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    4                                                                                  FINAL DRAFT — 10/2/23                                                                                                                                            4
    5                                                                                                                                                                                                                                                   5
    6                                                                                                                                                        *231111*                                                                                   6
    7                                                                                                                                                                                                                                                   7
       2023 Form M1, Individual Income Tax
    8  Do not use staples on anything you submit.                                                                                                                                                                                                       8
    9                                                                                                                                                                                                                                                   9
    10 YOUR FIRST NAME,IN                                             YOUR LAST NAMEXXXXX    123456789                                                                                                                   123456789                      10
    11 Your First Name and Initial                                    Last Name                                                  Your Social Security Number                                                             Your Date of Birth (MM/DD/YYYY)11

    12 SPOUSE FIRST NAME,IN                                           SPOUSE LAST NAMEXXX                                        123456789                                                                                123456789                     12
    13 If a Joint Return, Spouse’s First Name and Initial             Spouse’s Last Name                                         Spouse’s Social Security Number                                                         Spouse’s Date of Birth         13
    14 CURRENT HOME ADDRESSXXXXXXXXXXXXXXXXXXXXXXXXX                                                                             Check if Address is:                                                                     X     New X        Foreign    14
    15 Current Home Address                                                                                                                                                                                                                             15
    16 CITYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX  MN                                                                                                       123456789                                                                                16
    17 City                                                                                                                      State                                                                                   ZIP Code                       17

