This version of the form is not currently in use and is provided for reference only. Download this version of Form 5012 for the current year.
This is a legal form that was released by the Michigan Department of Treasury - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 5012?
A: Form 5012 is a form used by retailers in Michigan for reporting and paying the prepaid wireless 9-1-1 surcharge.
Q: What is the prepaid wireless 9-1-1 surcharge?
A: The prepaid wireless 9-1-1 surcharge is a fee imposed on the sale of prepaid wireless service in Michigan to support the funding of 9-1-1 emergency services.
Q: Who is required to file Form 5012?
A: Retailers selling prepaid wireless service in Michigan are required to file Form 5012 and remit the prepaid wireless 9-1-1 surcharge.
Q: How often is Form 5012 filed?
A: Form 5012 is filed on a quarterly basis.
Q: What information is required on Form 5012?
A: Form 5012 requires retailers to provide information on their sales of prepaid wireless service and calculate the amount of surcharge due.
Form Details:
Download a fillable version of Form 5012 by clicking the link below or browse more documents and templates provided by the Michigan Department of Treasury.