Form M1x, Amended Minnesota Income Tax - 2016 Page 2
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42016 M1X, page 2
201614
A. Original Amount or
B. Amount of Change
C. Correct
as Previously Adjusted
Increase or (Decrease)
Amount
18 Amount from line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Minnesota income tax withheld (Schedule M1W) . . . . . . . . . . . . . . . 19
20 Minnesota estimated tax payments made for 2016 . . . . . . . . . . . . . 20
21 Individual refundable credits including the Child and
Dependent Care Credit, Minnesota Working Family Credit,
K-12 Education Credit, and Credit for Parents of a
Stillborn Child. (Schedule M1REF) . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Business and investment credits (Schedule M1B). . . . . . . . . . . . . . . 22
23 Amount from line 30 of your original Form M1 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Total credits and tax paid. Add lines 19C through 22C and line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Amount from line 28 of your original Form M1 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Subtract line 25 from line 24 (if result is less than zero, enter the negative amount; do not enter 0) . . . . . . 26
27 REFUND. If line 26 is more than line 18C, subtract line 18C from line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
28 To have your refund direct deposited, enter the following. Otherwise, you will receive a check.
Account type
Routing number
Account number
(use an account not associated with any foreign bank)
Checking
Savings
29 Tax you owe. If line 18C is more than line 26, subtract line 26 from line 18C
(if line 26 is a negative amount, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 If you failed to timely report federal changes or the
IRS assessed a penalty, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Add line 29 and line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
32 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
33 AMOUNT DUE. Add line 31 and line 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
I declare that this return is correct and complete to the best of my knowledge and belief.
Your signature
Spouse’s signature LI ÀOLQJ MRLQW
Date
Daytime phone
Paid preparer’s signature
PTIN or VITA/TCE #
Date
Daytime phone
I authorize the MN Department of
Revenue to discuss this return with
the paid preparer and/or third party.
EXPLANATION OF CHANGE—Briefly explain each change below. If you checked the box for “Claim due to a pending court case” or “Other” on
the front of this form as your reason for amending, you must also give a brief explanation of the changes that you are making to your original
Minnesota income tax return. If you need more space, enclose another sheet.
<RX PXVW HQFORVH DQ\ FRUUHFWHG VFKHGXOHV DQG LI \RX ÀOHG DQ DPHQGHG IHGHUDO UHWXUQ D FRPSOHWH FRS\ RI )RUP ;
Mail to: Minnesota Amended Individual Income Tax,
Mail Station 1060, St. Paul, MN 55145-1060
9995
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