2021 Form M1PR, page 2
Homeowners
*215221*
Property ID Number County where property is located
19 Property tax from line 1 of Statement of Property Taxes Payable in 2022 ............................. 19
(Mobile homeowners: See worksheet 1 in the instrucons)
20 If claiming the special refund, enter amount from line 38 of Schedule 1 below (see instrucons).......... 20
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 instrucons ................... 22
Homeowners and Renters
23 Add lines 18, 20, and 22 ...................................................................... 23
24 Nongame Wildlife Fund contribuon. Your refund will be reduced by this amount ............
24
25 Your Refund. Subtract line 24 from line 23. Connue to line 39....................................... 25
Schedule 1 - Special Refund
To qualify, you must have owned and lived in this homestead both on January 2, 2021, and on January 2, 2022. If you qualify, see the instrucons.
26 Line 1 of Statement of Property Taxes Payable in 2022. If the Statement does not list an amount for new
improvements or expired exclusions, skip lines 27 and 28 and enter this amount on line 29 .............. 26
27 If the Statement lists an amount for new improvements or expired exclusions, complete and enclose
Worksheet 3 from the instrucons and enter the percentage from Step 3 here......................... 27
%
28 Mulply line 26 by the percentage on line 27 .................................................... 28
29 If you did not have new improvements or expired exclusions, enter the amount from line 26.
If you had new improvements or expired exclusions, subtract line 28 from line 26. ..................... 29
30 From your Statement of Property Taxes Payable in 2022, enter the amount from line 2 (2021 column).
If there is no amount on line 2, see instrucons. .................................................. 30
Disabled Veterans Homestead Exclusion (see instrucons)
31 Special refund (not your regular refund) from line 20 of your 2020 Form M1PR ........................ 31
32 Subtract line 31 from line 30 (if result is a negave number or more than line 29, STOP HERE;
you are not eligible for the special refund) ....................................................... 32
33 Subtract line 32 from line 29 (if result is less than $100, STOP HERE;
you are not eligible for the special refund) ....................................................... 33
34 Amount from Line 32 ___________ X 12% (.12) .................................................. 34
35 Amount from line 34 or $100, whichever is greater................................................ 35
36 Subtract line 35 from line 33 (if result is zero or less, STOP HERE; you are not eligible for this special refund) 36
37 Mulply line 36 by 60% (.60) .................................................................. 37
38 Special Refund. Amount from line 37 or $1,000, whichever is less.
Enter the amount here and on line 20 of this Form M1PR. .......................................... 38
39 Direct deposit of your refund (you must use an account not associated with a foreign bank):
Checking Savings
Roung Number Account Number
Taxpayer: I declare that this return is correct and complete to the best of my knowledge and belief.
Your Signature Spouse’s Signature (If Filing Jointly) Date (MM/DD/YYYY) Dayme Phone
Paid Preparer’s Signature Date (MM/DD/YYYY) PTIN or VITA/TCE # (required)
I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer.
Mail to: Minnesota Property Tax Refund St. Paul, MN 55145-0020 Renters — Include your 2021 CRP(s).
Preparer’s Dayme Phone
9995