Enlarge image
1 1
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86
3 3
4 NEAR FINAL DRAFT 8/1/24 4
5 5
6 *251991* 6
7 2025 Form M99, Credit for Military Service in a Combat Zone 7
8 8
9 9
10 TAXPAYER’S 1ST NAME,IN TAXPAYER’S LAST NAMEXXXXXXXXXXXXX 999999999 10
11 Your First Name and Initial Last Name Your Social Security Number 11
12 Check if: X New Address X Foreign Address 12
CURRENT HOME ADDRESSXXXXXXXXXXXX 999999999
13 Current Home Address Your Date of Birth (MM/DD/YYYY) 13
14 CITYXXXXXXXXXXXXXXXXXXXXXXXXXXXX XX 11223 14
15 City State ZIP Code X Check if Amended Form M99 15
16 16
17 17
18 Enter the number of months served in a combat zone during 2025. Count partial months as full months. Your domicile must have been Minne- 18
19 sota during the months served to qualify for the credit. 19
20 20
21 1 Number of months served in 2025 .... ..... ...... ...... ..... ..... ...... ...... ...... ..... ...... .... 1 12 21
22 22
23 2 Multiply line 1 by $120. This is the AMOUNT OF YOUR CREDIT ..... ...... ...... ..... ...... ...... ..... 2 1234 23
24 24
25 For Direct Deposit of the full credit, enter the following information. Otherwise, you will receive a check. 25
26 (You must use an account not associated with a foreign bank.) 26
27 Account Type 27
28 Checking Savings 28
29 X X 999999999999999999Routing Number 999999999999999999Account Number 29
30 Sign here: I declare that this return is correct and complete to the best of my knowledge and belief. 30
31 31
32 11223333 1112223333 32
33 Your signature Date Phone 33
34 11223333 1112223333 123456789 34
Paid preparer’s signature Date Phone PTIN or VITA/TCE # (required)
35 35
36 I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. 36
X
37 37
38 Explanation of Amended Form — If you need to make changes to a Form M99 that you have already submitted, you must mail a new Form M99, 38
39 check the amended box on the form, and explain your changes below. If needed, enclose another sheet; include required documentation and mail 39
40 to the address on the form. 40
41 41
42 EXPLAIN AMENDED XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 42
43 43
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
44 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 44
45 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 45
46 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 46
47 47
48 48
You must enclose the following with this return:
49 49
Active-duty members:
50 • Attach a copy of your Leave and Earnings Statement for each month in qualifying status. 50
51 51
52 52
National Guard, Reservists, and retired or discharged active-duty members:
53 • Attach Form DD-214 for each period of qualifying service. 53
54 54
55 . 55
We will accept completed forms and documentation starting January 1, 2025
56 Mail to: 56
57 Minnesota Department of Revenue 57
58 Mail Station 0043 58
59 600 N. Robert St. 59
60 St. Paul, MN 55146-0043 60
61 61
62 62
63 9995 63
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86
65 65