Your First Name and Inial Last Name Social Security Number
Registraon Informaon
Bank Name Date Account Opened Account Number End of Year Balance
Qualied Beneciary Date Beneciary Named
Withdrawals from Account
Date of Withdrawal Amount of Withdrawal Purpose of Withdrawal
Account Reporng
1 Amount of contribuons made to this account since date account opened (see instrucons).................... 1
2 Qualied withdrawals in 2019 (see instrucons) .......................................................... 2
3 Nonqualied withdrawals in 2019 (see instrucons) ....................................................... 3
Subtracon
4 Enter amount of interest earned in 2019 on this account here and on line 40 of Schedule M1M ................... 4
Addion
5 Subtract line 1 from line 3. If the result is zero or less, STOP HERE. You do not have an addion.
If you have a posive number, enter this amount on line 11
of Schedule M1M and complete line 6
.................................................................. 5
Addional Tax
6 Mulply line 5 by 10% (.10). Enter the amount here and on line 14 of Form M1.
Check the box for Schedule M1HOME on line 14 of Form M1 ............................................... 6
2019 Schedule M1HOME, First-Time Homebuyer Savings Account
If you are the account holder of more than one rst-me homebuyer savings account, complete a separate Schedule M1HOME for
each account.
Round amounts to the nearest whole dollar.
*191791*
9995
Complete Schedule M1HOME, First-time Homebuyer Savings Account, to:
Register a rst-time homebuyer savings account
Designate a qualied beneciary
Determine your subtraction or addition and additional tax
Complete one form per qualied rst-time homebuyer savings account you earned interest from or took a distribution from in 2019.
Who is a qualied beneciary?
A qualied beneciary is the person or married couple that the account holder designates on this schedule. The beneciary must be a Min-
nesota resident who has not had ownership interest in a principal residence in the last three years. The account holder may be the beneciary
of a rst-time homebuyer account. You may change the qualied beneciary at any time.
How do I determine the date I named the qualifying beneciary?
Typically, you name the qualied beneciary the day you open the account. To qualify for this subtraction, you must name the beneciary on
Schedule M1HOME.
What is a qualied withdrawal?
A qualied withdrawal is a withdrawal of funds used for a down payment on a single-family residence, closing costs, cost of construction, or
nancing the construction of a single-family residence.
What is a nonqualied withdrawal?
A nonqualied withdrawal is a withdrawal of funds used for anything other than expenses listed as a qualied withdrawal.
Line Instrucons
Round amounts to the nearest whole dollar.
Line 1
Enter the contributions to the account since opening the account. The maximum annual contribution is $28,000 for married couples ling
joint returns or $14,000 for all other individuals.
If there were distributions from this account in 2017 or 2018, reduce your overall contributions by the amount of these distributions.
Line 2
Enter the amount of qualied withdrawals taken from the account in 2019.
Line 3
Enter the amount of nonqualied withdrawals taken from the account in 2019.
Line 4
Enter the amount of interest or dividends earned on this account in 2019. You may nd this amount on a federal Form 1099 your nancial
institution issued. This amount is your subtraction to enter on line 4 of this schedule and on line 40 of Schedule M1M, Income Additions and
Subtractions.
Line 5
Enter the result of this line here and on line 11 of Schedule M1M. This is the amount of your addition.
Line 6
Multiply the amount on line 5 by 10% (.10). Enter this amount here and on line 14 of Form M1. This is your additional tax.
Quesons? Need forms?
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
2019 Schedule M1HOME Instrucons