Form Mwr - Reciprocity Exemption/affidavit Of Residency For Tax Year 2013 Page 2
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1
2Instructions for Form MWR
Instructions for Employees
Instructions for Employers
If your return has already been filed, mail
this form to Minnesota Revenue, Mail Sta-
Minnesota has income tax reciprocity
Employees who reside in Michigan or North
tion 6501, St. Paul MN 55146-6501.
agreements with Michigan and North
Dakota who ask you not to withhold Min-
Dakota.
nesota income tax from their wages must
Fill Out the Form Completely
complete this form and give it to you each
If you are a resident of one of these two
If you do not fill in every item on this form,
year by the later of February 28 or within
states and you return to your residence in
your employer must withhold Minnesota
30 days after they begin working for you or
Michigan or North Dakota at least once a
income tax from your wages using the same
change their residence. Employees who live
month, you do not have to pay Minnesota
marital status and number of allowances
in other states, including Minnesota, cannot
income tax on wages you earn for work in
you claimed on your federal Form W-4.
use this form.
Minnesota. You must, however, pay tax to
Sign and date the form. Fill in a phone
your state of residence on wages earned
If an employee does not fill in every item of
number where you can be reached during
from a Minnesota employer.
Form MWR, you must withhold Minnesota
the day.
income tax, using the same marital status
If you do not want Minnesota tax with-
and number of allowances claimed on the
Penalties
held from your wages, complete this form
employee’s federal Form W-4.
If you make any statements on this form
and give it to your employer by the later
of February 28 or within 30 days after you
that you know are incorrect, you may be
If the employee provides you with a prop-
begin working or change your permanent
assessed a $500 penalty.
erly completed Form MWR, the employee
residence. You must give your employer
is not required to complete Form W-4MN
Use of Information
a new form each year if you want to stay
to claim exemption from Minnesota income
All information on Form MWR is private by
exempt from Minnesota withholding tax.
tax withholding.
state law. It may only be given to your state
Do not complete Form W-4MN, Minnesota
Submit completed Forms MWR to the de-
of residence, the Internal Revenue Service
Employee Withholding Allowance/Exemption
partment. By March 31 of each year, send
and to other state tax agencies as provided
Certificate, to claim exemption from Min-
the completed Forms MWR you received
by law. The information may be compared
nesota withholding tax.
to Minnesota Revenue, Mail Station 6501,
with other information you furnished to the
If you do not complete Form MWR and
St. Paul, MN 55146-6501. You must keep a
Department of Revenue.
give it to your employer by the due date,
copy of all forms for five years from the date
Your name, address and Social Security
your employer must withhold Minnesota
received.
number are required for identification.
taxes from your wages.
For new employees or employees who
Your address is also required to verify your
change their state of residence, send the
If you want a refund of tax already
state of residence. Your employer’s name,
form within 30 days after the employee
withheld for the year, and you want your
Minnesota tax ID number, address and
gives it to you.
employer to:
phone number are required in case we have
to contact your employer regarding with-
• Continue withholding Minnesota tax
You may be assessed a $50 penalty for each
holding tax from your wages. If you do not
from your wages for next year, include
form you are required to send us but do not.
complete the information, your employer is
this form when you file your Form M1,
required to withhold Minnesota income tax
Minnesota Individual Income Tax Return.
Information and Assistance
from your wages.
Do not give it to your employer.
If you need help or additional information,
• Stop withholding Minnesota tax, give
The only information not required is your
call 651-282-9999 or 1-800-657-3594 (TTY:
this form to your employer and include a
phone number. However, we ask that you
Call 711 for Minnesota Relay). Or, send an
copy when you file your Form M1.
provide it so we can contact you quickly if
email to withholding.tax@state.mn.us.
we have questions.
If you have not yet filed your Form M1 and
Forms are available on our website at
you will be filing:
or by calling
651-296-4444 or 1-800-657-3676 from
• electronically, fax this form to the de-
within Minnesota. You can also write for
partment at 651-556-5130 at least one
forms at the following address:
business day before you electronically file
your return.
Minnesota Tax Forms
Mail Station 1421
• a paper return, include this form when
St. Paul, MN 55146-1421
you file your Form M1.
We’ll provide information in other formats
upon request to persons with disabilities.
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