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MN
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1 Minnesota wages and Minnesota tax withheld on Forms W-2, other than from Forms W-2G. If you have more than ve Forms W-2,
complete line 5 on the back.
A B—Box 13 C—Box 15 D—Box 16 E—Box 17
If the Form W-2 is for: If Rerement Plan Employer’s seven-digit Minnesota State wages, ps, etc. Minnesota tax withheld
• you, enter 1 box is checked, Tax ID Number (round to nearest whole dollar) (round to nearest whole dollar)
• spouse, enter 2 mark an X below.
Subtotal for addional Forms W-2 (from line 5 on page 2) ............................................
Total Minnesota tax withheld on all Forms W-2 (add amounts in line 1, column E)
.................... 1
2 Minnesota tax withheld on Forms 1099, W-2G, and 1042-S. If you have more than four forms, complete line 6 on the back.
A B C D
If the Form 1099, W-2G, or 1042-S is for: Payer’s seven-digit Minnesota Tax ID Income amount (see the table on Minnesota tax withheld
you, enter 1 Number (if unknown, contact the payer) the back for amounts to include) (round to nearest whole dollar)
spouse, enter 2
Subtotal for addional 1099, W-2G, and 1042-S (from line 6 on page 2) ...............................
Total Minnesota tax withheld on all 1099, W-2G, and 1042-S (add amounts in line 2, column D) ......... 2
3 TotalMinnesotataxwithheldbypartnerships,Scorporaons,andduciaries
(from line 7 on page 2) ....................................................................... 3
4 Total. Add the Minnesota tax withheld on lines 1, 2, and 3.
Enter the total here and on line 24 of Form M1 .................................................. 4
IncludethisschedulewithyourFormM1.
Ifrequired,includeSchedulesKPI,KS,andKF.
2019ScheduleM1W,MinnesotaIncomeTaxWithheld
Complete this schedule to report Minnesota income tax withheld. Include this schedule when you le your return.
If you received a federal Form W-2, 1099, W-2G, 1042-S, or Minnesota Schedule KPI, KS, or KF that shows Minnesota income tax withheld,
complete this schedule to determine line 24 of Form M1. List only the forms that report Minnesota income tax withheld. Round dollar
amounts to the nearest whole dollar. You must include this schedule when you le your return. DO NOT send in your Forms W-2, 1099, or
W-2G; keep them with your tax records. All instrucons are included on this schedule.
9995
YourFirstNameandInial LastName YourSocialSecurityNumber
IfaJointReturn,Spouse’sFirstNameandInial Spouse’s
LastName
Spouse’sSocialSecurityNumber
*191311*
MN
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MN
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5 Minnesota wages and Minnesota tax withheld on addional Forms W-2 (other than W-2G).
A B—Box 13 C—Box 15 D—Box 16 E—Box 17
If the Form W-2 is for: If Rerement Plan Employer’s seven-digit Minnesota State wages, ps, etc. Minnesota tax withheld
• you, enter 1 box is checked, Tax ID Number (round to nearest whole dollar) (round to nearest whole dollar)
• spouse, enter 2 mark an X below.
Subtotal for addional Forms W-2 (add amounts in line 5, column E) ................................... 5
Enter the result here and include on line 1 on the front of this schedule.
6 Minnesota tax withheld on addional Forms 1099, W-2G, and 1042-S.
A B C D
If the Form 1099 or W-2G is for: Payer’s seven-digit Minnesota Tax ID Income amount (see the table at the Minnesota tax withheld
you, enter 1 Number (if unknown, contact the payer) boom of this page for amounts to include) (round to nearest whole dollar)
spouse, enter 2
Subtotal for addional Forms 1099, W-2G, and 1042-S (add amounts in line 6, column D) ................. 6
Enter the result here and include on line 2 on the front of this schedule.
Complete lines 5 and 6 to report Minnesota income tax withheld if you received more than ve Forms W-2 or more than four Forms
1099, W-2G, and 1042-S. Complete line 7 to report Minnesota tax withheld on Schedules KPI, KS, and KF.
7 Minnesota income and tax withheld by partnerships, S corporaons, and duciaries, if any.
A B—MinnesotaIncomeAmount C—MinnesotaTaxWithheld
Enty’s seven-digit Minnesota Tax ID (from line 40 of Schedule KPI, (from line 42 of Schedule KPI,
Number (if unknown, contact the enty) line 38 of KS, or line 32 of KF) line 40 of KS, or line 23 of KF)
Subtotal of Minnesota tax withheld by partnerships, S corporaons, and duciaries (add amounts in
line 7, column C). Enter the result here and on line 3 on the front of this schedule....................... 7
2019 M1W, page 2
9995
TableforColumnC,Lines2and6
Use to determine which amounts from your Form 1099 and 1042-S you must include as income on column C, lines 2 and 6.
Form IncludetheSumofBoxes: Form IncludetheSumofBoxes: Form IncludetheSumofBoxes:
1099-G ........... 1, 2, 5–7 1099-INT ............... 1 1099-K .............. 1a
1099-MISC ........ 1–3, 5–8, 10, 13, 14 1099-OID .............. 1, 2 1099-R .............. 14 or 2a or 1
1099-DIV .......... 1a, 2a 1042-S................. 2
*191401*