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    4                                                            FINAL DRAFT - 10/2/23                                                                                      4
    5                                                                                                                                                                       5
    6                                                                                                                                     *231311*                          6
    7  2023 Schedule M1W, Minnesota Income Tax Withheld                                                                                                                     7
    8  Complete this schedule to report Minnesota income tax withheld. Include this schedule when you file your return.                                                     8
    9                                                                                                                                                                       9
    10                                                                                                                                                                      10
    11 YOUR FIRST NAME, INIT                                   YOUR LAST NAMEXXXXXXXXXXXXXXXXX                                           999999999                          11
       Your First Name and Initial                             Last Name                                                                 Your Social Security Number
    12                                                                                                                                                                      12
    13 SPOUSE FIRST NAME INIT                                  SPOUSE LAST NAMEXXXXXXXXXXXXXXX                                           999999999                          13
    14 If a Joint Return, Spouse’s First Name and Initial      Spouse’s Last Name                                                         Spouse’s Social Security Number   14
    15 If you received a federal Form W-2, 1099, W-2G, 1042-S, or Minnesota Schedule KPI, KS, or KF showing Minnesota income tax withheld,                                  15
    16 complete this schedule to determine line 20 of Form M1. List only the forms that report Minnesota income tax withheld. Round dollar                                  16
    17 amounts to the nearest whole dollar. You must include this schedule when you file your return. DO NOT send in your Forms W-2, 1099, or                               17
    18 W-2G; keep them with your tax records. All instructions are included on this schedule.                                                                               18
    19 1  Minnesota wages and Minnesota tax withheld on Forms W-2, other than from Forms W-2G. If you have more than five Forms W-2,                                        19
    20   complete line 5 on the back.                                                                                                                                       20
    21   A                         B—Box 13                    C—Box 15                              D—Box 16                             E—Box 17                          21
    22   If the Form W-2 is for:   If Retirement Plan          Employer’s seven-digit Minnesota      State wages, tips, etc.              Minnesota tax withheld            22
    23     •    you, enter 1       box is checked,             Tax ID Number                         (round to nearest whole dollar)      (round to nearest whole dollar)   23
    24     •    spouse, enter 2    mark an X below.                                                                                                                         24
    25     a11                     b1 X                     c1 MN            1234567                d1      12345678                     e1     12345678                    25
    26                                                                                                                                                                      26
    27     a22                     b2 X                     c2 MN            1234567                d2      12345678                     e2     12345678                    27
    28                                                                                                                                                                      28
    29     a31                     b3 X                     c3 MN            1234567                d3      12345678                     e3     12345678                    29
    30                                                                                                                                                                      30
    31     a42                     b4 X                     c4 MN            1234567                d4      12345678                     e4     12345678                    31
    32                                                                                                                                                                      32
    33     a51                     b5 X                     c5 MN            1234567                d5      12345678                     e5     12345678                    33
    34                                                                                                                                                                      34
    35   Subtotal for additional Forms W-2  (from line 5 on page 2)  .... ...... ..... ...... ...... ..... ...... ..... .                       12345678                    35
    36                                                                                                                                                                      36
    37   Total Minnesota tax withheld on all Forms W-2 (add amounts in line 1, column E)  .... ...... ...... ....  1                            12345678                    37
    38                                                                                                                                                                      38
    39 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.                                            39
    40   A                                                     B                                     C                                      D                               40
    41   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          41
    42   •    you, enter 1                                     Number (if unknown, contact the payer)  the back for amounts to include)     (round to nearest whole dollar) 42
    43   •   spouse, enter 2                                                                                                                                                43
    44                                                                                                                                                                      44
    45     a1 1                                             b1 MN            1234567                c1      12345678                     d1     12345678                    45
    46                                                                                                                                                                      46
    47     a2 2                                             b2 MN            1234567                c2      12345678                     d2     12345678                    47
    48                                                                                                                                                                      48
    49     a3 1                                             b3 MN            1234567                c3      12345678                     d3     12345678                    49
    50                                                                                                                                                                      50
    51     a4 2                                             b4 MN            1234567                c4      12345678                     d4     12345678                    51
    52                                                                                                                                                                      52
    53   Subtotal for additional 1099, W-2G, and 1042-S (from line 6 on page 2)        ... ...... ..... ....... ..... .....                     12345678                    53
    54                                                                                                                                                                      54
    55   Total Minnesota tax withheld on all 1099, W-2G, and 1042-S (add amounts in line 2, column D)                     ... ......  2         12345678                    55
    56                                                                                                                                                                      56
    57 3  Total Minnesota tax withheld by partnerships, S corporations, and fiduciaries                                                                                     57
    58   (from line 7 on page 2)   ... ...... ..... ....... ..... ...... ..... ..... ...... ...... ...... ..... ......  3                       12345678                    58
    59 4  Total. Add the Minnesota tax withheld on lines 1, 2, and 3.                                                                                                       59
    60   Enter the total here and on line 20 of Form M1          ... ...... ..... ....... ..... ...... ..... ..... ...... ..  4                 12345678                    60
    61                                                           Include this schedule with your Form M1.                                                                   61
    62                                                           If required, include Schedules KPI, KS, and KF.                                                            62
    63                                                                              9995                                                                                    63
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    4  2023 M1W, page 2                                                                                                                                                                        4
    5                                                                                                                                                                                          5
