Form M1pr - Homestead Credit Refund (For Homeowners) And Renter'S Property Tax Refund - 2013
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2013 Form M1PR, Homestead Credit Refund (for
Homeowners) and Renter’s Property Tax Refund
Leave unused boxes blank. DO NOT USE STAPLES.
Your Social Security number
Last name
Your first name and initial
Last name
Spouse's Social Security number
Mark
If a joint return, spouse's first name and initial
an X if a
foreign
address:
Current address (street, apartment number, route)
Your date of birth (mmddyyyy)
New address
Spouse's date of birth
City
Zip code
State
Mark an X in
Nursing Home or Adult
Mobile Home
Renter
Homeowner
the oval boxes
Foster Care Resident
Owner
that apply:
Political party and code number:
State Elections Campaign Fund. If you did not designate
Your
Spouse’s
Republican . . . . . . . . . . . . . . . 11 Grassroots . . . . . . . . . . . . . . 14
code:
code:
on your 2013 Form M1, and you want $5 to go to candidates
Democratic/Farmer-Labor . . 12 Libertarian . . . . . . . . . . . . . . . 16
for state offices for campaign expenses, enter the code number
Independent . . . . . . . . . . . . . 13 General Campaign Fund . . . . 99
for the party of your choice. This will not reduce your refund.
If negative number, use
1 Federal adjusted gross income (from line 37 of federal Form 1040,
a minus sign (-)
line 21 of Form 1040A, or line 4 of Form 1040EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Nontaxable Social Security and/or Railroad Retirement Board benefits received
and not included in line 1 above (determine from instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Deduction for contributions to a qualified retirement plan (add lines 28 and 32 of federal
Form 1040 or from line 17 of Form 1040A). Also see line 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4
Total welfare received, including MFIP
MSA
(Minnesota Family Investment Program),
(Minnesota Supplemental
4
SSI
GA
and GRH
. . . . . . . . .
Aid),
(Supplemental Security Income),
(General Assistance)
(Group Residential Housing)
5 Additional nontaxable income such as distributions from a Roth account and worker’s compensation . .
benefits (see instructions). Also include adjustments from lines 15 or 19 of Schedule M1NC . . . . . . . 5
Income Types:
6 Add lines 1 through 5. If your income is less than the rent you paid, enclose an explanation . . . . 6
7 Dependent, elderly and retirement contribution subtraction (from line 34) . . . . . . . . . . . . . . . . . . . 7
8 Total household income. Subtract line 7 from line 6 (if result is zero or less, leave blank) . . . . . . 8
9 Renters: Line 3 of your 2013 Certificate(s) of Rent Paid (CRP).
Continue with line 10; this amount is not your refund (enclose your CRPs) . . . . . . . . . . . . . . . . . . . 9
10 Renters: Using the amounts on line 8 and line 9, find the amount to enter here from the
renters refund table in the instructions. Continue with line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ALL HOMEOWNERS: REQUIRED — Property ID number (use numbers only):
County in which the property is located
11 Property tax from line 1 of Statement of Property Taxes Payable in 2014 . . . . . . . . . . . . . . . . . . . 11
(Mobile home owners: See instructions)
12 If claiming the special refund, enter amount from line 30, Schedule 1 (see instructions) . . . . . 12
13 Subtract line 12 from line 11 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Homestead Credit Refund: Using the amounts on line 8 and line 13, find the
amount to enter here from the homeowners refund table in the instructions . . . . . . . . . . . . . . . . 14
15 Add lines 10, 12 and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Nongame Wildlife Fund contribution. Your refund will be reduced by this amount . . . . . . . . . . . . 16
17 YOUR REFUND. Subtract line 16 from line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
9995
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