Checking Savings
Your signature Date Phone
Paid preparers signature Date Phone PTIN or VITA/TCE # (required)
For Direct Deposit of the full credit, enter the following informaon. Otherwise, you will receive a check.
(You must use an account not associated with a foreign bank.)
Account Type Roung Number Account Number
You must enclose the following with this return:
Acve-duty members:
Aach a copy of your Leave and Earnings Statement for each month in qualifying status.
Naonal Guard, Reservists, and rered or discharged acve-duty members:
Aach Form DD-214 for each period of qualifying service.
Completed forms and documentaon will be accepted starng January 2020.
Mail to: Minnesota Department of Revenue, Mail Staon 0043, 600 N. Robert St., St. Paul, MN 55146-0043
See instrucons for addional informaon.
2019 Form M99, Credit for Military Service in a Combat Zone
Sign here: I declare that this return is correct and complete to the best of my knowledge and belief.
I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer.
1 Number of months served in 2019 ................................................................1
2 Mulply line 1 by $120. This is the AMOUNT OF YOUR CREDIT .......................................2
Enter the number of months served in a combat zone during 2019. Count paral months as full months. Your home of record must have been
Minnesota during the months served to qualify for the credit.
9995
Your First Name and Inial Last Name Your Social Security Number
Current Home Address Check if: New Address Foreign Address Your Date of Birth
City State Zip Code Check if Amended Form M99
*191991*
You may be eligible to receive a tax credit for military me served in a combat zone or qualied hazardous duty area during 2019.
Am I eligible?
You are eligible to receive a credit if all of the following are true:
• Youservedinacombatzoneorqualiedhazardousdutyareaduring2019
• ThepayyoureceivedqualiestobeexcludedascombatpayfromfederalgrossincomeunderInternalRevenueCodeSection112
•YourhomeofrecordduringyourmonthsofservicewasMinnesota
Thecreditisequalto$120foreachmonthofservice.Partialmonthsarecountedasfullmonths.Forexample,ifyouservedonedayinNo-
vember,itwouldcountasonefullmonth.
To Receive a Credit for Prior Years
The2019FormM99appliesonlytotimeservedinacombatzoneduring2019.However,youcanstillreceivecreditforserviceinyears
priorto2019.Toreceivecreditformonthsofservice:
in2016,le2016FormM99beforeOctober15,2020
in2017,le2017FormM99beforeOctober15,2021
in2018,le2018FormM99beforeOctober15,2022
Youcandownloadtheseformsonourwebsiteatwww.revenue.state.mn.us.
Creditsfor:
2013expiredOctober15,2017
2014expiredOctober15,2018
2015expiredOctober15,2019
Individualcircumstancesmayexistthatextendthetimeallowedtoleforthesecredits.Ifyouspentadditionaldaysinacombatzoneafter
thelingduedateofthereturn,youcanaddthenumberofadditionaldaysplus180daystotheinitial3½yearstatuteoflimitationstoclaim
thecreditonFormM99.
Example:Ifyouservedinacombatzonein2015,youhadtoleyour2015FormM99byOctober15,2019tomeetthe3½yearstatuteof
limitations.However,startingonJune1,2016youspent60daysinacombatzone.Youwouldhaveanadditional240daystoclaimthe
credit(60daysplus180days).Therefore,youwouldhaveuntilJune10,2020(240daysafterOctober15,2019)tole2015FormM99.
What geographic areas qualify?
ServiceinadesignatedCombatZone,HazardousDutyArea,oralocationindirectsupportofmilitaryoperationsqualifiesyoutoreceive
thiscredit.ThePresidenthastheauthoritytodesignateCombatZonesbyanExecutiveOrderasareasinwhichtheU.S.ArmedForcesare
engagingorhaveengagedincombat.CongressmaydesignateHazardousDutyAreasbyPublicLawtoreceivetreatmentasCombatZones.
TheDepartmentofDefensemaycertifyserviceinlocationsindirectsupportofmilitaryoperationsforCombatZonebenefits.Serviceinone
ofthelocationslistedbelowqualifiesyoutoreceivethiscredit.
Afghanistan area.AfghanistanwasdesignatedasaCombatZonebeginningSeptember19,2001.TheDepartmentofDefensealsorecog-
nizesserviceinthefollowingcountriesforCombatZonebenets:
Jordan,Kyrgyzstan,Pakistan,Tajikistan,andUzbekistanbeginningSeptember19,2001
DjiboutiasofJuly1,2002
YemenasofApril10,2002
SomaliaandSyriaasofJanuary1,2004
PhilippinesfromJanuary9,2002untilSeptember30,2016
Kosovo area.ThisareaswasdesignatedasaCombatZonebeginningMarch24,1999andincludes:
TheFederalRepublicofYugoslavia(Serbia/Montenegro)
Albania
Kosovo
TheAdriaticSea
TheIonianSeanorthofthe39thparallel
Arabian Peninsula areas. ThisareawasdesignatedasaCombatZonebeginningJanuary17,1999andincludes:
ThePersianGulf
TheRedSea
TheGulfofOman
TheGulfofAden
Continued
2019 Form M99 Instrucons
TheArabianSeanorthof10degreesnorthlatitudeandwestof68degreeseastlongitude
Bahrain
Iraq
Kuwait
Oman
Qatar
SaudiArabia
TheUnitedArabEmirates
TheDepartmentofDefensealsorecognizesserviceinthefollowingcountriesforCombatZonebenets:
JordanasofMarch19,2003
LebanonasofFebruary12,2015
Former Yugoslavia area.ThisareawasdesignatedaHazardousDutyAreabeginningNovember21,1995andincludes:
BosniaandHerzegovina
Croatia
Macedonia
Sinai Peninsula.ThisareawasdesignatedaHazardousDutyAreabeginningJune9,2015.
