Fillable 2019 Form M1PRX, Amended Homestead Credit Refund (for (Minnesota Department of Revenue)

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2019 Form M1PRX, Amended Homestead Credit Refund (for (Minnesota Department of Revenue)

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Your First Name and Inial Last Name Social Security Number Date of Birth (mm/dd/yyyy)
If a Joint Return, Spouse’s First Name and Inial Spouse's Last Name Social Security Number Spouse’s Date of Birth
Current Home Address (Street, Apartment, Route) City State ZIP Code
Place an X in all that apply: Renter Homeowner Nursing home or adult foster care resident Mobile home owner
Place an X in this box if your income changed because of a federal adjustment. Enclose a complete copy of the federal adjustment.
2019 Form M1PRX, Amended Homestead Credit Refund (for Homeowners)
and Renter's Property Tax Refund
1 Federal adjusted gross income (from Line 1 of Form M1, see instrucons if you did not le Form M1)........... 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 15 and 19 of federal Schedule 1; see instrucons) Also see line 9 of this Form M1PRX................ 3
4 Total payments from programs including MFIP (MN Family Investment Program), MSA (MN Supplemental
Aid), SSI (Supplemental Security Income), GA (General Assistance), and Housing Support (formerly GRH)
.......
4
5 Addional nontaxable income from line 20 of Schedule M1PR AI, Addions to Income.......................... 5
6 Add lines 1 through 5 (if you are a renter and this line is less than the rent you paid, enclose an explanaon) .... 6
7 Subtracon for 65 or older (born before January 2, 1955) or disabled:
If you (or your spouse if ling a joint return) are age 65 or older or are disabled enter $4,250: ............... 7
8 Dependent Subtracon: Enter your subtracon for dependents (determine from instrucons) ............... 8
Number of dependents from worksheet in the instrucons:
Names and Social Security numbers of dependents:
9 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 ...................................... 9
10 Amounts you paid for alimony not deducted on line 18a of federal Schedule 1 (see instrucons).............. 10
11 Subtracon from line 10 of Schedule M1NC, Federal Adjustments (see instrucons for Schedule M1NC)........ 11
12 Add lines 7 through 11 ........................................................................... 12
13 Subtract Line 12 from Line 6 ...................................................................... 13
14 Co-occupant Income (from line 13 of Worksheet 5 - Co-occupant Income. If negave, enter as a negave)...... 14
15 Add line 14 to line 13 ............................................................................ 15
Renters - Complete lines 16-18. Homeowners - Connue to next secon.
16 Enter total rent from CRP(s) (you must enclose your CRPs).............................................. 16
17 Mulply line 16 by 17% (.17) ..................................................................... 17
18 Renter's Refund. Using the amount from line 13 and line 17, nd the amount to enter here from the renters
refund table in the instrucons. Connue with lines 23-25 ............................................ 18
Homeowners
Property ID Number County in which the property is located
19 Property tax from line 1 of Statement of Property Taxes Payable in 2020 ................................ 19
(Mobile homeowners: See worksheet 1 in the instrucons)
20 If claiming the special refund, enter amount from line 41 of Schedule 1 on next page (see instrucons)....... 20
For department use only.
Eecve interest date:
9995
*195811*
Check the box if you or
your spouse are:
65 or Older
Disabled
You will need the 2019 Form M1PR instrucons, including refund tables, to complete this form.
9995
2019 M1PRX, page 2
*195821*
Explanaon of change: Enclose a page explaining changes. Include supporng forms and schedules, such as corrected CRPs or property tax
statements. If you do not enclose the required informaon or provide an explanaon, processing of your Form M1PRX will be delayed.
21
Subtract line 20 from line 19 (if result is zero or less, leave blank) .................................... 21
22 Homestead Credit Refund: Using the amounts from Line 15 and Line 21,
nd the amount to enter here from the homeowners refund table in the instrucons................... 22
Homeowners and Renters
23 Add lines 18, 20, and 22 ...................................................................... 23
24 Original Refund. Refund amount from line 23 of your Form M1PR, previous Form M1PRX,
or audit report (see Form M1PRX instrucons) ....................................................24
25 Addional Refund. If line 23 is more than line 24, subtract line 24 from line 23. ........................25
26 If line 24 is more than line 23, subtract line 23 from line 24 ..........................................26
27 Interest (see Form M1PRX instrucons) ..........................................................27
28 Amount You Owe. Add lines 26 and 27 (see Form M1PRX instrucons) ................................28
Schedule 1 - Special Refund
To qualify, you must have owned and lived in this homestead both on January 2, 2019, and on January 2, 2020. If you qualify, see the instrucons.
