Form M1 - Individual Income Tax - 2012
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1
2M1
Individual Income Tax 2012
1211
201211
Leave unused boxes blank . Do not use staples on anything you submit .
Your Social Security number
Your first name and initial
Last name
Place
If joint return, spouse's first name & initial
Last name
Spouse's Social Security number
an X If a
Foreign
Address:
Current home address (street, apartment number, route)
Your date of birth (mmddyyyy)
Place an X if a
t
new address:
City
State
Zip code
Spouse's date of birth
2012 Federal
Filing Status
Single
Married filing joint
Married filing 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:
If you want $5 to go to help candidates for state offices pay
Republican . . . . . . . . . . . 11 Grassroots . . . . . . . . . . . 14
Spouse's Code:
Your Code:
campaign expenses, you may each enter the code number
Democratic Farmer-Labor 12 Green . . . . . . . . . . . . . . . .15
for the party of your choice . This will not increase your tax
Independent . . . . . . . . . . 13 General Campaign Fund 16
or reduce your refund .
From Your Federal Return (for line references see instructions, page 10), 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 (-)
t
00
00
00
00
1 Federal taxable income (from line 43 of federal Form 1040,
If negative number, use a minus sign (-)
t
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
on federal Form 1040, complete the worksheet on page 10 of the instructions . . . . . . 2
00
3 Other additions to income, including disallowed standard deduction for married/
widowed taxpayers, itemized deductions, personal exemptions, and non-Minnesota
bond interest (see instructions, page 11; 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, page 11; 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 on pages 23–29 of 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.
13 Tax on lump-sum distribution (enclose Schedule M1LS) . . . . . . . . . . . . . . . . . . . . . . . . 13
00
00
14 Tax before credits . Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
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