2013 Schedule M1SA, Minnesota Itemized Deductions
Sequence #19
Your First Name and Initial
Last Name
Social Security Number
You must complete federal Schedule A before you can complete this schedule.
1 Medical and Dental expenses (from line 1 of your federal Schedule A) . . . . . . . . . . . 1
2 Minnesota Adjusted Gross Income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Multiply line 2 by 10% (.10) . If age 65 or older, multiply line 2 by 7 .5% (.075) . . . . . 3
4 Subtract line 3 from line 1 . If line 3 is more than line 1, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Total Taxes (from line 9 of your federal Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Total interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Mortgage insurance premiums (from line 13 of your federal Schedule A) . . . . . . . . . 7
8 Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Gifts by cash or check (determine from instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Gifts other than by cash or check (determine from instructions) . . . . . . . . . . . . . . . 10
11 Carryover from prior years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Add lines 9 through 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Casualty or theft loss(es) (determine from the worksheet in instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Miscellaneous deductions (from line 24 of your federal Schedule A. Also
include educator expenses you deducted on line 23 of
Form 1040 or line 16 of Form 1040A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Minnesota Adjusted Gross Income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Multiply line 15 by 2% (.02) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Subtract line 16 from line 14 . If line 16 is more than line 14, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Enter the amount from line 28 of your federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Add lines 4, 5, 8, 12, 13, 17 and 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Enter the amount from line 29 of your federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 If your Minnesota Adjusted Gross Income is LESS than or equal to $178,150 (or $89,075 if your filing
status is married filing separate), subtract line 19 from line 20 .
Enter the result here, and, if positive, enter the amount on line 2 of Schedule M1M .
If the result is negative enter as a positive number on line 37 of Schedule M1M . STOP HERE . . . . . . . . . 21
If your Minnesota Adjusted Gross Income is MORE than $178,150 (or $89,075 if filing married separate),
skip line 21 and continue to line 22 .
22 Enter your limited Minnesota Itemized Deductions (determine from the worksheet in instructions) . . . . 22
23 Subtract line 22 from line 20, enter the amount here, and, if positive, enter the amount on line 2
of Schedule M1M . If the result is negative enter as a positive number on line 37 of Schedule M1M . . . . 23
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