29
Line 1 of Statement of Property Taxes Payable in 2020. If the Statement does not list an amount for new
improvements or expired exclusions, skip lines 30 and 31 and enter this amount on line 32. ............. 29
30 If the Statement lists an amount for new improvement or expired exclusions, complete and enclose
Worksheet 3 from the instrucons and enter the percentage from Step 3 here......................... 30
31 Mulply line 29 by the percentage on line 30 .................................................... 31
32
If you did not have new improvement or expired exclusions, enter the amount from line 29.
If you had new improvements or expired exclusions, subtract line 31 from line 29. ..................... 32
33
From your Statement of Property Taxes Payable in 2020, enter the amount from line 2 (2019 column).
If there is no amount on line 2, see instrucons. ...................................................33
34 Special refund (not your regular refund) from line 12 of your 2018 Form M1PR ........................ 34
35 Subtract line 34 from line 33 (if result is a negave number or more than line 32, STOP HERE;
you are not eligible for the special refund) ....................................................... 35
36 Subtract line 35 from line 32 (if result is less than $100, STOP HERE;
you are not eligible for the special refund) ....................................................... 36
37
Amount from Line 35 ___________ X 12% (.12) .................................................. 37
38
Amount from line 37 or $100, whichever is greater................................................ 38
39 Subtract line 38 from line 36 (if result is zero or less, STOP HERE; you are not eligible for this special refund) 39
40
Mulply line 39 by 60% (.60) .................................................................. 40
41
Special Refund. Amount from line 40 or $1,000, whichever is less.
Enter the amount here and on line 20 of this Form M1PRX.......................................... 41
42
Direct deposit of your refund (you must use an account not associated with a foreign bank):
Account Type Roung Number Account Number
I authorize the Minnesota Department of Revenue to discuss this return with my paid preparer.
Spouse’s Signature (If Filing Jointly)
Your Signature Date
Sign Here
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
Mail to: Minnesota Property Tax Refund St. Paul, MN 55145-0020
Checking Savings
%
Disabled Veterans Homestead Exclusion (see instrucons)
Instrucons for Form M1PRX
Amended Homestead Credit Refund (for Homeowners) and Renter's Property Tax Refund Return
Use Form M1PRX to amend your original Form M1PR, Homestead Credit Refund (for Homeowners) and Renter's Property Tax Refund. You can
use Form M1PRX to either apply for an additional refund or pay back some or all of the refund you received.
Should I le Form M1PRX?
File Form M1PRX if your property tax refund amount on Form M1PR changes for any reason, including any of the following:
• You made a mistake on your original Form M1PR.
• You are a homeowner who received a corrected Statement of Property Taxes Payable.
• You are a homeowner who received an abatement of some of your property taxes.
• YouarearenterwhoreceivedacorrectedoranadditionalCerticateofRentPaid(CRP).
• Your household income has changed.
Therearecivilandcriminalpenaltiesfornotlinganamendedreturnifyouarerequiredtodoso,andforlingareturncontainingfalseinfor-
mation.
Explanaon of Change
You must include an explanation of any changes you are making. Enclose a separate page with your Form M1PRX to explain the changes.
Deadline for Filing
ThedeadlineforlingFormM1PRXis3.5yearsfromtheduedateofyourMinnesotaincometaxreturnforthesameyear:
Year of Form M1PR Due Date
2016 October15,2020
2017 October15,2021
2018 October15,2022
2019 October15,2023
What will I need?
TocompleteFormM1PRX,youmayneedanyofthefollowing(fortheyearyouareamending):
• A copy of the original 2019 Form M1PR
• 2019FormM1PRinstructions(includingrefundtables)
• Any documents you received from the Minnesota Department of Revenue making a change to your Minnesota income tax return
• AnydocumentsyoureceivedfromtheInternalRevenueService(IRS)makingachangetoyourfederalincometaxreturn
• If you are a homeowner or mobile home owner, any corrected Statements of Property Taxes Payable
• If you are a renter, any corrected CRPs. Submit the CRPs issued and signed by your landlord. Do not use a CRP created by software you
used to complete your return. You must include a copy of any corrected CRP you received. If you do not, your refund will be delayed
or denied.
All Applicants
Your Name and Address
Enteryourcurrentnameandaddress.IfyouhavechangedyournamesinceyouledyouroriginalFormM1PR,explainthechangeonasepa-
rate sheet.
Place an X in All Boxes That Apply
Place an X in each box that applied to you during the year you are amending. If you do not place an X in the same boxes that you placed an X
in on your original Form M1PR, explain the change on a separate sheet.
Federal Changes
IfyouarelingFormM1PRXbecausetheIRSmadeachangetoyourincome,placeanXintheboxbelowthenameandaddresssection.
