2017 M2, page 2
*172021*
1 5 a. Total estimated tax payments and any extension payment . . . . . 1 5 a
b. 2017 Minnesota tax withheld (enclose documentation) . . . . . . . . 1 5 b
c. Other refundable credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5 c
d. Other nonrefundable credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5 d
Total payments, tax withheld and credits (add lines 15a through 15d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5
16 If line 14 is more than line 15, subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 6
17 Penalty (see instructions, page 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7
18 Interest (see instructions, page 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 8
19 Trusts only: Additional charge for underpaying estimated tax (enclose Schedule EST) . . . . . . . . . . . . . . . . . . . . . 1 9
20 AMOUNT DUE. If you entered an amount on line 16, add lines 16 through 19.
electronic (see instructions, page 2) . . . . . . . . . . . . . . . . . . . . . . . . . 2 0
Check payment method:
check or
21 Overpayment. If line 15 is more than the sum of lines 14
and 19, subtract lines 14 and 19 from line 15 . . . . . . . . . . . . . . . . . . . . . . 2 1
22 If you are paying estimated tax for 2018, enter the
amount from line 21 you want applied to it, if any . . . . . . . . . . . . . . . . . . 2 2
23
REFUND. Subtract line 22 from line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
24 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 authorize the Minnesota Department of Revenue to
I do not want my paid preparer to file my return electronically.
discuss this tax return with the person below .
Signature of fiduciary or officer representing fiduciary
MN ID or Soc. Sec. number
Date
Daytime phone
Print name of contact
E-mail address for correspondence, if desired
This e-mail address belongs to
Fiduciary
Paid preparer
Paid preparer’s signature
MN ID number, SSN or PTIN
Date
Daytime phone
Enclose a copy of federal Form 1041, Schedules K-1, and other federal schedules.
Mail to: Minnesota Fiduciary Income Tax, Mail Station 1310, St. Paul, MN 55145-1310
9995