Form M1x - Amended Minnesota Income Tax - 2012

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201213
Form M1X, Amended Minnesota Income Tax 2012
Your First Name and Initial
Last Name
Social Security Number
Date of Birth (mm/dd/yyyy)
If a Joint Return, Spouse’s First Name and Initial
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.
Effective interest date:
City
State
Zip Code
Filing status claimed . Note: You cannot change from joint to separate returns after the due date has passed.
On original return:
Single
Married filing jointly
Married filing separately
Head of household
Qualifying widow(er)
On this return:
Single
Married filing jointly
Married filing separately
Head of household
Qualifying widow(er)
Place an X in the appropriate box to indicate the reason(s) why you are filing this amended return:
Federal audit or adjustment . Enclose a complete copy of the IRS adjustment notice and see line 32 instructions .
Net operating loss carried back from tax year ending
.
Claim due to a pending court case (explain on back page) .
Other (explain on back page) .
If you show a refund on line 29 or tax due on line 31, you must report an increase or decrease in column B for at least one of the
income, tax or credit lines (lines 1–24).
You will need the instructions for this form and the 2012 Individual
A. Original amount or
B. Amount of change
C. Correct
Income Tax instruction booklet.
as previously adjusted
increase or (decrease)
amount
1 Federal taxable income (see instructions) . . . . . . . . . . . . . . . . . . . . . 1
2 Additions to income (total of lines 2 and 3 of Form M1) . . . . . . . . . . . 2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Total subtractions (from line 7 of Form M1) . . . . . . . . . . . . . . . . . . . . 4
5 Minnesota taxable income . Subtract line 4 from line 3 . . . . . . . . . . . 5
6 Tax from the table on pages 23-29 of the M1 booklet . . . . . . . . . . . . 6
7 Alternative minimum tax (Schedule M1MT) . . . . . . . . . . . . . . . . . . . . . 7
8 Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Part-year residents and nonresidents: (Schedule M1NR)
a Corrected amount from
line 23 of Schedule M1NR . . . . . . . . . . . . . 9a
.
b Corrected amount from
line 24 of Schedule M1NR . . . . . . . . . . . . . 9b
.
10 Full-year residents: Amount from line 8 .
Part-year residents and nonresidents: Amount
from line 27 of Schedule M1NR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Tax on lump-sum distribution (Schedule M1LS) . . . . . . . . . . . . . . . . 11
12 Tax before credits . Add lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . 12
13 Marriage credit for joint return when both spouses have earned
income or retirement income (Schedule M1MA) . . . . . . . . . . . . . . . . 13
14 Credit for taxes paid to another state (Schedule M1CR) . . . . . . . . . . . 14
15 Other nonrefundable credits (Schedule M1C) . . . . . . . . . . . . . . . . . . 15
16 Total credits against tax . Add lines 13 through 15 . . . . . . . . . . . . . . 16
17 Subtract line 16 from line 12 (if result is zero or less, enter 0) . . . . . 17

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