    18 2023 Federal Filing Status (place an X in one box):                                                                                                                                                                                              18
    19                                                                                                                                                                                                                                                  19
    20 X     (1) Single X   (2) Married Filing Jointly  X  (3) Married Filing Separately                                          (4)XHead of Household                                                         (5)XQualifying Surviving Spouse         20
    21                                                                Spouse Name      SPOUSE’S NAMEXXXX                                                                                                                                                21
    22                                                                Spouse SSN       123456789                                                                                                                                                        22
    23                                                                                                                                                                                                                                                  23
    24 State Elections Campaign Fund                                                                                                                                                                                                                    24
    25 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. This will not increase your tax or reduce your refund.25
    26                                  Political Party Code Numbers:              Republican . . . . . . . . . . . . . . .  .11 Grassroots/Legalize Cannabis 14                                               Legal Marijuana Now  . . . . . .  .17    26
    27 99         99                                                               Democratic/Farmer-Labor  . .  .12             Libertarian  . . . . . . . . . . . . . . .  .16                               General Campaign Fund  . . . .  .99      27
    28 Your Code      Spouse’s Code                                                                                                                                                                                                                     28
    29                                                                                                                                                                                                                                                  29
    30 From Your Federal Return (see instructions)                                                                                                                                                                                                      30
    31                                                                                                                                                                                                                                                  31
    32 1234567891                                1234567891                                    12345678                                                 1234567891                                                                                      32
    33 A. Wages, salaries, tips, etc.          B. IRA, pensions, and annuities                 C. Unemployment                                          D. Federal taxable income                                                                       33
    34                                                                                                                                                                                                                                                  34
    35     1 Federal adjusted gross income                 (from line 11 of federal Form 1040 and 1040-SR)   . . . .  . . . . .  . . . . . .  . . . . . .  . . . .  .    1                                                      12345678                35
    36                                                                                                                                                                                                                                                  36
    37     2  Additions to income from line 10 of Schedule M1M and line 9 of Schedule M1MB (see instructions)  . .  . . . . .  . .  .      2                                                                                    12345678                37
    38                                                                                                                                                                                                                                                  38
    39     3   Add lines 1 and 2       . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . .  .      3      12345678                39
    40                                                                                                                                                                                                                                                  40
    41     4   Itemized deductions (from Schedule M1SA) or your standard deduction (see instructions)   . . .  . . . . . . .  . . . . .  .  .      4                                                                            12345678                41
    42                                                                                                                                                                                                                                                  42
    43      5    Exemptions (from Schedule M1DQC)  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . .  .      5                                12345678                43
    44                                                                                                                                                                                                                                                  44
    45     6   State income tax refund from line 1 of federal Schedule 1  . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . .  .      6                                             12345678                45
    46                                                                                                                                                                                                                                                  46
    47      7  Subtractions from line 35 of Schedule M1M and line 21 of Schedule M1MB (see instructions) . . . . . . . . . . . . . .         7                                                                                  12345678                47
    48                                                                                                                                                                                                                                                  48
    49     8  Total subtractions. Add lines 4 through 7  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . .  .       8                                 12345678              49
    50                                                                                                                                                                                                                                                  50
    51     9 Minnesota     taxable income       . Subtract line 8 from line 3. If zero or less, leave blank.    . . . .  . . . . . .  . . . . .  . . . . . .  .  .      9                                                       12345678                51
    52                                                                                                                                                                                                                                                  52
    53    10 Tax   from the table or schedules in the Form M1 instructions    . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  .  .     10                                                  12345678                53
    54                                                                                                                                                                                                                                                  54
    55    11   Alternative minimum tax (enclose Schedule M1MT)   . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . . 11                                                   12345678              55
    56                                                                                                                                                                                                                                                  56
    57    12   Add lines 10 and 11     . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . 12                 12345678              57
    58    13 Full-year   residents:    Enter the amount from line 12 on line 13. Skip lines 13a and 13b.                                                                                                                                                58
    59         Part-year residents and nonresidents: From Schedule M1NR, enter the amount from line 32 on                                                                                                                                               59
    60         line 13, from line 28 on line 13a, and from line 29 on line 13b (enclose Schedule M1NR)  . .  . . . . . . .  . . . . .  . . . . .     13                                                                         12345678                60
    61          13a         12345678     13b                           12345678                                                                                                                                                                         61
    62                                                                                                                                                                                                                                                  62
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    4            2023 M1, page 2                                                                                                                                               4
    5                                                                                                                                                                          5
    6                                                                                                                            *231121*                                      6
    7    14  Other taxes, such as recapture amounts and the tax on lump-sum distributions (check appropriate boxes)                                                            7
    8                                                                                                                                                                          8
    9      X       (a) Schedule M1HOME     X   (b) Schedule M1529       X           (c) Schedule M1LS . . . . . . . . . . . . . . . . . . . .     14         12345678          9
    10                                                                                                                                                                         10
    11 15     Tax before credits. Add lines 13 and 14 ... ...... ..... ....... ..... ...... ..... ..... ...... ...... .....     15                           12345678          11
    12                                                                                                                                                                         12
    13 16  Amount from line 21 of Schedule M1C, Nonrefundable Credits (enclose Schedule M1C)         ... ...... ..... .....     16                           12345678          13
    14                                                                                                                                                                         14
    15 17   Subtract line 16 from line 15 (if result is zero or less, leave blank) ... ...... ..... ....... ..... ...... .....                    17         12345678          15
    16 18   Nongame Wildlife Fund contribution (see instructions)                                                                                                              16
    17       This will reduce your refund or increase the amount you owe ... ...... ..... ....... ..... ..                           18                      12345678          17
    18                                                                                                                                                                         18
    19 19   Add lines 17 and 18 ... ...... ..... ....... ..... ...... ..... ..... ...... ...... ...... ..... ...... ..... . 19                               12345678          19
    20                                                                                                                                                                         20
    21 20  Minnesota income tax withheld. Complete and enclose Schedule M1W to report                                                                                          21
    22       Minnesota withholding from Forms W-2, 1099, and W-2G and Schedules KPI, KS, and KF  . ..... ...... ..... ...                         20         12345678          22
    23                                                                                                                                                                         23
    24 21   Minnesota estimated tax and extension payments made for 2023  . ..... ...... ...... ..... ...... ..... ..     21                                 12345678          24
    25                                                                                                                                                                         25
    26 22   Amount from line 11 of Schedule M1REF, Refundable Credits (see instructions; enclose Schedule M1REF) ... .     22                                12345678          26
    27                                                                                                                                                                         27
    28 23   Total payments. Add lines 20 through 22  ...... ....... ..... ..... ...... ..... ...... ....... ..... .....     23                               12345678          28
    29 24   REFUND. If line 23 is more than line 19, subtract line 19 from line 23 (see instructions).                                                                         29
    30       For direct deposit, complete line 25  ...... ..... ...... ...... ...... ..... ..... ...... ...... ...... ....     24                            12345678          30
    31                                                                                                                                                                         31
    32 25   Direct deposit of your refund  (you must use an account not associated with a foreign bank):                                                                       32
    33        X  Checking X       Savings     123456789                            12345678901234567                                                                           33
    34                                        Routing Number                       Account Number                                                                              34
    35 26   AMOUNT YOU OWE. If line 19 is more than line 23, subtract line 23 from line 19 (see instructions)  .... ....     26                              12345678          35
    36 27  Penalty amount from Schedule M15 (see instructions). Also subtract                                                                                                  36
    37       this amount from line 24 or add it to line 26 (enclose Schedule M15)    ... ...... ..... ....... ..... ...... ..     27                         12345678          37
    38                                                                                                                                                                         38
    39 28  Penalty and interest (see instructions)  ... ...... ..... ..... ...... ...... ..... ...... ..... ...... ......     28                             12345678          39
    40 IF YOU PAY ESTIMATED TAX and want part of your refund credited to estimated tax, complete lines 29 and 30.                                                              40
    41 29   Amount from line 24 you want sent to you  .. ..... ...... ...... ..... ...... ..... ....... ..... ...... ..                           29         12345678          41
    42                                                                                                                                                                         42
    43 30  Amount from line 24 you want applied to your 2024 estimated tax  .... ...... ..... ..... ...... ...... ...     30                                 12345678          43
    44                                                                                                                                                                         44
    45 Taxpayer(s): I declare that this return is correct and complete to the best of my knowledge and belief.                                                                 45
    46                                                                                                                                                                         46
    47                                                                                                                                            04/15/2024                   47
    48 Your Signature                                                              Spouse’s Signature (If Filing Jointly)                         Date (MM/DD/YYYY)            48

    49 6515555555                                                                  YOUR EMAIL ADDRESS XXXXXXXXXX                                                               49
    50 Daytime Phone                                                               Email Address                                                                               50
    51 6515555555                                                                  04/15/2024                                                     123456789                    51
    52 Paid Preparer’s Signature                                                   Date (MM/DD/YYYY)                                              PTIN or VITA/TCE # (required)52
    53 6515555555                                                                  PREP EMAIL ADDRESS XXXXXXXXXX                                                               53
    54 Preparer’s Daytime Phone                                                    Preparer’s Email Address                                                                    54
    55                                                                                                                                                                         55
    56 X   I do not want my paid preparer to file my return electronically.        X I authorize the Minnesota Department of Revenue to discuss this tax return                56
    57                                                                               with the preparer or the third-party designee indicated on my federal return.             57
    58                                                                                                                                                                         58
    59                                                                                                                                                                         59
    60                                                                                                                                                                         60
    61     Include a copy of your 2023 federal return and schedules.                                                                                                           61
    62     Mail to:  Minnesota Individual Income Tax, Mail Station 0010, 600 N. Robert St., St. Paul, MN 55146-0010                                                            62

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