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    3                                                                                                                                                                                                                                                                                                                    NEAR FINAL DRAFT 8/6/24                                                                                                                                                           3
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    5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      5
    6                                                                                                                                                                                                                                                                                                                                                                                                                                                *245211*                                              6
    7  2024 Form M1PR, Homestead Credit Refund                                                                                                                                                                                                                                                                                                                                                                                                                                                             7
    8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      8

    9  YOURFirstYour Name and Initial            FIRST NAME,INIT                                                                                                                                                                                                                                           YOURLast Name LAST NAMEXXXX                           SocialYour Security Number   999999999                                                    Your Date01/01/1111of Birth (MM/DD/YYYY)        9
    10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     10

    11 SPOUSEIf a Joint Return, FirstSpouse’s Name and Initial FIRST NAME,IN                                                                                                                                                                                                                               SPOUSESpouse’sLast Name LAST NAMEXX                   Spouse’s999999999Social Security Number                                                   Spouse’s Date02/02/2222Birthof                  11
    12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     12
                                                                                                                                                                                                                                                                                                                                                                 Check                        if Address  is:                      New                 Foreign
    13 CURRENTCurrent Home Address HOME ADDRESSXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                                                                                                                     X      X                                                          13
    14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     14
                                                                                                                                                                                                                                                                                                                                                                                                                                Check if Mobile Home Owner                                  
    15     CityCITYXXXXXXXXXXXXXXXXXXXXXX                State                                                                                                                                                                                                                                                                                                   ZIP Code  12345                                                                                                X                          15
    16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     16
    17 11111222222233333333                       COUNTYXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                                                                                                                                                                              17
    18     Property ID Number                                                                                                                                                                                                                                                                                                                                    County where property is located                                                                                                          18
    19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     19
    20     State Elections Campaign Fund: To grant $5 to this fund, enter the code for the party of your choice. It will help candidates for state offices pay campaign expenses.                                                                                                                                                                                                                                                                                                                          20
    21     This will not increase your tax or reduce your refund.                                                                                                                                                                                                                                                                                                                                                                                                                                          21
    22               99                                           99                                                                                                   Political Party Code Numbers:                                                                                                                               Republican . . .  . . . . . .  . . . . .  . . 11                Grassroots/Legalize Cannabis Legal14 Marijuana Now                             .  . . . . .  . 17       22
    23 Your Code          Spouse’s Code                                                                                                                                                                                                                                                                                            Democratic/Farmer-Labor  . .  . 12                              Libertarian          . . .  . . . . . .  . . . . .  . . 16  General Campaign Fund         . . .  . . 99 23
    24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     24
    25          1 Federal adjusted gross income                                                                                                                          (from Line                                                            did you if Form file not instructions of 1 M1)see M1, Form                                                                                                               . . .  . . . . .  .    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 on federal Schedule 1 (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                  13 line Worksheetof (from     Co-occupant5 -            negative,If Income.       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       INCOMETYPEXXXXXXXXXX                                                                                                                                                                                                                                                    b1                  12345678                                                                                                                                                      38
    39                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     39
    40                                  a2       INCOMETYPEXXXXXXXXXX                                                                                                                                                                                                                                                    b2                  12345678                                                                                                                                                      40
    41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     41
    42                                  a3       INCOMETYPEXXXXXXXXXX                                                                                                                                                                                                                                                    b3                  12345678                                                                                                                                                      42
    43       7                          Add lines 1 through 6  . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . 7                                                                                                                                                                                                                                             12345678                   43
    44                 Subtraction for 65 or older (born before January 2, 1960) or disabled:                                                                                                                                                                                                                                                                                                                                                                                                              44
              8
    45                 If you (or your spouse if filing a joint return) are age 65 or older or are disabled, enter $5,050:                                                                                                                                                                                                                                                                                . . .  . . . . . .  . . . .   8                                       12345678                   45
    46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     46
    47                                  Check the box if you or your spouse are: X                                                                                                                                                                                                                                 A) 65 or Older  X   (B) Disabled                                                                                                                                                        47
    48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     48
