Your Code Spouse’s Code
*191111*
2019 Form M1, Individual Income Tax
Leave unused boxes blank. Do not use staples on anything you submit.
Your First Name and Inial Last Name Your Social Security Number (SSN) Your Date of Birth
If a Joint Return, Spouse’s First Name and Inial Spouse’s
Last Name
Spouse’s Social Security Number
Spouse’s Date of Birth
Current Home Address Check if: New Address Foreign Address
City State ZIP Code
2019 Federal Filing Status (place an X in one box):
(1) Single
(2) Married ling jointly
(3) Married ling separately
(4) Head of household
(5) Qualifying widow(er)
Spouse name and SSN
State Elecons Campaign Fund
If you want $5 to go to help candidates for state oces pay campaign expenses, enter the code number for the party of your choice. This will not increase your tax or reduce your refund.
A. Wages, salaries, ps, etc. B. IRA, pensions, and annuies C. Unemployment D. Federal taxable income
From Your Federal Return (see instrucons)
Place an X in box if a negave number
1 Federal adjusted gross income (from line 8b of federal Form 1040 and 1040-SR)
(if a negave number, place an X in the box) ......................................................... 1
2 Addions to Minnesota income from line 17 of Schedule M1M (see instrucons; enclose Schedule M1M).....
2
3
Add lines 1 and 2
(if a negave number, place an X in the box) .........................................
3
4 Itemized deducons (from Schedule M1SA) or your standard deducon (see instrucons) .................
4
5 Exempons (determine from instrucons) ..........................................................
5
6 State income tax refund from line 1 of federal Schedule 1 ............................................
6
7 Other subtracons from Minnesota income from line 46 of Schedule M1M
(see instrucons; enclose Schedule M1M) ..........................................................
7
8 Total subtracons. 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 M1 instrucons ......................................................... 10
11 Alternave 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 26 on
line 13,
from line 22 on
line 13a, and from line 23 on line 13b (enclose Schedule M1NR) ........................... 13
a
b (Place an X in box if a negave number)
14 Other taxes such as the tax on lump sum distribuons and recapture amounts from (check appropriate box):
Schedule M1HOME
Schedule M1529
Schedule M1LS ............................. 14
9995
Polical Party Code Numbers:
Republican—11
Democrac/Farmer-Labor—12
Independence—13
Grassroots/Legalize Cannabis—14
Green—15
Libertarian—16
Legal Marijuana Now—17
General Campaign Fund—99