Form Pcr - Political Contribution Refund Application - 2013 Page 4
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4Form PCR Instructions for 2013, Cont.
If You Owe Federal or Minnesota Tax
Use of Information
Questions?
—or if you owe criminal fines, a debt to
Form PCR is not required by law to be filed.
Web:
a state or county agency, district court,
However, to claim a political contribution
Email:
individual.incometax@state.mn.us
qualifying hospital or public library, state law
refund, you must file this form. All informa-
Phone: 651-296-3781 or 1-800-652-9094
requires the department to apply your refund
tion on this form is required to properly
Information will be provided in an
to the amount you owe (including penalty
identify you and determine if you qualify for
alternative format upon request.
and interest on the taxes).
this refund. Your Social Security number is
required by M.S. 270C.306. If all the infor-
If your debt is less than your refund, you will
mation, other than your phone number and
receive the difference.
banking information, is not provided, your
application may be delayed or denied.
Your Social Security number and all other
information on Form PCR are private and
cannot be disclosed to others without your
consent. However, your contribution can be
tabulated with those of other contributors to
that candidate or political party, and the total
can be given to the Campaign Finance and
Public Disclosure Board.
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