Form M1pr - Homestead Credit Refund (For Homeowners) And Renter Property Tax Refund

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*175211*

2017 Form M1PR, Homestead Credit Refund (for Homeowners)

and Renter Property Tax Refund

Leave unused boxes blank. DO NOT USE STAPLES.

Your First Name and Initial

Last Name

Your Social Security Number

If a Joint Return, Spouse’s First Name and Initial

Spouse’s Last Name

Spouse’s Social Security Number

Current Home Address

Check if: New Address

Foreign Address

Your Date of Birth

City

State

Zip Code

Spouse’s Date of Birth

Place an X in

boxes that apply:

Renter

Homeowner

Nursing Home or Adult Foster Care Resident

Mobile Home Owner

State Elections Campaign Fund

Political party and code number:

Your code

If you want $5 to go to help candidates for state offices pay

Republican . . . . . . . . . . . . . . 11

Grassroots—Legalize Cannabis . 14 Legal Marijuana Now . . . . 17

campaign expenses, enter the code number for the party of your

Democratic/Farmer-Labor . 12

Green . . . . . . . . . . . . . . . . . . . . . . 15 General Campaign

Spouse code

choice. This will not increase your tax or reduce your refund.

Independence . . . . . . . . . . . 13

Libertarian . . . . . . . . . . . . . . . . . . 16 Fund . . . . . . . . . . . . . . . . . . 99

1 Federal adjusted gross income (from line 37 of federal Form 1040,

line 21 of Form 1040A, or line 4 of Form 1040EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Nontaxable Social Security and/or Railroad Retirement Board benefits received

and not included in line 1 above (determine from instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Deduction for contributions to a qualified retirement plan (add lines 28 and 32 of federal

Form 1040 or from line 17 of Form 1040A). Also see line 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Total payments from programs including MFIP (MN Family Investment Program), MSA (MN Supplemental

Aid), SSI (Supplemental Security Income), GA (General Assistance), and GRH (Group Residential Housing) . . . . 4

5 Additional nontaxable income such as distributions from a Roth account, contributions

to a deferred compensation plan, scholarships, and grants (see instructions for more examples) . . . . . . . . . . . . . . . . . 5

Income Types:

6 Add lines 1 through 5. If your income is less than the rent you paid, enclose an explanation . . . . . . . . . . . . . . . . 6

7 Dependent, over 65, disabled, and retirement contribution subtraction (use Schedule 2 on page 2) . . . . . . . . . . 7

8 Total household income. Subtract line 7 from line 6 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . 8

9 Renters: Line 3 of your 2017 Certificate(s) of Rent Paid (CRP).

Continue with line 10; this amount is not your refund (you must enclose your CRPs) . . . . . . . . . . . . . . . . . . . . . . 9

10 Renters: Using the amounts on line 8 and line 9, find the amount to enter here from the

renters refund table in the instructions. Continue with lines 15-17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ALL HOMEOWNERS: REQUIRED — Property ID number (use numbers only):

County in which the property is located

Property tax from line 1 of Statement of Property Taxes Payable in 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

(Mobile homeowners: See instructions)

If claiming the special refund, enter amount from line 30, Schedule 1 (see instructions) . . . . . . . . . . . . . . . . . . 12

Subtract line 12 from line 11 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Homestead Credit Refund: Using the amounts on line 8 and line 13, find the

amount to enter here from the homeowners refund table in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Add lines 10, 12, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Nongame Wildlife Fund contribution. Your refund will be reduced by this amount . . . . . . . . . . . . . . . . . . . . . . . 16

YOUR REFUND. Subtract line 16 from line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

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