charges due from Type I or Type II to find the final amount to pay.
16. Make your payment via Electronic Funds Transfer or check. Ensure the check is made payable to the State of Michigan and write your FEIN and “911 Charges” on the front.
17. Finally, complete Part 4: Certification. Sign the form, provide your telephone number, and date it.

Once you have filled out the form, double-check all entries for accuracy. This ensures compliance with state regulations and avoids any potential issues. After verifying your information, submit the completed form to the Michigan Department of Treasury as instructed.

What is the Michigan 4652 form used for?

The Michigan 4652 form is utilized to report and remit State 9-1-1 and Emergency 9-1-1 charges collected from service users. These charges are mandated by Public Act 32 of 1986 and are due to the Michigan Department of Treasury within 30 days following the end of each quarter. The form helps ensure that the funds collected are properly accounted for and submitted to the state.

How do I complete the Michigan 4652 form?

To complete the Michigan 4652 form, follow these steps:

1. Provide your business information, including name, address, and Federal Employer Identification Number (FEIN).
2. Select the appropriate filing period for your report.
3. In Part 2, report the State 9-1-1 charges collected from service users. This includes calculating charges for the first 10 access points or lines and any additional access points or lines.
4. In Part 3, report the Emergency 9-1-1 charges collected from prepaid customers. Choose either Type I or Type II calculation method for reporting.
5. Complete the certification section at the end of the form by signing and dating it.

Make sure to double-check all calculations and ensure that the form is filled out completely before submission.

Where do I send the completed Michigan 4652 form?

Once you have completed the Michigan 4652 form, you should send it to the Michigan Department of Treasury at the following address:

Be sure to mail the form in time to meet the 30-day deadline after the close of the quarter.

What if I have questions about the Michigan 4652 form?

If you have any questions or need assistance regarding the Michigan 4652 form, you can contact the Michigan Department of Treasury directly. Their phone number is (517) 636-4730. They can provide guidance on completing the form, understanding the charges, and any other inquiries you may have.

Filling out the Michigan 4652 form can be a straightforward process, but many individuals and businesses make common mistakes that can lead to delays or complications. Below is a list of nine mistakes to avoid when completing this important document.

1. Neglecting to provide complete business information. Ensure that your business name, address, and Federal Employer Identification Number (FEIN) are filled out accurately. Missing or incorrect information can lead to processing issues.
2. Incorrectly identifying the filing period. Be sure to select the correct quarter and year for your filing. Double-check that you have marked the right months to avoid confusion.
3. Failing to calculate charges accurately. When reporting State 9-1-1 Charges, calculate the total charges collected for each access point or line carefully. Errors in arithmetic can affect your total due.
4. Omitting additional access points. If you have more than ten access points or lines, do not forget to report these in Section B. Many overlook this section, leading to underreporting of charges.
5. Choosing the wrong calculation method for Emergency 9-1-1 Charges. CMRS suppliers must select either Type I or Type II calculation methods for reporting. Failing to stick with the chosen method in future filings can result in discrepancies.
6. Not retaining the allowable amount. If you are using the Type II calculation method, remember that you can retain 2% of the Emergency 9-1-1 Charges. Ensure this is reflected in your calculations.
7. Ignoring the certification section. It is crucial to sign and date the form. Without a signature, your filing may be considered incomplete, leading to potential penalties.
8. Submitting payments incorrectly. When making payments, ensure that you include your FEIN and the phrase “911 Charges” on the front of your check. This helps the Treasury identify your payment correctly.
9. Failing to keep copies of submitted forms. Always retain copies of the completed form and any supporting documentation for your records. This can be invaluable in case of future audits or inquiries.

By avoiding these common pitfalls, you can ensure a smoother experience when filing the Michigan 4652 form. Taking the time to double-check your work can save you from unnecessary headaches down the line.

The Michigan 4652 form is essential for reporting State 9-1-1 and Emergency 9-1-1 charges. However, it is often accompanied by other important documents that facilitate the reporting and compliance process. Below is a list of additional forms and documents commonly used alongside the Michigan 4652 form, each serving a specific purpose.

• Michigan Department of Treasury Form 4914: This form is used for reporting the sales tax collected by businesses. It helps ensure that all taxes are accurately accounted for and submitted to the state.
• Form W-9: This document is typically used to request the Taxpayer Identification Number (TIN) of a business or individual. It is crucial for accurate tax reporting and compliance.
• Form 1099: Issued to report various types of income, this form is important for businesses that have paid independent contractors or freelancers. It helps ensure that all income is reported for tax purposes.
• Annual Business License Renewal: Many businesses must renew their licenses annually. This document verifies that a business is operating legally and in compliance with local regulations.
• Emergency Services Provider Agreement: This agreement outlines the terms between service providers and emergency services. It ensures that both parties understand their responsibilities in providing emergency services.
• Financial Statements: These documents provide an overview of a business's financial health. They are often required for audits and can help in the evaluation of compliance with financial regulations.
• Payment Confirmation Receipts: These receipts serve as proof of payment for any charges or fees associated with the 9-1-1 services. They are important for record-keeping and for any potential audits.

By understanding the various forms and documents that accompany the Michigan 4652 form, businesses can better navigate their reporting obligations and maintain compliance with state regulations. Proper documentation not only aids in transparency but also helps avoid potential penalties associated with incomplete or inaccurate filings.

The Michigan 4652 form, which deals with State and Emergency 9-1-1 Charges, shares similarities with the IRS Form 941. Both documents are used for reporting purposes, specifically related to taxes and charges collected from service users. The IRS Form 941 is filed quarterly by employers to report income taxes, Social Security tax, and Medicare tax withheld from employee paychecks. Just like the Michigan 4652 requires businesses to report charges collected within a specific timeframe, the IRS Form 941 mandates employers to report these figures on a quarterly basis, ensuring compliance with tax obligations.

