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4 NEAR FINAL DRAFT 8/1/24 4
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6 *241791* 6
7 2024 Schedule M1HOME, First-Time Homebuyer Savings Account 7
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9 If you are the account holder of more than one first-time home buyer savings account, complete a separate Schedule M1HOME for 9
10 each account. 10
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12 YOUR FIRST NAME,I YOUR LAST NAMEXXXXXXXXXXXXXXXXXX 999999999 12
13 Your First Name and Initial Last Name Social Security Number 13
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15 Registration Information 15
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17 NAME OF BANKXXXXX 11223333 9999999999999 123456789 123456789 17
18 Bank Name Date Account Opened (MM/DD/YYYY) Account Number Start of Year Balance End of Year Balance 18
19 BENEFICIARYXXXXXXXXXXXXX 11/22/3333 19
20 Qualified Beneficiary Date Beneficiary Named 20
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23 Withdrawals from Account 23
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25 11/22/3333 12345678 PURPOSE OF WITHDRAWAL XXXX 25
Date of First Withdrawal Amount of First Withdrawal Purpose of First Withdrawal
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27 11/22/3333 12345678 PURPOSE OF WITHDRAWAL XXXX 27
28 Date of Second Withdrawal Amount of Second Withdrawal Purpose of Second Withdrawal 28
29 11/22/3333 12345678 PURPOSE OF WITHDRAWAL XXXX 29
30 Date of Third Withdrawal Amount of Third Withdrawal Purpose of Third Withdrawal 30
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32 Round amounts to the nearest whole dollar. 32
33 Account Reporting 33
34 1 Amount of contributions to the account prior to 2024 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 12345678 34
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36 2 Amount of contributions made in 2024. Do not enter more than $14,000 ($28,000 if married and filing a joint return) 2 12345678 36
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38 3 Add Lines 1 and 2 . ...... ..... ...... ..... ...... ...... ..... ...... ..... ...... ....... ..... ..... ...... ... 3 12345678 38
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40 4 Qualified withdrawals in 2024 (see instructions) ..... ...... ..... ..... ....... ...... ..... ...... ..... ..... ... 4 12345678 40
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42 5 Nonqualified withdrawals in 2024 (see instructions) ... ...... ..... ....... ..... ...... ..... ..... ...... ...... . 5 12345678 42
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44 Subtraction 44
45 6 Enter amount of interest and dividends earned in 2024 on this account here and on line 27 of Schedule M1M ...... 6 12345678 45
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47 Addition 47
48 7 Subtract line 3 from line 5. If the result is zero or less, STOP HERE. You do not have an addition. 48
49 If you have a positive number, enter this amount on line 5 of Schedule M1M and complete line 8... ...... ..... ... 7 12345678 49
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51 Additional Tax 51
52 8 Multiply line 7 by 10% (.10). Enter the amount here and on line 14 of Form M1. 52
53 Check the box for Schedule M1HOME on line 14 of Form M1 (see instructions) ... ...... ..... ....... ..... ...... 8 12345678 53
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