Form M1prx - Minnesota Amended Homestead Credit Refund (For Homeowners) And Renter Property Tax Refund - 2014

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201481
M1PRX, Amended Homestead Credit Refund (for Homeowners)
and Renter Property Tax Refund 2014
Your fi rst name and initial
Last name
Social Security number
Date of birth (mm/dd/yyyy)
If a joint return, spouse’s fi rst name and initial
Spouse's last name
Social Security number
Spouse’s date of birth
For department use only.
Current home address (street, apartment, route)
Do not write in this space.
City
State
Zip code
Effective interest date:
Place an X in the
Nursing home or adult
Mobile home
boxes that apply:
Renter
Homeowner
foster care resident
owner
Place an X in this box if your income changed because of a federal adjustment. Enclose a complete copy of the federal adjustment.
You will need the 2014 Property Tax Refund instruction booklet,
including refund tables, to complete this form.
Correct amount
1 Federal adjusted gross income (from line 37 of federal Form 1040 ,
line 21 of Form 1040A, or line 4 of Form 1040EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Nontaxable Social Security and/or Railroad Retirement Board benefi ts received
and not listed in line 1 above (determine from M1PR instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Deduction for contributions to a qualifi ed retirement plan (add lines 28 and 32 of federal Form
1040 or from line 17 of Form 1040A). Also see line 36 of this form . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4
Total payments from programs including MFIP (
MN Family Investment Program), MSA (MN Supplemental
. . . . . . . . . . 4
and GRH (
Aid), SSI (Supplemental Security Income), GA (General Assistance)
Group Residential Housing)
5 Additional nontaxable income such as distributions from a Roth account and worker’s
compensation benefi ts (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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
. . . . . 7
(you must use Schedule 2, on back)
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 2014 Certifi cate(s) of Rent Paid (CRP).
Continue with line 10; this amount is not your refund (you must enclose your CRPs) . . . . . . . . . . . 9
10 Renters: Using the amounts on line 8 and line 9, fi nd the amount to enter here from the
renter refund table in the M1PR 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 2015 . . . . . . . . . . . . . . . . . . . . 11
(Mobile home owners: See worksheet in M1PR instructions)
12 If claiming the special refund, enter amount from line 33, Schedule 1 on page 2 of this form . . . 12
13 Subtract line 12 from line 11 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Homeowners' Homestead Credit Refund: Using the amounts on line 8 and line 13, fi nd the
amount to enter here from the homeowner refund table in the M1PR instructions . . . . . . . . . . . . . 14
15 Add lines 10, 12 and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 ORIGINAL REFUND. Refund amount from line 15 of your original M1PR return,
previous amend or audit report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 ADDITIONAL REFUND. If line 15 is more than line 16, subtract line 16 from line 15 . . . . . . . . . . . 17
18 If line 16 is more than line 15, subtract line 15 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 AMOUNT YOU OWE. Add lines 18 and 19 (See M1PRX instructions) . . . . . . . . . . . . . . . . . . . . . . . . 20
You must sign the second page.
9995

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