    49       9  Dependent Subtraction:  Enter your subtraction for dependents (use worksheet in instructions)  . . .  . . . . . .  . . .   9                                                                                                                                                                                                                                                                                                                                    12345678                   49
    50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     50
    51                 Number of dependents:                                                                                        12                                                                                                                                                                                                                                                                                                                                                                     51
    52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     52
    53                 Names and Social Security numbers:                                                                                                                                                                                                                                                  NAMESSNXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                             53
    54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     54
    55      10         Retirement Account Subtraction (see instructions)  . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  .  . 10                                                                                                                                                                                                                                                                                      12345678                   55
    56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     56
    57      11         Total other subtractions (see instructions)  .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . 11                                                                                                                                                                                                                                                                              12345678                   57
    58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     58
    59                 Subtraction type SUBTRACTION TYPE XXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                                                                                                                                                                       59
    60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     60
    61      12         Add lines 8 through 11  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  .  .  12                                                                                                                                                                                                                                                              12345678                   61
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    4  2024 Form M1PR, page 2                                                                                                                                                                                                                                   4
    5                                                                                                                                                                                                                                                           5
    6                                                                                                                                                                                                                *245221*                                   6
    7                                                                                                                                                                                                                                                           7
    8   13    Subtract line 12 from line 7              . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . .  .  13             12345678                         8
    9                                                                                                                                                                                                                                                           9
    10  14             Property tax from line 1 of Statement of Property Taxes Payable in 2025   . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  14                                                       12345678                            10
    11                                                                                                                                                                                                                                                          11
    12 15              If claiming the special refund, enter amount from line 13 of Schedule M1PR-SR (see instructions)   . . . .  . . . .  .  15                                                                              12345678                         12
    13                                                                                                                                                                                                                                                          13
    14 16       Subtract line 15 from line 14 (if result is zero or less, leave blank)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . .  .   16                                                  12345678                         14
    15                                                                                                                                                                                                                                                          15
    16 17              Homestead Credit Refund (see instructions)  . .  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  .  .   17                                 12345678                         16
    17                                                                                                                                                                                                                                                          17
    18 18       Add lines 15 and 17            . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . .  .   18        12345678                         18
    19                                                                                                                                                                                                                                                          19
    20 19              Nongame Wildlife Fund contribution. Your refund will be reduced by this amount    . . .  . . . . . .  . .  .                                          19                                                12345678                         20
    21                                                                                                                                                                                                                                                          21
    22 20              Your Refund. Subtract line 19 from line 18. Continue to line 21 . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . .  20                                                12345678                         22
    23                                                                                                                                                                                                                                                          23
    24 21     Direct deposit of your refund (you must use an account not associated with a foreign bank):                                                                                                                                                       24
    25                                                                                                                                                                                                                                                          25
    26                 X          Checking  X  Savings 1234567891234567891                             1234567890123456789                                                                                                                                      26
    27                                                 Routing Number                                  Account Number                                                                                                                                           27
    28                                                                                                                                                                                                                                                          28
    29 Taxpayer: I declare that this return is correct and complete to the best of my knowledge and belief.                                                                                                                                                     29
    30                                                                                                                                                                                                                                                          30
    31                                                                                                                 11/22/3333                                      1234567891                                                                               31
    32 Your Signature                                         Spouse’s Signature (If Filing Jointly)                           Date (MM/DD/YYYY)                                                                        Daytime Phone                           32

    33 Paid Preparer’s Signature                              11/22/3333            Date (MM/DD/YYYY)                  1112223333VITA/TCEPTIN or    # (required)                                                     1234567891Preparer’s Daytime Phone         33
    34                                                                                                                                                                                                                                                          34
                       I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer.
    35 X                                                                                                                                                                                                                                                        35
    36                                                                                                                                                                                                                                                          36
    37                                                                                                                                                                                                                                                          37
    38 Mail to: Minnesota Property Tax Refund, Mail Station 0020, 600 Robert St. N., St. Paul, MN 55146-0020                                                                                                                                                    38
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