Enlarge image | 1 1 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 3 3 4 NEAR FINAL DRAFT 8/7/24 4 5 5 6 *245811* 6 7 2024 Form M1PRX, Amended Homestead Credit Refund 7 8 8 9 You will need the 2024 Form M1PR instructions, including refund tables, to complete this form. Do not use staples on anything you submit. 9 10 10 11 YOUR FIRST NAME,INIT YOUR LAST NAMEXXXX 111223333 11/22/3333 11 12 Your First Name and Initial Last Name Your Social Security Number Your Date of Birth (MM/DD/YYYY) 12 13 SPOUSE FIRST NAME,IN SPOUSE LAST NAMEXX 111223333 11/22/3333 13 14 If a Joint Return, Spouse’s First Name and Initial Spouse’s Last Name Spouse’s Social Security Number Spouse’s Date of Birth 14 15 CURRENT HOME ADDRESSXXXXXXXXXXXXXXXXXXX Check if Address is: New X Foreign X 15 Current Home Address 16 16 17 CITYXXXXXXXXXXXXXXXXXX MN 11223 Check if Mobile Homeowner X 17 City State ZIP Code 18 Department use only: 18 19 PROPERTY ID NUMBER XXXXXXXXXXXXXXXXXXXXXX COUNTYXXXXXXXXXXX Effective interest date: 19 Property ID Number County where property is located 20 20 21 21 22 X Check this box if your changedincome because of a federal adjustment. Enclose a complete thecopy of federal adjustment. 22 23 23 24 24 25 1 Federal adjusted gross income Form of M1, instructionssee (from 1 line did notyou if Form M1)file . . . . . . . . . . . 1 12345678 25 26 26 27 2 Nontaxable Social Security and/or Railroad Retirement Board benefits (see instructions) . . . . . . . . . . . . . . . . . . . . . 2 12345678 27 28 28 29 3 Deduction for contributions to a qualified retirement plan (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 12345678 29 30 30 31 4 Total government assistance payments (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 12345678 31 32 32 33 5 Co-occupant Income (from line 13 of Worksheet 5 - Co-occupant Income. If negative, enter as a negative) . . . . . . 5 12345678 33 34 34 35 6 Additional Nontaxable Income. Add the amounts on column B below (see instructions) . . . . . . . . . . . . . . . . . . . . . 6 12345678 35 36 A — Type of Income B — Income Amount 36 37 37 38 a1 TYPE OF INCOME XXXXXXX b1 XXXXXXXXXXXXX 38 39 39 40 a2 TYPE OF INCOME XXXXXXX b2 XXXXXXXXXXXXX 40 41 41 42 a3 TYPE OF INCOME XXXXXXX b3 XXXXXXXXXXXXX 42 43 43 44 7 Add lines 1 through 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 12345678 44 45 Subtraction for 65 or older (born before January 2, 1960) or disabled: 45 8 46 If you (or your spouse if filing a joint return) are age 65 or older or are disabled, enter $5,050: . . . . . . . . . . . . . . . 8 12345678 46 47 47 48 Check the box if you or your spouse are: X (A) 65 or Older X (B) Disabled 48 49 49 50 9 Dependent Subtraction: Enter your subtraction for dependents (use worksheet in instructions) . . . . . . . . . . . . . . 9 12345678 50 51 Number of dependents: 12 Names and Social Security numbers: CHILD’S NAME SSNXXX 51 52 CHILD’S NAME SSN XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 52 53 10 Retirement Account Subtraction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 12345678 53 54 54 55 11 Total other subtractions (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12345678 55 56 Subtraction type SUBTRACTION TYPE XXXXXXXXXXXXXXXXXXXXXXXXXX 56 57 12 Add lines 8 through 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 12345678 57 58 58 59 13 Subtract line 12 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 12345678 59 60 60 61 61 62 62 63 9995 63 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 65 65 |
Enlarge image | 1 1 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 3 3 4 2024 M1PRX, page 2 4 5 5 6 *245821* 6 7 12345678901234 7 8 8 9 14 Property tax from line 1 of Statement of Property Taxes Payable in 2025 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 12345678 9 10 10 11 15 If claiming the special refund, enter amount from line 13 of Schedule M1PR-SR (see instructions) . . . . . . . . . . . 15 12345678 11 12 12 13 16 Subtract line 15 from line 14 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 12345678 13 14 14 15 17 Homestead Credit Refund (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 12345678 15 16 16 17 18 Add lines 15 and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 12345678 17 18 18 19 19 Original Refund. Refund amount from line 20 of Form M1PR (see Form M1PRX instructions) . . . . . . . . . . . . . . . . . 19 12345678 19 20 20 21 20 Additional Refund. If line 18 is more than line 19, Subtract line 19 from line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 12345678 21 22 22 23 21 If line 19 is more than line 18, Subtract line 18 from line 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 12345678 23 24 24 25 22 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 12345678 25 26 26 27 23 Amount you owe. Add lines 21 and 22 (see Form M1PRX instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 12345678 27 28 28 29 24 Direct deposit of your refund (you must use an account not associated with a foreign bank): 12 29 30 30 31 X Checking X Savings 123456789123456789 1234567890123456789 31 Routing Number Account Number 32 32 33 33 34 Taxpayer: I declare that this return is correct and complete to the best of my knowledge and belief. 34 35 35 36 11/22/3333 1112223333 36 37 Your Signature Spouse’s Signature (If Filing Jointly) Date (MM/DD/YYYY) Daytime Phone 37 38 11/22/3333 123456789 6515555555 38 39 Paid Preparer’s Signature Date (MM/DD/YYYY) PTIN or VITA/TCE # (required) Preparer’s Daytime Phone 39 40 40 41 X I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. 41 42 42 43 Explanation of change: In the box below, provide an explanation of your changes. Include supporting forms and schedules, such as corrected CRPs or 43 44 property tax statements. If you do not enclose the required information or provide an explanation, processing of your Form M1PRX will be delayed. 44 45 EXPLANATION OF CHANGE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 45 46 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 46 47 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 47 48 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 48 49 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 49 50 50 51 51 52 52 53 53 54 54 55 55 56 56 57 57 58 58 59 59 60 Mail to: Minnesota Property Tax Refund, 600 N. Robert St., St. Paul, MN 55146-0020 60 61 If you amended your special refund, you must enclose a corrected Schedule M1PR-SR, Special Refund. 61 62 62 63 9995 63 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 65 65 |