1 Federal adjusted gross income (from Line 1 of Form M1, see instrucons if you did not le Form M1)
......... 1
2 Nontaxable Social Security and/or Railroad Rerement Board benets received
and not included in line 1 above (determine from instrucons) ......................................... 2
3 Deducon for contribuons to a qualied rerement plan
(add lines 15 and 19 of federal Schedule 1; see instrucons) Also see line 9 of this Form M1PR............... 3
4 Total payments from programs including MFIP (MN Family Investment Program), MSA (MN Supplemental Aid)
SSI (Supplemental Security Income), GA (General Assistance), and Minnesota Housing Support (formerly GRH)
4
5 Addional nontaxable income from line 20 of Schedule M1PR-AI, Addions 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 explanaon) .. 6
7 Subtracon for 65 or older (born before January 2, 1956) or disabled:
If you (or your spouse if ling a joint return) are age 65 or older or are disabled, enter $4,300: ............. 7
8 Dependent Subtracon: Enter your subtracon for dependents (use worksheet in instrucons) ............ 8
Number of dependents: Names and Social Security numbers:
9 Rerement Account Subtracon: If you (or your spouse) contributed to a 401(k), IRA, 457(b), or
other rerement plan, or had an amount on line 3, see instrucons .................................... 9
10 Amounts you paid for alimony not deducted on line 18a of federal Schedule 1 (see instrucons)............ 10
11 Subtracon from line 32 of Schedule M1NC, Federal Adjustments (see instrucons 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 negave, enter as a negave).... 14
15 Add line 14 to line 13 .......................................................................... 15
Renters - Complete lines 16-18. Homeowners - Connue to next secon.
16 Enter total rent from CRP(s) (you must enclose your CRPs)............................................ 16
17 Mulply 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 instrucons. Connue with lines 23-25 .......................................... 18
Check all that apply:
Renter Homeowner Nursing Home or Adult Foster Care Resident Mobile Home Owner
2020 Form M1PR, Homestead Credit Refund (for Homeowners)
and Renter’s Property Tax Refund
9995
*205211*
Your Code Spouse’s Code
State Elecons Campaign Fund: To grant $5 to this fund, enter the code for the party of your choice. It will help candidates for state oces pay campaign expenses.
This will not increase your tax or reduce your refund.
Polical Party Code Numbers:
Republican................11
Democrac/Farmer-Labor ...12
Check the box if you or
your spouse are:
(A) 65 or Older
(B)Disabled
Your First Name and Inial Last Name Your Social Security Number Your Date of Birth (MM/DD/YYYY)
If a Joint Return, Spouse’s First Name and Inial Spouse’s
Last Name
Spouse’s Social Security Number
Spouse’s Date of Birth
Check if Address is:
Current Home Address City State ZIP Code New Foreign
Independence .............13
Grassroots/Legalize Cannabis 14
Green ...................15
Libertarian ................16
Legal Marijuana Now .......17
General Campaign Fund.....99