How to Claim the Credit
YoumustleFormM99,Credit for Military Service in a Combat Zone,andattachtherequireddocumentationtoreceivethecredit.
Using a paid tax preparer.IfyoupaysomeonetoprepareyourFormM99,thatpersonmustalsosigntheform.Ifyouwantyourpaid
preparertohavetheauthoritytodiscusstheformwiththeDepartmentofRevenue,checktheboxatthebottomoftheform.Checkingthebox
doesnotgiveyourpreparertheauthoritytosignanytaxdocumentsonyourbehalfortorepresentyouatauditsorappealsconferences.For
thosetypesofauthorities,youmustleapowerofattorneyform.
Required Documentaon
YoumustattachthefollowingtoFormM99foreachperiodofdutyinacombatzoneorqualifyinghazardousdutyarea:
National Guard, Reservists, and retired or discharged active-duty members:AttachDD-214reectingperiodofqualifyingservice.
Active-duty members:AttachacopyofyourLeaveandEarningsStatementforeachmonthinqualifyingstatus.
If You Do Not Have Copies of the Required Documentaon
NationalGuardandReservemembersmayrequestacopyoftheirDD-214(s)fromtheOcialPersonnelFile(OPF)maintainedintheirunit.
InactiveReserve,retired,anddischargedmilitarymembersmayorderacopyoftheirDD-214(s)throughTheNationalArchiveswebsiteat
www.archives.gov.
YoumayalsomailacopyofStandardFormSF-180,Request Pertaining to Military Records,totheappropriaterecordcenteridentiedinthe
instructionsforthatform.
Active-dutymilitarymembers(whodidnotreceiveaDD-214fortheirdutyincombatstatus)mustsubmitacopyoftheirLeaveandEarn-
ingsStatementforeachmonthinacombatzoneorqualiedhazardousdutyarea.CopiesofpreviousLeaveandEarningsStatementscanbe
obtainedthroughtheMyPaywebsiteathttps://mypay.dfas.mil.
IfyoucannotsecuretherequiredLeaveandEarningsStatementsonMyPay,contacttheappropriateMilitaryPayCustomerServicestaatthe
following toll-free numbers:
Army(activeduty) 1-888-332-7411
Army(reserve) 1-877-462-7782
Army(NationalGuard) 1-877-276-4729
Navy(activeduty/reserve) 1-888-332-7411
AirForce(activeduty/reserve/NationalGuard) 1-888-332-7411
MarineCorps(activeduty&reserve) 1-888-332-7411
Youshouldrequesttherequireddocumentationassoonaspossibletoavoiddelayswhenlingforyourcredit.
Choosing Direct Deposit
Youmaygetyourrefundfasterbyhavingitdirectdepositedinyourbankaccount.EnteryourbankinginformationonthefrontofFormM99.
Note: Onceyourequestadirectdepositofyourrefund,thereisnowaytocancelthedirectdepositorchangetheaccountorroutinginforma-
tion.
Continued
Use of Informaon
AllinformationyouprovideonFormM99isprivatebystatelawandcannotbegiventoothers,includingyourspouse,withoutyourconsent,
excepttotheInternalRevenueService(IRS),tootherstatesthatguaranteeitsprivacybylaw,toMinnesotacourts,andtootherMinnesota
state,countyandlocalgovernmentagencies.YourSocialSecuritynumberisrequiredunderM.S.270C.306.
If Taxes or Debts are Owed
IfyouoweanyMinnesotataxes,criminalnes,oradebttoastateagency,districtcourt,qualifyinghospitalorpubliclibrary,statelawmay
requirethedepartmenttoapplythemilitarycredittotheamountowed(includingpenaltyandinterestonthetaxes).YourSocialSecurity
numberwillbeusedtoidentifyyouasthecorrectdebtor.Ifthedebtislessthanthecredit,youwillreceivethedierence.
Filing for a Deceased Person
Ifthepersoneligibleforthiscredithasdied,thecreditmaybeclaimedbycertainfamilymembersorpersonalrepresentatives.
Thefollowingindividualscanclaimthecredit(listedinorderofeligibility):
1.Asurvivingspousewhohasleda2018jointfederalincometaxreturnwiththedecedent.
2.Apersonalrepresentativeappointedbythecourttorepresenttheestate.Tobeeligible,asurvivingspousecannotbelinga2019joint
federalincometaxreturnwiththedecedent.Thepersonalrepresentativemustencloseacopyofthecourtdocumentshowingappointment
aspersonalrepresentative.
3.Therstlivingpersonfromthelistbelow.Tobeeligible,(a)asurvivingspousecannotbelinga2019jointfederalincometaxreturnwith
thedecedent,(b)acourtcannothaveappointedapersonalrepresentativetorepresenttheestate,and(c)thevalueoftheestatemustbeless
than$75,000.
 Theeligiblepersons,inorder,are:
• Asurvivingspousewhodidnotlea2018jointfederalincometaxreturnwiththedecedent
The decedent’s children
The decedent’s grandchildren
The decedent’s father and mother
The decedent’s brothers and sisters
• Thechildrenofthedecedent’sbrothersandsisters.
To claim the credit, completeFormM23,Claim for a Refund for a Deceased Taxpayer.IncludeFormM23,alongwithacopyofthedece-
dent’sdeathcerticate,whenyouleFormM99.MailFormM99,FormM23,andthedeathcerticatetotheaddressshownonthefrontof
thisform.
Quesons?
Formsandinformationareavailableonourwebsiteatwww.revenue.state.mn.us.
Ifyouhavequestions:
Visitourwebsiteatwww.revenue.state.mn.us
Sendusanemailatindividual.incometax@state.mn.us
Callusat651-296-3781or1-800-652-9094