Another document that resembles the Michigan 4652 form is the Michigan Sales Tax Return (Form 5080). This form is also used by businesses in Michigan to report taxes collected from customers. Similar to the 4652 form, the Sales Tax Return requires businesses to calculate the total amount of tax collected over a specific period and remit that amount to the state. Both forms emphasize the importance of accurate reporting and timely submission, helping to ensure that the state receives the necessary funds for public services.

The Federal Excise Tax Return (Form 720) is another document that shares characteristics with the Michigan 4652 form. This federal form is used to report and pay excise taxes on specific goods and services, similar to how the Michigan form is used for reporting 9-1-1 charges. Both forms require detailed calculations of charges or taxes collected and have specific filing deadlines. They serve as a means for governments to track and collect funds that support essential services.

Additionally, the Michigan Corporate Income Tax (CIT) form has similarities with the Michigan 4652 form. Both documents are designed for businesses operating within the state and require them to report collected amounts related to their operations. The CIT form focuses on corporate income, while the 4652 form is centered around 9-1-1 charges. However, both forms share a common goal: ensuring that businesses contribute their fair share to state revenue.

The California Emergency Telephone Users Surcharge (ETUS) form is comparable to the Michigan 4652 form in that it addresses charges related to emergency services. This California form is used to collect a surcharge from users of telecommunication services, which is then allocated to emergency services. Like the Michigan form, it requires detailed reporting of charges collected and mandates timely submission, reflecting the importance of funding for emergency response systems.

Another similar document is the New York State 9-1-1 Surcharge Report. This form serves a purpose akin to the Michigan 4652, as it requires telecommunications providers to report and remit 9-1-1 surcharges collected from customers. Both forms focus on the collection of fees designated for emergency services, highlighting the critical nature of maintaining effective emergency response systems in their respective states.

The Federal Communications Commission (FCC) Form 499-A is another document that shares similarities with the Michigan 4652 form. This form is used by telecommunications providers to report their revenues and calculate contributions to the Universal Service Fund. Both forms require detailed financial reporting and are designed to ensure compliance with regulatory obligations. They play a crucial role in funding essential services, including emergency response and telecommunications infrastructure.

Moreover, the Texas 9-1-1 Service Fee Report has parallels with the Michigan 4652 form. This Texas form is used to report and remit 9-1-1 service fees collected from telecommunications customers. Both documents require businesses to calculate the total fees collected and submit them to the state within a specified timeframe. They underscore the importance of funding for emergency services, ensuring that communities have access to vital resources when needed.

Lastly, the Florida 9-1-1 Fee Remittance form is similar to the Michigan 4652 form in that it also deals with the collection and reporting of 9-1-1 fees. This Florida form requires telecommunications providers to report the fees collected from customers and remit those funds to the state. Both forms serve the same purpose of ensuring that emergency services are adequately funded, reflecting the shared responsibility of businesses to contribute to public safety initiatives.

When filling out the Michigan 4652 form, it’s important to follow certain guidelines to ensure accuracy and compliance. Here’s a list of things to do and avoid:

• Do double-check your business name and address for accuracy.
• Do ensure you have the correct Federal Employer Identification Number (FEIN) ready.
• Do use the appropriate sections for reporting State and Emergency 9-1-1 charges.
• Do calculate your total charges carefully, taking note of the different rates for access points.
• Don’t leave any sections blank; fill out all required fields completely.
• Don’t forget to sign and date the form before submission.

Following these tips will help ensure your form is completed correctly. If you have any questions, don’t hesitate to reach out to the Michigan Department of Treasury for assistance.

Misconceptions about the Michigan 4652 form can lead to confusion and errors in reporting. Here are five common misconceptions:

• Only large businesses need to file the form. Many believe that only large companies are required to submit the Michigan 4652 form. In reality, any business that collects State 9-1-1 and Emergency 9-1-1 Charges must file, regardless of size.
• The form is only due once a year. Some think that the Michigan 4652 form is an annual requirement. However, it must be submitted quarterly, with charges due within 30 days after each quarter ends.
• Emergency 9-1-1 Charges do not apply to prepaid services. There is a misconception that prepaid customers are exempt from Emergency 9-1-1 Charges. In fact, Commercial Mobile Radio Service (CMRS) suppliers must collect these charges from their prepaid customers.
• All access points are charged the same rate. Many assume that all access points incur the same charge. The first ten access points or lines are billed at a full rate, while additional lines are charged at a reduced rate.
• Filing the form is optional. Some believe that submitting the Michigan 4652 form is optional. It is a mandatory requirement for businesses that collect the specified charges, and failure to file can result in penalties.

The Michigan 4652 form is essential for reporting State 9-1-1 and Emergency 9-1-1 Charges. Here are some key takeaways to consider when filling out and using this form:

• Timely Submission: Completed forms must be returned to the Michigan Department of Treasury within 30 days of the close of each quarter.
• Accurate Reporting: Use Part 2 to report State 9-1-1 Charges from service users and Part 3 for Emergency 9-1-1 Charges from prepaid customers.
• Calculation Methods: Commercial Mobile Radio Service (CMRS) suppliers can choose between Type I or Type II methods for calculating Emergency 9-1-1 Charges, and must remain consistent in their choice for future filings.
• Retention Allowance: If using the Type II calculation method, CMRS suppliers may retain 2% of the Emergency 9-1-1 Charges collected.
• Payment Options: Payments can be made via Electronic Funds Transfer (EFT) or by check, with specific instructions for including the FEIN and “911 Charges” on the check.