Fillable Form Pcr - Political Contribution Refund Application

Form PCR Instructions for 2013

If you are married and choose to file separate

Purpose of This Form

• you have been convicted of a felony and

applications, do not include your spouse’s

Minnesota voters who contributed gifts of

your civil rights have not been restored.

name, date of birth and Social Security num-

money to candidates for state office or to

Include EP-3 Forms

ber. Enter your name only and check the box

a state political party may be able to apply

To receive your refund, you must include

for Married, filing separate application.

for a refund of all or a portion of contribu-

with your Form PCR the original Minneso-

tions made between July 1 and December

Line Instructions

ta Political Contribution Receipt, Form EP-3,

31, 2013. Contributions made before July

you received for each contribution.

Line 1

1, 2013 do not qualify for a refund. The

Add the amounts shown on all of the Form

maximum refund is $50 for an individual

If you do not include the original receipts,

EP-3 receipts, and enter the total on line 1.

and $100 for a married couple.

your form will be sent back to you. Your

The receipts must be for contributions made

contributions must have been made be-

An individual or married couple filing a

between July 1 and December 31, 2013.

tween July 1 and December 31, 2013, to file

joint application may file only one Form

the 2013 Form PCR.

Line 2

PCR for each calendar year in which

Enter $100 if you are filing a joint applica-

contributions were made, even if they

When to File

tion. If you are single or married and filing a

contributed to more than one candidate

You may apply for your refund at any time,

separate application, enter $50.

or party.

but no later than April 15, 2014.

Line 3

You may receive a refund for all or a portion

Do not mail your application in the same

Enter the amount from line 1 or line 2,

of contribu tions you made between July 1

envelope with your Minnesota income tax

whichever is less.

and December 31, 2013, to candidates for

return. The amount of your political con-

the following Minnesota state offices—if

tribution refund cannot be used as a credit

You will receive the total of your contribu-

the candidates have signed an agreement

on your Form M1. Putting Form PCR in the

tions up to the maximum refund, which is

with the Minnesota Campaign Finance and

same envelope with your return may delay

$100 if you are married filing a joint applica-

Public Disclosure Board to observe the state

processing of both forms.

tion or $50 if you are single or married filing

campaign spending limit law:

a separate application.

Amended Returns, Extensions for Fil-

• Minnesota House of Representatives

ing are Not Permitted

• Minnesota State Senate

Line 4

Form PCR cannot be amended.

• Governor and Lieutenant Governor of

If you want the refund to be directly

Minnesota

You cannot get an extension to file Form

deposited into your checking or savings

• Attorney General of Minnesota

PCR. It must be filed by the April 15, 2014,

account, enter the requested information

• Secretary of State of Minnesota

due date. A refund will not be issued for a

on line 4.

• Minnesota State Auditor

2013 Form PCR filed after that date.

Note: You must use an account not associ-

You may also receive a refund of all or a

Completing Form PCR

ated with any foreign banks.

portion of contri butions you made to the:

Important: You must enter your name,

Refer to the sample below to find the rout-

address, date of birth and Social Security

• Independence Party

number (and your spouse’s name, date of

ing and account numbers.

• Republican Party

birth and Social Security number if filing

• Democratic Farmer-Labor (DFL) Party

a joint application) in the heading of Form

• Grassroots Party

PCR. Also, be sure to indicate the number

• Libertarian Party

of receipts you are attaching. If this infor-

• any precinct, city, county, congressional

mation is not included, your refund may be

or legislative district unit of the Minne-

delayed.

sota parties listed above.

Filing Status Boxes

Who May File

The routing number must have nine

If you are single, check the Single box.

To be eligible for the refund, you must be a

digits.

registered voter in Minnesota or, if you are

If you are married, you may:

not a registered voter, you must:

The account number may contain up to

• file one application together with your

• be a United States citizen,

17 digits (both numbers and letters). If

spouse for a maximum refund of $100, or

• be age 18 or older, and

your account number is less than 17 digits,

• each file a separate application for a maxi-

• have lived in Minnesota at least 20 days

enter the number starting with the first

mum refund of $50 each.

immediately before any 2013 statewide

box on the left—leave out any hyphens,

If you choose to file a joint application, you

or local election in which you would be

spaces and symbols—and leave any un-

must enter the name, date of birth and So-

eligible to vote if you were registered.

used boxes blank.

cial Security number for both you and your

However, regardless of whether or not you

spouse. Check the box for Married, filing

Sign your return

are a registered voter, you are not eligible for

joint application.

Sign your return at the bottom of the form.

the refund if:

• you are under guardianship of the person,

but have not retained the right to vote, or

• you have been found by a court to be

legally incompetent to vote, or

Form Pcr - Political Contribution Refund Application - 2013 Page 3

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