Form M4 - Corporation Franchise Tax Return - 2015 Page 2
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6M4, page 2
15402
2015 Corporation Franchise Tax Return (continued)
Name of corporation/designated filer
FEIN
Minnesota tax ID
16 AMOUNT DUE. If you entered an amount on line 12, add lines 12 through 15 .
Payment method:
Electronic (see inst., pg. 2), or
Check (see inst., pg. 2) . . . . . . . . . . . .
16
17 Overpayment . If line 11 is more than the sum of lines 3 and 15, subtract line 3 and line 15
17
from line 11 . If line 11 is less than the sum of lines 3 and 15, see instructions, pg . 5 . . . . . . . . . .
18
18 Amount of line 17 to be credited to your 2016 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 REFUND. Subtract line 18 from line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
If you have a refund, you must enter your banking information below .
Account type:
Routing number
Account number
(use an account not associated with any foreign banks)
Checking
Savings
I declare that this return is correct and complete to the best of my knowledge and belief.
I authorize the
Authorized signature
Title
Date
Daytime phone
Minnesota
Department
Signature of preparer
PTIN
Date
Daytime phone
of Revenue to
discuss this tax
return with the
Print name of person to contact within corporation to discuss this return
Title
Daytime phone
preparer .
Attach a complete copy of your federal return including schedules as filed with the IRS. If you’re paying by check, see inst., pg. 2.
Mail to: Minnesota Revenue, Mail Station 1250, St . Paul, MN 55145-1250
9995
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