Schedule M1w - Minnesota Income Tax Withheld - 2012 Page 2
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22012 M1W, page 2
Complete line 5 and/or line 6 to report Minnesota income tax withheld if you received more than five W-2 forms, 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
• you, enter 1
box is checked,
state tax ID number
(round to nearest whole dollar)
(round to nearest whole dollar)
• spouse, enter 2
mark an X below.
MN
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
Minnesota tax withheld
• you, enter 1
number (if unknown, contact the payer)
below for amounts to include)
(round to nearest whole dollar)
• 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 35 of Schedule KPI,
(from line 37 of Schedule KPI,
number (if unknown, contact the entity)
line 33 of KS and/or line 24 of KF)
line 35 of KS and/or line 16 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:
1099-G . . . . . . . . . . . 1, 2, 5–7
1099-INT . . . . . . . . . . . . . . 1
1099-MISC . . . . . . . . 1–3, 5–8, 10, 13, 14
1099-OID . . . . . . . . . . . . . . 1, 2
1099-R . . . . . . . . . . . 14 or 2a or 1
1099-DIV . . . . . . . . . . . . . . 1a, 2a
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