    6                                                                                                                               *231401*                                                   6
    7  Complete lines 5 and 6 to report Minnesota income tax withheld if you received more than five Forms W-2 or more than four Forms                                                         7
    8  1099, W-2G, and 1042-S. Complete line 7 to report Minnesota tax withheld on Schedules KPI, KS, and KF.                                                                                  8
    9                                                                                                                                                                                          9
    10 5  Minnesota wages and Minnesota tax withheld on additional Forms W-2 (other than W-2G).                                                                                                10
    11   A                       B—Box 13                  C—Box 15                                 D—Box 16                                                   E—Box 17                        11
    12   If the Form W-2 is for: If Retirement Plan        Employer’s seven-digit Minnesota         State wages, tips, etc.                                    Minnesota tax withheld          12
    13   •     you, enter 1      box is checked,           Tax ID Number                            (round to nearest whole dollar)                            (round to nearest whole dollar) 13
    14   •     spouse, enter 2   mark an X below.                                                                                                                                              14
    15                                                                                                                                                                                         15
    16     a1 1                  b1    X            c1     MN            1234567                  d1   12345678                                                e1    12345678                  16
    17                                                                                                                                                                                         17
    18     a2 2                  b2    X            c2     MN            1234567                  d2   12345678                                                e2    12345678                  18
    19                                                                                                                                                                                         19
    20     a3 1                  b3    X            c3     MN            1234567                  d3   12345678                                                e3    12345678                  20
        
    21                                                                                                                                                                                         21
    22     a4 2                  b4    X            c4     MN            1234567                  d4   12345678                                                e4    12345678                  22
    23                                                                                                                                                                                         23
    24   Subtotal for additional Forms W-2 (add amounts in line 5, column E)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . .    5       12345678                  24
    25   Enter the result here and include on line 1 on the front of this schedule.                                                                                                            25
    26 6  Minnesota tax withheld on additional Forms 1099, W-2G, and 1042-S.                                                                                                                   26
    27   A                                                 B                                        C                                                              D                           27
    28   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      28
    29   •    you, enter 1                                 Number (if unknown, contact the payer)   bottom of this page for amounts to include)  (round to nearest whole dollar)               29
    30   •    spouse, enter 2                                                                                                                                                                  30
    31                                                                                                                                                                                         31
    32     a1 1                                     b1     MN            1234567                  c1   12345678                                                d1    12345678                  32
    33                                                                                                                                                                                         33
    34     a2 2                                     b2     MN            1234567                  c2   12345678                                                d2    12345678                  34
    35                                                                                                                                                                                         35
    36     a3 1                                     b3     MN            1234567                  c3   12345678                                                d3    12345678                  36
    37                                                                                                                                                                                         37
    38     a4 2                                     b4     MN            1234567                  c4   12345678                                                d4    12345678                  38
    39                                                                                                                                                                                         39
    40   Subtotal for additional Forms 1099, W-2G, and 1042-S (add amounts in line 6, column D)  .. ...... ..... ....    6                                           12345678                  40
    41   Enter the result here and include on line 2 on the front of this schedule.                                                                                                            41
    42  7  Minnesota income  and tax withheld by partnerships, S corporations, and fiduciaries, if any.                                                                                        42
    43                                                                                                                                                                                         43
    44                                              A                                           B—Minnesota Income Amount        C—Minnesota Tax Withheld                                      44
    45                                              Entity’s seven-digit Minnesota Tax ID       (from line 50 of Schedule KPI,   (the sum of lines 31 and 52 of Schedule KPI,                  45
    46                                              Number (if unknown, contact the entity)     line 48 of KS, or line 46 of KF) lines 31 and 50 of KS, or lines 30 and 40 of KF)46

    47                                              a1     MN            1234567                  b1   12345678                                                c1    12345678                  47
    48                                                                                                                                                                                         48
    49                                              a2     MN            1234567                  b2   12345678                                                c2    12345678                  49
    50                                                                                                                                                                                         50
    51                                              a3     MN            1234567                  b3   12345678                                                c3    12345678                  51
    52                                                                                                                                                                                         52
    53                                              a4     MN            1234567                  b4   12345678                                                c4    12345678                  53
    54   Subtotal of Minnesota tax withheld by any partnerships, S corporations, and fiduciaries (add amounts in                                                                               54
    55    line 7, column C). Enter the result here and on line 3 on the front of this schedule... ...... ..... ....... ..  7                                         12345678                  55
    56                                                                                                                                                                                         56
    57   Table for Column C, Lines 2 and 6                                                                                                                                                     57
    58   Use to determine which amounts from your Form 1099 and 1042-S you must include as income on column C, lines 2 and 6.                                                                  58
    59   Form      Include the Sum of Boxes:                  Form       Include the Sum of Boxes:                        Form                                   Include the Sum of Boxes:     59
    60   1099-G  . ..... .....     1, 2, 5–7                   1099-INT ... ...... ..... .        1                         1099-K .... ..... .....  1a                                        60
    61   1099-MISC ... .....   1–3, 5, 6, 8–11, 14, 15         1099-OID ..... ...... ... 1, 2                               1099-R ... ...... .....  16, 2a or 1                               61
    62   1099-DIV . ...... ...     1a, 2a                      1042-S    ... ...... ..... ...     2                         1099-NEC ... ...... ...  1                                         62
    63                                                                                                                                                                                         63
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