*235711*

2023 Schedule M1PR-AI, Additions to Income
Complete Schedule M1PR-AI, Additions to Income, to report amounts for line 5 of Form M1PR, Homestead Credit Refund (for Home-
owners) and Renter’s Property Tax Refund. Enter the type of income that was received in Column A and the amount in Column B.  
See instructions to determine which types of income to include.

Your First Name and Initial                        Last Name                                                     Your Social Security Number 

If a Joint Return, Spouse’s First Name and Initial Spouse’s Last Name                                            Spouse’s Social Security Number 
      Column A — Type of Income Received                                                                         Column B —Amount

  1a                                                                                       1b 

  2a                                                                                       2b 

  3a                                                                                       3b 

  4a                                                                                       4b 

  5a                                                                                       5b 

  6a                                                                                       6b 

  7a                                                                                       7b 

  8a                                                                                       8b 

  9a                                                                                       9b 

  10a                                                                                      10b 

11a                                                                                        11b 

12a                                                                                        12b 

13a                                                                                        13b 

14a                                                                                        14b 

15a                                                                                        15b 

16a                                                                                        16b 

17a                                                                                        17b 

18a                                                                                        18b 

19a                                                                                        19b 

20  Total of Column B. Add all amounts in Column B. Enter here and on line 5 of Form M1PR .... ..... ....... ..20

You must include this schedule with your Form M1PR. If you had more than 19 items, include a statement with the type of income 
and amounts received.

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