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    4                                                                                                                                                                                          NEAR FINAL DRAFT 8/1/24                                                                                                4
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    6                                                                                                                                                                                                                                                                       *241161*                                  6

    7  2024 Schedule M1SA, Minnesota Itemized Deductions                                                                                                                                                                                                                                                              7
    8                                                                                                                                                                                                                                                                                                                 8
    9                                                                                                                                                                                                                                                                                                                 9
    10            NameFirst Your YOURand Initial                                                          FIRST NAME, INIT                                                            YOURLast Name    LAST NAMEXXXXXX                                                      999999999SocialYour NumberSecurity        10
    11                                                                                                                                                                                                                                                                                                                11
    12 Medical and Dental Expenses                                                                                                                                                                                                                                                                                    12
    13   1  Medical and dental expenses                                                                                                                  (see instructions)                      . . .  . . . . . .  . . . . .  . . . . . . 1.        12345678                                                        13
    14                                                                                                                                                                                                                                                                                                                14
    15                           2  Adjusted gross income                                                                              instructions)(see                               . . . . .  . . . . . .  . . . . .  . . . . . .  . . . 2.       12345678                                                        15
    16                                                                                                                                                                                                                                                                                                                16
    17   3  Multiply line 2 by 10% (.10). .  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . .  .  3                                                                                                                        12345678                                                        17
    18   4  Subtract line 3 from line 1. If line 3 is more than line 1, enter 0  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . .  .  4                                                                                                                              12345678            18
    19 Taxes You Paid                                                                                                                                                                                                                                                                                                 19
    20                           5  Real estate taxes                                                                instructions)(see                                       . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . .       5 12345678                                                        20
    21                                                                                                                                                                                                                                                                                                                21
    22                           6  Personal property taxes (see instructions)   . . . . .  . . . . .  . . . . . .  . . . . .  . . .    6                                                                                                             12345678                                                        22
    23                                                                                                                                                                                                                                                                                                                23
    24   7  Add lines 5 and 6 . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . .7.  .                                                                                                                  12345678                                                        24
    25                                                                                                                                                                                                                                                                                                                25
    26                           8  Enter the or 7 line $10,000 Marriedif ($5,000 lesser of        Filing Separately)                                                                                                                             8   12345678                                                        26
    27                                                                                                                                                                                                                                                                                                                27
    28                           9   Other taxes. List the type and amount  .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . .  .   9                                                                                                         12345678                                                        28
    29                               LIST OTHER TYPE AND AMOUNT                                                                                                                                                                                                                                                       29
    30   10  Add lines 8 and 9 . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . .  .   10                                                                                             12345678            30
    31 Interest You Paid                                                                                                                                                                                                                                                                                              31
    32            11  Home mortgage interest and points on federal Form 1098   .  . . . . . .  . .    11                                                                                                                                              12345678                                                        32
    33            12  Home mortgage interest and points not reported to you on Form 1098                                                                                                                                                                                                                              33
    34                                       (see instructions) LIST HOME MORTGAGE                                                                                                                                                         12         12345678                                                        34
    35                                                                                                                                                                                                                                                                                                                35
    36   13  Investment interest expense                                                                                                                  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . .    13             12345678                                                        36
    37            14  Add lines 11 through 13  . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . .  .   14                                                                                          12345678            37
    38 Charitable Contributions                                                                                                                                                                                                                                                                                       38
    39            15  Charitable contributions by cash or check (see instructions) . . .  . . . . . .    15                                                                                                                                           12345678                                                        39
    40                                                                                                                                                                                                                                                                                                                40
    41            16  Charitable contributions by other than cash or check (see instructions)    16                                                                                                                                                   12345678                                                        41
    42                                                                                                                                                                                                                                                                                                                42
    43            17  Carryover of charitable contributions from a prior year   . . . . .  . . . . . .  .    17                                                                                                                                       12345678                                                        43
    44            18  Add lines 15 through 17  . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . .  .   18                                                                                          12345678            44
    45 Casualty and Theft Losses                                                                                                                                                                                                                                                                                      45
    46            19  Casualty or theft loss (enclose Schedule M1CAT)  . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . .  .   19                                                                                                              12345678            46
    47 Unreimbursed Employee Business Expenses                                                                                                                                                                                                                                                                        47
    48            20  Unreimbursed employee expenses (enclose Schedule M1UE)   .  . . . . . .    20                                                                                                                                                   12345678                                                        48
    49                                                                                                                                                                                                                                                                                                                49
    50            21  Adjusted gross income (see instructions)   . . . . .  . . . . . .  . . . . .  . . . . . .  . . .  . 21                                                                                                                          12345678                                                        50
    51                                                                                                                                                                                                                                                                                                                51
    52            22  Multiply line 21 by 2% (.02)  . . .  . . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . .    22                                                                                                                 12345678                                                        52
    53            23  Subtract line 22 from line 20. If zero or less, enter 0  . . . .  . . . . . .  . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  .    23                                                                                                              12345678            53
    54 Other Miscellaneous Deductions                                                                                                                                                                                                                                                                                 54
    55            24  Other miscellaneous deductions (see instructions)  . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . .    24                                                                                                                  12345678            55
    56                                  List type and amount                                                                                             LIST OTHER TYPE AND AMOUNT                                                                                                                                   56
    57            25  Add lines 4, 10, 14, 18, 19, 23, and 24   . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  .    25                                                                                                     12345678            57
    58   26    Complete the worksheet in the instructions if Line 1 of Form M1                                                                                                                                                                                                                                        58
    59                                is more than $232,500 ($116,250 if your filing status is Married Filing Separately)  . . .  . . . . . .  . . . . .  . . . . .    26                                                                                                                         12345678            59
    60                                                                                                                                                                                                                                                                                                                60
    61            27  Subtract line 26 from line 25.  Enter the result here and on line 4 of Form M1   . . .  . . . . . .  . . . . . .  . . . . .  . .    27                                                                                                                                      12345678            61
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