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    4                                                        NEAR FINAL DRAFT 8/1/24                                                                                 4
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    6                                                                                                                              *245511*                          6

    7  2024 Schedule M1PR-SR, Special Refund                                                                                                                         7
    8                                                                                                                                                                8
    9  Complete Schedule M1PR-SR, Special Refund, to calculate your 2024 special refund. To qualify, you must have owned and lived in the                            9
    10 homestead reported on Form M1PR both on January 2, 2024, and on January 2, 2025. The instructions for this schedule are in the                                10
    11 2024 Form M1PR instructional booklet.                                                                                                                         11
    12                                                                                                                                                               12
    13 YOUR FIRST NAME,INIT                   YOUR LAST NAMEXXXXXXXXXXXXXXXXXXX                                                    999999999                         13
    14 Your First Name and Initial            Last Name                                                                            Your Social Security Number       14
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    17                                                                                                                                                               17
    18   1    Line 1 of Statement of Property Taxes Payable in 2025. If the Statement does not list an amount for new                                                18
    19      improvements or expired exclusions, skip lines 2 and 3 and enter this amount on line 4.... ...... ..... ..... 1                        12345678          19
    20   2     If the Statement lists an amount for new improvements or expired exclusions, complete and enclose                                                     20
    21      Worksheet 3 from the instructions and enter the percentage from Step 3 here. . ...... ...... ...... ..... .. 2                         12345678          21
    22                                                                                                                                                               22
    23   3    Multiply line 2 by the percentage on line 3... ...... ..... ....... ..... ...... ..... ..... ...... ...... ..   3                    12345678          23
    24   4   If you did not have new improvements or expired exclusions, enter the amount from line 1.                                                               24
    25      If you had new improvements or expired exclusions, subtract line 3 from line 1 ..... ...... ...... ..... .... 4                        12345678          25
    26   5    From your Statement of Property Taxes Payable in 2025, enter the amount from line 2 (2024 column).                                                     26
    27      If there is no amount on line 2, see instructions  . ...... ...... ...... ..... ..... ...... ...... ...... ....  5                     12345678          27
    28                                                                                                                                                               28
    29       X  Disabled Veterans Homestead Exclusion (see instructions)                                                                                             29
    30                                                                                                                                                               30
    31   6    Special refund (not your regular refund) from line 20 of your 2023 Form M1PR.     ... ...... ..... ....... ....   6                  12345678          31
    32   7    Subtract line 6 from line 5 (If result is a negative number or more than line 4, STOP HERE;                                                            32
    33         you are not eligible for the special refund) .... ...... ..... ...... ..... ....... ..... ..... ...... ...... .  7                  12345678          33
    34   8    Subtract line 7 from line 4 (if result is less than $100, STOP HERE;                                                                                   34
    35      you are not eligible for the special refund) .... ...... ..... ...... ..... ....... ..... ..... ...... ...... .   8                    12345678          35
    36                                                                                                                                                               36
    37   9    Multiply line 7 by 12% (.12) .. ....... ..... ..... ...... ..... ...... ...... ...... ..... ...... ..... ....   9                    12345678          37
    38                                                                                                                                                               38
    39 10     Amount from line 9 or $100, whichever is greater... ...... ..... ....... ..... ...... ..... ..... ...... .  10                       12345678          39
    40                                                                                                                                                               40
    41 11     Subtract line 10 from line 8 (if result is zero or less, STOP HERE; you are not eligible for this special refund) .  11              12345678          41
    42                                                                                                                                                               42
    43 12     Multiply line 11 by 60% (.60) .... ..... ..... ...... ...... ...... ..... ...... ..... ...... ...... ......  12                      12345678          43
    44 13    Special Refund. Amount from line 12 or $1,000, whichever is less.                                                                                       44
    45       Enter the amount here and on line 15 of this Form M1PR. ... ...... ..... ....... ..... ...... ..... .....  13                         12345678          45
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    47 You must include this schedule with your Form M1PR when you are claiming this special refund.                                                                 47
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    63                                                                            9995                                                                               63
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