Schedule M1w - Minnesota Income Tax Withheld - 2017 Page 2

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2017 M1W, page 2
*171402*
Complete line 5 and/or line 6 to report Minnesota income tax withheld if you received more than five W-2 forms or four 1099 and
W-2G forms. Complete line 7 to report Minnesota tax withheld on Schedules KPI, KS, and/or KF.
5
Minnesota wages and Minnesota tax withheld on additional W-2s (other than W-2G).
A
B—Box 13
C—Box 15
D—Box 16
E—Box 17
If the W-2 is for:
If Retirement Plan
Employer’s 7-digit Minnesota
State wages, tips, etc.
Minnesota tax withheld
(round to nearest whole dollar)
(round to nearest whole dollar)
you, enter 1
box is checked
state tax ID number
spouse, enter 2
mark an X below.
MN
MN
MN
MN
Subtotal for additional W-2s (add amounts in line 5, column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Enter the result here and include on line 1 on the front of this schedule.
6
Minnesota tax withheld on additional 1099 and W-2G forms.
A
B
C
D
If the 1099 or W-2G is for:
Payer’s 7-digit Minnesota state tax ID
Income amount (see the table on
Minnesota tax withheld
number (if unknown, contact the payer)
the back for amounts to include)
(round to nearest whole dollar)
you, enter 1
spouse, enter 2
MN
MN
MN
MN
Subtotal for additional 1099 and W-2G forms (add amounts in line 6, column D) . . . . . . . . . . . . . . . . . . . . . . . . . 6
Enter the result here and include on line 2 on the front of this schedule.
7 Minnesota income and tax withheld by partnerships, S corporations, and fiduciaries, if any.
A
B—Minnesota Income Amount
C—Minnesota Tax Withheld
Entity’s 7-digit Minnesota state tax ID
(from line 34 of Schedule KPI,
(from line 36 of Schedule KPI,
number (if unknown, contact the entity)
line 32 of KS, and/or line 26 of KF)
line 34 of KS, and/or line 17 of KF)
MN
MN
MN
MN
Subtotal of Minnesota tax withheld by partnerships, S corporations, and fiduciaries (add amounts in
line 7, column C). Enter the result here and on line 3 on the front of this schedule. . . . . . . . . . . . . . . . . . . . . . . 7
Table for Column C, Lines 2 and 6
Use to determine which amounts from your 1099 form you must include as income on column C, lines 2 and 6.
Form
Include the Sum of Boxes:
Form
Include the Sum of Boxes:
Form
Include the Sum of Boxes:
1099-G . . . . . . . . . . . 1, 2, 5–7
1099-INT . . . . . . . . . . . . . . . 1
1099-K . . . . . . . . . . . . . . 1a
1099-MISC . . . . . . . . 1–3, 5–8, 10, 13, 14
1099-OID . . . . . . . . . . . . . . 1, 2
1099-R . . . . . . . . . . . . . . 14 or 2a or 1
1099-DIV . . . . . . . . . . 1a, 2a
9995

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