Form W-4mn - Minnesota Employee Withholding Allowance/exemption Certificate - Department Of Revenue - 2017 Page 2
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3Form W-4MN Instructions
Do not complete this form if you are claiming the same number of Minnesota allowances as federal and the number
claimed is 10 or less.
Employee Instructions
What’s New?
Note: You may be subject to a $500 penalty
Note: In order to avoid owing tax at the end
if you submit a false Form W-4MN.
of the year, you may not want to claim
Beginning with tax year 2016, you may
exempt if you (and/or your spouse when fil-
not have to pay Minnesota income tax on
Section 1 — Minnesota Allowances
ing a joint return) expect to have other forms
your military pension or other military
Claim the correct number of allowances. If
of income subject to Minnesota tax.
retirement pay calculated under Title 10,
you expect to owe more income tax for the
1401 through 1414, 1447 through 1455,
If you claim exempt from Minnesota with-
year than will be withheld:
and 12733. When you file your Minnesota
holding, you must provide your employer
• claim fewer allowances
individual income tax return, complete and
with a new Form W-4MN by February 15th
file Schedule M1M, Income Additions and
• request additional Minnesota taxes to be
of each year.
Subtractions, to subtract this income from
withheld from your wages (complete line
If another person can claim you as a depen-
your Minnesota taxable income.
3)
dent on his or her federal tax return, you
If you claim this subtraction, you may
Section 2 — Minnesota Exemption
cannot claim exempt from Minnesota with-
not claim the credit for past military
Your employer will not withhold Minnesota
holding if your annual income exceeds $950
service (reported on Schedule M1C, Other
taxes from your pay if you are exempt from
and includes more than $300 of unearned
Nonrefundable Credits) which is a credit
withholding. To claim exemption, you must
income.
available to individuals whose Adjusted
meet one of the following requirements:
Gross Income (AGI) is less than $37,500.
• You meet the federal requirements; you
Use of Information
Should I complete Form W-4MN?
claim exempt from federal withholding
All information on Form W-4MN is
Complete Form W-4MN and provide it to
on Form W-4; you had no Minnesota
private by state law. It cannot be given
your employer, if you do any of the follow-
income tax liability in the prior year; you
to others without your consent, except
ing:
received a full refund of Minnesota tax
to the Internal Revenue Service and to
withheld; and you expect to have no Min-
other states that guarantee the same
• Claim fewer Minnesota allowances than
nesota income tax liability for the current
privacy. Your name, address and Social
federal allowances (You may not claim
year.
Security number are required for
more Minnesota allowances than federal
identification. Information about your
allowances)
• You are the spouse of a military member
allowances is required to determine
assigned to duty in Minnesota, you and
• Claim more than 10 Minnesota allow-
your correct tax. We ask for your phone
your spouse are domiciled in another
ances
number so we can call you if we have a
state (the same state as one another) and
• Request additional Minnesota withhold-
question.
are present in Minnesota solely to be with
ing be deducted each pay period
your active duty military member spouse.
• Claim to be exempt from Minnesota
Employer instructions are on the next page.
• You are a member of an American Indian
income tax withholding (see Section 2
tribe living and working on the reserva-
instructions)
tion of which you are an enrolled member.
Before you complete Form W-4MN, deter-
• Your wages are for Minnesota National
mine the number of federal withholding
Guard (MNG) pay or for active duty U.S.
allowances you are claiming on federal Form
military pay. MNG and active duty U.S.
W-4. Then, determine the number of your
military members can claim exempt from
Minnesota withholding allowances.
Minnesota withholding on these wages,
Consider completing a new Form W-4MN if
even if taxable federally. For additional
your personal or financial situation changes.
information, see Income Tax Fact Sheet 5,
If you have not had sufficient income tax
Military Personnel.
withheld from your wages, interest and/or
• You receive a military pension or other
penalty charges may be assessed when you
military retirement pay calculated under
file your individual income tax return.
Title 10, 1401 through 1414, 1447 through
1455, and 12733. If you receive this
Your employer may be required to submit
income, you may claim exempt from Min-
copies of your Form W-4MN to the de-
nesota withholding on this income even if
partment.
taxable federally.
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