IncludeacopyofanydocumentsyoureceivedfromtheIRSwhenyouleyourFormM1PRX.
Filing an Amended Return For Another Taxpayer
IfyouarelingFormM1PRXforanotherperson,encloseacompletedFormREV184,Power of Attorney, or a copy of the court appointment
authorizing you to represent the person.
IfyouarelingFormM1PRXonbehalfofadeceasedperson,anyadditionalrefundwouldbeconsideredpartoftheestate.IncludeForm
M23,Claim for a Refund For a Deceased Taxpayer, and a copy of the court appointment authorizing you to represent the deceased person
whenyouleFormM1PRX.
Continued
Line Instrucons
Line 24—Original Refund Amount
Entertherefundamountfromline23ofyourFormM1PR.Ifyourrefundchangedbecauseweadjustedyourreturnorbecauseyoupreviously
ledFormM1PRX,entertheadjustedrefundamount.
Line 25—Addional Refund
Ifline23ismorethanline24subtractline24fromline23.Thisisyouradditionalrefund.Skiplines26through28.
Ifyouwantyourrefunddirectlydepositedintoyourcheckingorsavingsaccount,seetheinstructionsfor42.
IfyouoweMinnesotataxes,criminalnes,ordebtstoothergovernmentagencies,wemustapplyanyadditionalpropertytaxrefundtothese
debts. If you participate in the Senior Citizens Property Tax Deferral Program, we will apply your additional refund to your deferred property
tax total.
Ifyourdebtislessthanyouradditionalrefund,youwillreceivethedierence.
Line 27—Interest
You must pay interest on the amount on line 26.
To determine the interest you owe, visit our
website at www.revenue.state.mn.us and type inter-
est rates into the Search box.
Line 28—Amount You Owe
Add lines 26 and 27 and enter the result on line 28 of Form M1PRX. This is the total amount you must pay.
You may pay the amount you owe electronically, by credit card, or by check. To make a payment, go to our website at www.revenue.state.
mn.us and choose Make a Payment under Top Tasks for Individuals.
Line 42—Direct Deposit of Refund
Ifyouwantyourrefundonline25directlydepositedintoyourcheckingorsavingsaccount,entertherequestedinformationonline42.
The roung number must have nine digits.The account number may contain up to 17 digits
(bothnumbersandletters).Leaveoutanyhyphens,spaces,andsymbols.
Iftheroutingoraccountnumberisincorrectorisnotacceptedbyyournancialinstitution,
your refund will be sent to you in the form of a paper check.
Bycompletingline42,youauthorizeusandyournancialinstitutiontoinitiateelectronic
creditentriesand,ifnecessary,debitentriesandadjustmentsforanycreditsmadeinerror.
Sign Your Return
YoumustsignyourFormM1PRX.IfyouaremarriedandlingFormM1PRXwithyourspouse,bothofyoumustsign.Ifyoupaidsomeone
to prepare your return, that person must also sign.
You may place an X in the box in the signature area to authorize us to discuss this return with the paid preparer. Placing an X in the box does
not give your preparer the authority to sign any tax documents on your behalf or represent you at any audit or appeals conference. For these
typesofauthorities,youmustleapowerofattorneyorFormREV184withus.
YoumustenclosecopiesofanydocumentsyoureceivedfromusortheIRSwhichhavemadeitnecessaryforyoutoleFormM1PRX.Also,
enclose any corrected CRPs or Statements of Property Taxes Payable in 2020.
Use of Informaon
All information provided on Form M1PRX is private under state law. It cannot be given to others without your consent except to the IRS, other
Minnesota state agencies, local government agencies, and other state governments that are authorized by law to receive the information. For a
list of authorized agencies and possible uses of your Social Security number, see the Form M1PR instructions.
What is required?
Information not required. AlthoughnotrequiredonFormM1PRX,weaskfor:
• Yourdateofbirth(andyourspouse's,iflingajointreturn)
• Yourdaytimephonenumberincasewehaveaquestionaboutyourreturn
• Thephonenumberandidenticationnumberofthepersonyoupaidtoprepareyourreturn
All other information is required. YoumustprovideyourSocialSecuritynumber(seeMinnesotaStatute270C.306)andallotherinforma-
tion on this form in order to properly identify you. This ensures that your amended return is properly processed. If you do not provide it, your
property tax refund will be delayed or denied.
Forms and Informaon
• Website: www.revenue.state.mn.us
• Email: individual.incometax@state.mn.us
• Phone:651-296-3781or1-800-652-9094(toll-free)
This information is available in alternate formats.
You can nd your bank’s roung number and
account number on the boom of your check.
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2019 Form M1PRX, Amended Homestead Credit Refund (for (Minnesota Department of Revenue)

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Completed 29 July 2020

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