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                                                                                                                                       *231111*
2023 Form M1, Individual Income Tax
Do not use staples on anything you submit.

Your First Name and Initial                        Last Name                                               Your Social Security Number                                                                           Your Date of Birth (MM/DD/YYYY)

If a Joint Return, Spouse’s First Name and Initial Spouse’s Last Name                                      Spouse’s Social Security Number                                                                       Spouse’s Date of Birth 
                                                                                                           Check if Address is:                                                                                    New               Foreign
Current Home Address  

City                                                                                                       State                                                                                                 ZIP Code 

2023 Federal Filing Status (place an X in one box):

     (1) Single (2) Married Filing Jointly         (3) Married Filing Separately                            (4) Head of Household                                                                        (5) Qualifying Surviving Spouse
                                                   Spouse Name
                                                   Spouse SSN

State Elections Campaign Fund
To grant $5 to this fund, enter the code for the party of your choice. It will help candidates for state offices pay campaign expenses. This will not increase your tax or reduce your refund.
                                Political Party Code Numbers: Republican . . . . . . . . . . . . . . . .11 Grassroots/Legalize Cannabis 14                                                              Legal Marijuana Now  . . . . . . .17 
Your Code      Spouse’s Code                                  Democratic/Farmer-Labor  . . .12             Libertarian  . . . . . . . . . . . . . . . .16                                               General Campaign Fund  . . . . .99

From Your Federal Return (see instructions)

A. Wages, salaries, tips, etc.  B. IRA, pensions, and annuities                  C. Unemployment                                  D. Federal taxable income 

 1 Federal adjusted gross income                    (from line 11 of federal Form 1040 and 1040-SR)   . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .    1 

 2  Additions to income from line 10 of Schedule M1M and line 9 of Schedule M1MB (see instructions)  . .  . . . . .  . . .      2 

 3     Add lines 1 and 2        . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . .      3 

     4   Itemized deductions (from Schedule M1SA) or your standard deduction (see instructions)  . . .  . . . . . . .  . . . . .  . .      4 

     5    Exemptions (from Schedule M1DQC)  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .      5 

 6     State income tax refund from line 1 of federal Schedule 1  . .  . . . . . . . . . . . .  . . . . . . . . . . .  . . . . .  . . . . . .  . . . . . . . . .      6 

     7  Subtractions from line 35 of Schedule M1M and line 21 of Schedule M1MB (see instructions) . . . . . . . . . . . . . .                7 

 8  Total subtractions. Add lines 4 through 7  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .       8 

 9 Minnesota    taxable income   . Subtract line 8 from line 3. If zero or less, leave blank.   . . . .  . . . . . .  . . . . .  . . . . . .  . .      9 

 10 Tax  from the table or schedules in the Form M1 instructions   . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . .     10 

 11     Alternative minimum tax (enclose Schedule M1MT)   . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . . 11 

 12     Add lines 10 and 11     . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . 12 
 13 Full-year   residents:      Enter the amount from line 12 on line 13. Skip lines 13a and 13b. 
       Part-year residents and nonresidents: From Schedule M1NR, enter the amount from line 32 on 
       line 13, from line 28 on line 13a, and from line 29 on line 13b (enclose Schedule M1NR)  . .  . . . . . . .  . . . . . . . . . .     13 
        13a                             13b 

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    2023 M1, page 2
                                                                                                             *231121*
  14  Other taxes, such as recapture amounts and the tax on lump-sum distributions (check appropriate boxes) 

    (a) Schedule M1HOME                (b) Schedule M1529                  (c) Schedule M1LS . . . . . . . . . . . . . . . . . . . .     14 

15     Tax before credits. Add lines 13 and 14 ... ...... ..... ....... ..... ...... ..... ..... ...... ...... .....     15  

16  Amount from line 21 of Schedule M1C, Nonrefundable Credits (enclose Schedule M1C)         ... ...... ..... .....     16 

17   Subtract line 16 from line 15 (if result is zero or less, leave blank) ... ...... ..... ....... ..... ...... .....                  17  
18   Nongame Wildlife Fund contribution (see instructions)  
    This will reduce your refund or increase the amount you owe ... ...... ..... ....... ..... ..                     18                  

19   Add lines 17 and 18 ... ...... ..... ....... ..... ...... ..... ..... ...... ...... ...... ..... ...... ..... . 19  

20  Minnesota income tax withheld. Complete and enclose Schedule M1W to report 
    Minnesota withholding from Forms W-2, 1099, and W-2G and Schedules KPI, KS, and KF  . ..... ...... ..... ...                         20 

21   Minnesota estimated tax and extension payments made for 2023  . ..... ...... ...... ..... ...... ..... ..     21 

22   Amount from line 11 of Schedule M1REF, Refundable Credits (see instructions; enclose Schedule M1REF) ... .     22 

23   Total payments. Add lines 20 through 22  ...... ....... ..... ..... ...... ..... ...... ....... ..... .....     23  
24   REFUND. If line 23 is more than line 19, subtract line 19 from line 23 (see instructions).
    For direct deposit, complete line 25  ...... ..... ...... ...... ...... ..... ..... ...... ...... ...... ....     24 

25   Direct deposit of your refund  (you must use an account not associated with a foreign bank):
    Checking              Savings     
                                      Routing Number                       Account Number
26   AMOUNT YOU OWE. If line 19 is more than line 23, subtract line 23 from line 19 (see instructions)  .... ....     26 
27  Penalty amount from Schedule M15 (see instructions). Also subtract 
    this amount from line 24 or add it to line 26 (enclose Schedule M15)   ... ...... ..... ....... ..... ...... ..     27 

28  Penalty and interest (see instructions)  ... ...... ..... ..... ...... ...... ..... ...... ..... ...... ......     28 
IF YOU PAY ESTIMATED TAX and want part of your refund credited to estimated tax, complete lines 29 and 30.
29   Amount from line 24 you want sent to you  .. ..... ...... ...... ..... ...... ..... ....... ..... ...... ..                         29 

30  Amount from line 24 you want applied to your 2024 estimated tax  .... ...... ..... ..... ...... ...... ...     30 

Taxpayer(s): I declare that this return is correct and complete to the best of my knowledge and belief.

Your Signature                                                       Spouse’s Signature (If Filing Jointly)                                 Date (MM/DD/YYYY)

Daytime Phone                                                        Email Address

Paid Preparer’s Signature                                            Date (MM/DD/YYYY)                                                      PTIN or VITA/TCE # (required)

Preparer’s Daytime Phone                                             Preparer’s Email Address 

    I do not want my paid preparer to file my return electronically.       I authorize the Minnesota Department of Revenue to discuss this tax return  
                                                                           with the preparer or the third-party designee indicated on my federal return.

    Include a copy of your 2023 federal return and schedules.           
    Mail to:  Minnesota Individual Income Tax, Mail Station 0010, 600 N. Robert St., St. Paul, MN 55146-0010

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