Fillable 2017 Form M1PR, Homestead Credit Refund (for Homeowners) (Fairchild Maddox + Leonidas)

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2017 Form M1PR, Homestead Credit Refund (for Homeowners) (Fairchild Maddox + Leonidas)

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The 2017 Form M1PR, Homestead Credit Refund (for Homeowners) (Fairchild Maddox + Leonidas) form is 2 pages long and contains:

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  • 11 check-boxes
  • 62 other fields

Country of origin: US
File type: PDF

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1 Federal adjusted gross income (from line 37 of federal Form 1040,
line 21 of Form 1040A, or line 4 of Form 1040EZ)..................................................... 1
2 Nontaxable Social Security and/or Railroad Rerement Board benets received
and not included in line 1 above (determine from instrucons) ......................................... 2
3 Deducon for contribuons to a qualied rerement plan (add lines 28 and 32 of federal
Form 1040 or from line 17 of Form 1040A). Also see line 33............................................ 3
4 Total payments from programs including MFIP (MN Family Investment Program), MSA (MN Supplemental
Aid), SSI (Supplemental Security Income), GA (General Assistance), and GRH (Group Residenal Housing)
....
4
5 Addional nontaxable income such as distribuons from a Roth account, contribuons
to a deferred
compensaon plan, scholarships, and grants (see instrucons for more examples) .................
5
6 Add lines 1 through 5. If your income is less than the rent you paid, enclose an explanaon ................ 6
7 Dependent, over 65, disabled, and rerement contribuon subtracon (use Schedule 2 on page 2) .......... 7
8 Total household income. Subtract line 7 from line 6 (if result is zero or less, leave blank) ................... 8
9 Renters: Line 3 of your 2017 Cercate(s) of Rent Paid (CRP).
Connue with line 10; this amount is not your refund (you must enclose your CRPs) ...................... 9
10 Renters: Using the amounts on line 8 and line 9, nd the amount to enter here from the
renters refund table in the instrucons. Connue with lines 15-17..................................... 10
ALL HOMEOWNERS: REQUIRED — Property ID number (use numbers only):
County in which the property is located
11 Property tax from line 1 of Statement of Property Taxes Payable in 2018 ............................... 11
(Mobile homeowners: See instrucons)
12 If claiming the special refund, enter amount from line 30, Schedule 1 (see instrucons) .................. 12
13 Subtract line 12 from line 11 (if result is zero or less, leave blank) ..................................... 13
14 Homestead Credit Refund: Using the amounts on line 8 and line 13, nd the
amount to enter here from the homeowners refund table in the instrucons ........................... 14
15 Add lines 10, 12, and 14 ....................................................................... 15
16 Nongame Wildlife Fund contribuon. Your refund will be reduced by this amount ....................... 16
1 7 YOUR REFUND. Subtract line 16 from line 15 ...................................................... 17
Place an X in
boxes that apply:
Renter Homeowner Nursing Home or Adult Foster Care Resident
Mobile Home Owner
2017 Form M1PR, Homestead Credit Refund (for Homeowners)
and Renter Property Tax Refund
Leave unused boxes blank. DO NOT USE STAPLES.
Income Types:
9995
Your First Name and Inial Last Name Your Social Security Number
If a Joint Return, Spouse’s First Name and Inial Spouse’s
Last Name
Spouse’s Social Security Number
Current Home Address Check if: New Address Foreign Address Your Date of Birth
City State Zip Code Spouse’s Date of Birth
Your code
Spouse code
State Elecons Campaign Fund
If you want $5 to go to help candidates for state oces pay
campaign expenses, enter the code number for the party of your
choice. This will not increase your tax or reduce your refund.
Polical party and code number:
Republican.............. 11 Grassroots—Legalize Cannabis . 14 Legal Marijuana Now ....17
Democrac/Farmer-Labor . 12 Green......................15 General Campaign
Independence ........... 13 Libertarian.................. 16 Fund ..................99
*175211*
18
Line 1 of Statement of Property Taxes Payable in 2018. If the Statement does not list an amount for
new improvements or expired exclusions, skip lines 19 and 20 and enter this amount on line 21 ..............
18
19
If the Statement lists an amount for new improvements or expired exclusions, complete
and enclose Worksheet 3 from the instrucons and enter the percentage from step 3 here ................
19
20 Mulply line 18 by the percentage on line 19 .................................................... 20
21 If you did not have new improvements or expired exclusions, enter the amount from line 18.
If you had new improvements or expired exclusions, subtract line 20 from line 18 ...................... 21
22 From your Statement of Property Taxes Payable in 2018, enter the amount from
line 2 (2017 column). If there is no amount on line 2, see instrucons ................................ 22
23 Special refund (not your regular refund) from line 12 of your 2016 Form M1PR. ........................ 23
24 Subtract line 23 from line 22 (if result is more than line 21, or is a negave number
stop here; you are not eligible for the special refund) .............................................. 24
25 Subtract line 24 from line 21 (if result is less than $100,
stop here; you are not eligible for the special refund) .............................................. 25
26 Amount from line 24 X 12% (.12) ....................................... 26
27 Amount from line 26 or $100, whichever is greater .............................................. 27
28 Subtract line 27 from line 25 (if result is zero or less,
stop here; you are not eligible for the special refund) ............................................. 28
29 Mulply line 28 by 60% (.60) ................................................................. 29
30 Special refund. Amount from line 29 or $1,000, whichever is less.
Enter the amount here and on line 12 of this Form M1PR .......................................... 30
Schedule 2—Subtracons
31 Subtracon for 65 or older (born before January 2, 1953) or disabled:
If you (or your spouse if ling a joint return)
are age 65 or older or are disabled enter $4,050: ........... 31
32 Dependent Subtracon: Enter your subtracon for dependents. (determine from instrucons) .......... 32
Number of dependents from worksheet in the instrucons:
Names and Social Security numbers of dependents:
33 Rerement Account Subtracon: If you (or your spouse) contributed to a 401(k), IRA, 457(b),
or other rerement plan, or had an amount on line 3, see instrucons ............................... 33
34 Add lines 31 through 33, enter the result here and on line 7 of this Form M1PR ........................ 34
35 Direct deposit of your refund (you must use an account not associated with a foreign bank):
Account Type Roung Number Account Number
Renters — Include your 2017 CRP(s)
Mail to: Minnesota Property Tax Refund
St. Paul, MN 55145-0020
I authorize the Minnesota Department of Revenue to
discuss this return with my paid preparer.
Checking Savings
Schedule 1—Special refund. To qualify, you must have owned and lived in this homestead both on
January 2, 2017, and on January 2, 2018. If you qualify, see the instrucons.
Mark an X if you or
your spouse are:
65 or Older
Disabled
2017 M1PR, page 2
Spouse’s signature (if ling jointly)
Your signature Date
I declare that this return is correct and complete to the best of my knowledge and belief. Paid preparer: You must sign below.
Paid preparer’s signature Date
Preparer’s dayme phone PTIN or VITA/TCE # (required)
Taxpayer’s dayme phone
*175221*
%
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2017 Form M1PR, Homestead Credit Refund (for Homeowners) (Fairchild Maddox + Leonidas)

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Completed 4 June 2021

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