Form Pcr - Political Contribution Refund Application - 2018 Page 3

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Form PCR Instructions for 2018, Cont.
If You Owe Taxes or Debts
Use of Information
Questions?
If you owe any Minnesota or federal taxes,
All information you provide on Form PCR
Forms and instructions are available on our
criminal fines, or a debt to a state agency,
is private by state law and cannot be given
website at
district court, qualifying hospital, or public
to others, including your spouse, without
If you have questions:
library, state law may require the department
your consent, except to the Internal Revenue
• Visit our website at
to apply your refund to the amount you owe
Service (IRS), to other states that guarantee
(including any penalty and interest).
its privacy by law, to Minnesota courts, and
• Send us an email at
to other Minnesota state, county, and local
individual.incometax@state.mn.us
government agencies. All information on
this form, other than your phone number
• Call us at 651-296-3781 or
and bank account, is required to properly
1-800-652-9094
identify that you qualify for this refund. If all
required information is not provided, your
application may be delayed or denied. Your
Social Security number is required by M.S.
270C.306.
Your Social Security number and all other
information on Form PCR are private and
cannot be disclosed to others without your
consent except as listed above. However,
your contribution can be counted 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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