M1
2014 Individual Income Tax
201411
1411
Leave unused boxes blank. Do not use staples on anything you submit.
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
Place
an X If a
Foreign
Address:
Current Home Address (Street, Apartment Number, Route)
Your Date of Birth
Place an X if a
t
new address:
City
State
Zip Code
Spouse’s Date of Birth
MN
2014 Federal
Filing Status
Single
Married fi ling joint
Married fi ling separate:
(1)
(2)
(3)
(place an X in
Head of
Enter spouse’s name and
(4)
one oval box):
household
Qualifying widow(er)
Social Security number here
(5)
State Elections Campaign Fund
Political Party and Code Number:
Republican . . . . . . . . . . . 11 Grassroots . . . . . . . . . . . 14
If you want $5 to go to help candidates for state of-
Spouse's Code:
Your Code:
fi ces pay campaign expenses, you may each enter
Democratic Farmer-Labor 12 Libertarian . . . . . . . . . . . 16
the code number for the party of your choice. This
will not increase your tax or reduce your refund.
Independent . . . . . . . . . . 13 General Campaign Fund 99
From Your Federal Return (for line references see instructions), enter the amount of:
D Federal adjusted gross income :
A Wages, salaries, tips, etc.:
B IRA, Pensions and annuities:
C Unemployment:
If negative number, use a minus sign (-)
00
00
00
00
If negative number, use a minus sign (-)
1 Federal taxable income (from line 43 of federal Form 1040,
line 27 of Form 1040A or line 6 of Form 1040EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
00
2 State income tax or sales tax addition. If you itemized deductions
00
on federal Form 1040, complete the worksheet in the instructions . . . . . . . . . . . . . . . 2
3 Other additions to income, including disallowed itemized deductions,
personal exemptions, non-Minnesota bond interest and domestic production
activities deduction (see instructions; enclose Schedule M1M) . . . . . . . . . . . . . . . . . . . 3
00
If negative number, use a minus sign (-)
4 Add lines 1 through 3 (if a negative number, place an X in the oval box) . . . . . . . . . . . . 4
00
5 State income tax refund from line 10 of federal Form 1040 . . . . . . . . . . . . . . . . . . . . . 5
00
6 Other subtractions, such as net interest or mutual fund dividends from U.S. bonds
or K-12 education expenses (see instructions; enclose Schedule M1M) . . . . . . . . . . . 6
00
7 Total subtractions. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
00
8 Minnesota taxable income.
8
Subtract line 7 from line 4. If zero or less, leave blank. . . . .
00
9 Tax from the table in the M1 instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
00
10 Alternative minimum tax (enclose Schedule M1MT) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
00
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12
Full-year residents: Enter the amount from line 11 on line 12. Skip lines 12a and 12b.
Part-year residents and nonresidents: From Schedule M1NR, enter the tax from line 27 on
. . . . 12
line 12, from line 23 on line 12a, and from line 24 on line 12b (enclose Schedule M1NR)
00
a.
b.
00
13 Tax
on lump-sum distribution (enclose Schedule M1LS) . . . . . . . . . . . . . . . . . . . . . . . 13
14 Tax before credits. Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
00
9995