Form M3x - Amended Partnership Return Claim For Refund - 2017 Page 2

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2017 M3X, page 2
*173921*
Partnership’s Name
Federal ID Number
Minnesota Tax ID Number
9
Amount due from original Form M3, line 10 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Total credits and tax paid (add lines 7C through 8C and line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0
10
Refund amount from original Form M3, line 15 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1
11
Subtract line 11 from line 10 (if result is less than zero, enter the negative amount) . . . . . . . . . . . . . . . . . . . . . . . . . 1 2
12
13
Tax you owe. If line 6C is more than line 12, subtract line 12 from line 6C
(if line 12 is a negative amount, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3
If you failed to timely report federal changes or the IRS assessed a penalty (see instructions) . . . . . . . . . . . . . . . . . 1 4
14
15
Add line 13 and line 14
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5
Interest (see instructions)
16
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 6
AMOUNT DUE (add lines 15 and 16) . Skip lines 18–19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7
17
Electronic (see instructions), or
Check (see instructions)
Check payment method:
18
REFUND. If line 12 is more than line 6C, subtract line 6C from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 8
19
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
Signature of General Partner
Date
Daytime Phone
I authorize
the Minnesota
Department
Print Name of General Partner
E-mail Address for Correspondence, if Desired
This e-mail address belongs to:
of Revenue to
discuss this tax
Employee
Paid Preparer
Other
return with
Signature of Preparer
Date
Daytime Phone
Preparer’s PTIN
the preparer .
Explain net changes below and show computations in detail. Enclose your list of changes, any amended schedules and a complete copy of the
amended federal Form 1065, if any.
Mail to: Minnesota Amended Partnership Tax, Mail Station 1760, St. Paul, MN 55145-1760.
EXPLANATION OF CHANGE—Explain below each change in detail. If the changes involve items requiring supporting information,
be sure to attach the appropriate schedule, statement or form to Form M3X to verify the correct amount.
9995

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