Form M30 - Occupation Tax Return - 2016
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1
2M30
2016 Occupation Tax Return
Name of Company
Minnesota Tax ID
FEIN
Street
Check if new address
Check if amended
City
County
State
ZIP code
Has a federal examination been finalized? (list years)
Report changes to federal income tax
within 180 days of final determination. If
Is a federal examination now in progress? (list years)
there is a change in tax, you must file an
Tax years and expiration date(s) of federal waivers:
amended return .
Round amounts to the
nearest whole dollar
1 Minnesota tax liability (from M30-I, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Minnesota Nongame Wildlife Fund (see instructions, page 3) . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Amount credited from your 2015 return . . . . . . . . . . . . . . . . . . . . . . . 4
5 2016 extension payment made by the regular due date . . . . . . . . . . 5
6 Add lines 4 and 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Subtract line 6 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Penalty (see instructions, page 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Interest (see instructions, page 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 AMOUNT DUE or OVERPAID
Add lines 7, 8 and 9 (if less than zero, also enter on line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Payment made with this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Overpayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Amount of line 12 to be credited to your 2017 tax . . . . . . . . . . . . . 13
14 Refund (subtract line 13 from line 12) . . . . . . . . . . . . . . . . . . . . . . 14
To have your refund direct deposited, enter the following . Otherwise, you will receive a check .
Account type:
Routing number
Account number
(use an account not associated with any foreign banks)
Checking
Savings
I declare that this return is correct and complete to the best of my knowledge and belief.
Authorized Signature
Title
Date
Daytime Phone
I authorize the
Minnesota
Department of
Signature of Preparer
PTIN
Date
Daytime Phone
Revenue to
discuss this tax
Print name of person to contact within company to discuss this return
Title
Daytime Phone
return with the
preparer .
Attach copies of all supporting schedules as requested in instructions.
Mail to: Minnesota Revenue, Occupation Tax, Mail Station 3331, St Paul, MN 55146-3331
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Parent category: Financial