Fillable 2021 Form M1, Individual Income Tax (Minnesota Department of Revenue)

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2021 Form M1, Individual Income Tax (Minnesota Department of Revenue)

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*211111*
2021 Form M1, Individual Income Tax
Do not use staples on anything you submit.
From Your Federal Return (see instrucons)
1 Federal adjusted gross income (from line 11 of federal Form 1040 and 1040-SR) .......................... 1
2 Addionstoincomefromline10ofScheduleM1Mandline9ofScheduleM1MB (see instrucons) .........
2
3
Addlines1and2
...............................................................................
3
4 Itemizeddeducons (from Schedule M1SA)oryourstandarddeducon (see instrucons) .................
4
5 Exempons(determine from instrucons)..........................................................
5
6 Stateincometaxrefundfromline1offederalSchedule1.............................................
6
7 Subtraconsfromline32ofScheduleM1Mandline22ofScheduleM1MB(see instrucons) . . . . . . . . . . . . . .
7
8 Totalsubtracons.Addlines4through7........................................................... 8
9 Minnesota taxable income. Subtractline8fromline3.Ifzeroorless,leaveblank. .......................
9
10 TaxfromthetableintheFormM1instrucons .................................................... 10
9995
A.Wages,salaries,ps,etc. B.IRA,pensions,andannuies C.Unemployment D.Federaltaxableincome
YourFirstNameandInial LastName YourSocialSecurityNumber YourDateofBirth(MM/DD/YYYY)
IfaJointReturn,Spouse’sFirstNameandInial Spouse’s
LastName
Spouse’sSocialSecurityNumber
Spouse’sDateofBirth
Current Home Address
CheckifAddressis: New Foreign
City State ZIPCode
2021FederalFilingStatus(placeanXinonebox):
(1) Single (2)MarriedFilingJointly (3)MarriedFilingSeparately (4)HeadofHousehold (5)QualifyingWidow(er)
SpouseName
SpouseSSN
Dependents(seeinstrucons):
Dependent1FirstName Dependent1LastName Dependent1SSN Dependent1RelaonshiptoYou
Dependent2FirstName Dependent2LastName Dependent2SSN Dependent2RelaonshiptoYou
Dependent3FirstName Dependent3LastName Dependent3SSN Dependent3RelaonshiptoYou
YourCodeSpouse’sCode
StateEleconsCampaignFund
Togrant$5tothisfund,enterthecodeforthepartyofyourchoice.Itwillhelpcandidatesforstateocespaycampaignexpenses.Thiswillnotincreaseyourtaxorreduceyourrefund.
PolicalPartyCodeNumbers:
Republican................11
Democrac/Farmer-Labor ...12
Independence .............13
Grassroots/LegalizeCannabis 14
Libertarian
................16
LegalMarijuanaNow .......17
GeneralCampaignFund.....99
11 Alternaveminimumtax(enclose Schedule M1MT) ..................................................11
12 Addlines10and11 ............................................................................12
13 Full-yearresidents:Entertheamountfromline12online13.Skiplines13aand13b.
Part-yearresidentsandnonresidents:FromScheduleM1NR,enter
theamountfromline32on
line13,
fromline28on
line13a,andfromline29online13b(enclose Schedule M1NR) .................. 13
13a 13b
14 Othertaxes,suchasrecaptureamountsandthetaxonlump-sumdistribuons(check appropriate boxes)
(a)ScheduleM1HOME (b)ScheduleM1529 (c)ScheduleM1LS . . . . . . . . . . . . . . . . . . . . 14
15
Taxbeforecredits.Addlines13and14...........................................................
15
16 Amountfromline18ofScheduleM1C,Nonrefundable Credits (enclose Schedule M1C)................... 16
17 Subtractline16fromline15 (if result is zero or less, leave blank) .....................................
17
18 NongameWildlifeFundcontribuon (see instrucons)
Thiswillreduceyourrefundorincreasetheamountyouowe........................... 18
19 Addlines17and18 ........................................................................... 19
20
Minnesotaincometaxwithheld.CompleteandencloseScheduleM1Wtoreport
MinnesotawithholdingfromFormsW-2,1099,andW-2G (do not send)
................................. 20
21 Minnesotaesmatedtaxandextension paymentsmadefor2021 .................................... 21
22 Amountfromline11ofScheduleM1REF,Refundable Credits (see instrucons; enclose Schedule M1REF) .... 22
23
Totalpayments.Addlines20through22 ......................................................... 23
24 REFUND.Ifline23ismorethanline19,subtractline19fromline23(see instrucons).
Fordirectdeposit,completeline25 ............................................................. 24
25 Directdepositofyourrefund(you must use an account not associated with a foreign bank):
Checking Savings
RoungNumber AccountNumber
26 AMOUNTYOUOWE.Ifline19ismorethanline23,subtractline23fromline19 (see instrucons) ........ 26
27 PenaltyamountfromScheduleM15 (see instrucons).Alsosubtract
thisamountfromline24oraddittoline26 (enclose Schedule M15) .................................. 27
IFYOUPAYESTIMATEDTAXandwantpartofyourrefundcreditedtoesmatedtax,completelines28and29.
28 Amountfromline24youwantsenttoyou ....................................................... 28
29 Amountfromline24youwantappliedtoyour2022esmatedtax ...................................
29
YourSignature Spouse’sSignature(IfFilingJointly) Date(MM/DD/YYYY)
DaymePhone EmailAddress
Taxpayer: I declare that this return is correct and complete to the best of my knowledge and belief.
Includeacopyofyour2021federalreturnandschedules.
Mailto:MinnesotaIndividualIncomeTax,MailStaon0010,600N.RobertSt.,St.Paul,MN55145-0010
IauthorizetheMinnesotaDepartmentofRevenuetodiscussthistaxreturn
withthepreparerorthethird-partydesigneeindicatedonmyfederalreturn.
Idonotwantmypaidpreparertolemyreturnelectronically.
2021M1,page2
PaidPreparer’sSignature Date(MM/DD/YYYY) PTINorVITA/TCE#(required)
Preparer’sDaymePhone Preparer’sEmailAddress
9995
*211121*
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2021 Form M1, Individual Income Tax (Minnesota Department of Revenue)

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Completed 24 March 2022

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