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    4                                                                                 FINAL DRAFT - 10/2/23                                                                                                                                          4
    5                                                                                                                                                                                                                                                5
    6                                                                                                                                                                                                    *235211*                                    6
    7  2023 Form M1PR, Homestead Credit Refund (for Homeowners)                                                                                                                                                                                      7
    8  and Renter’s Property Tax Refund                                                                                                                                                                                                              8
    9                                                                                                                                                                                                                                                9
    10 YOURYour First Name and Initial FIRST NAME,INIT                         YOURLast Name   LAST NAMEXXXX                                         999999999Your Social Security Number                   Your Date of Birth 01/01/1111(MM/DD/YYYY)10
    11                                                                                                                                                                                                                                               11
    12 SPOUSEIf a Joint Return, Spouse’s First Name and Initial FIRST NAME,IN       Spouse’s SPOUSELast Name LAST NAMEXX                          999999999Spouse’s Social Security Number                  Spouse’s Date of Birth02/02/2222         12
    13                                                                                                                                                                                                                                               13
                                                                                                                                                     Check if Address is:                                      New              Foreign
    14 CURRENTCurrent Home Address HOME ADDRESSXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                     X      X                                14
    15                                                                                                                                                                                                                                               15
    16 CityCITYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX StateXX                                                                                                                                            ZIP12345      Code                       16
    17                                                                                                                                                                                                                                               17
    18 Check all that apply:                 X   Renter                               X  Homeowner            X    Nursing Home or Adult Foster Care Resident                                               X   Mobile Home Owner                    18
    19                                                                                                                                                                                                                                               19
    20 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.                                                                        20
    21 This will not increase your tax or reduce your refund.                                                                                                                                                                                        21
    22      99             99                Political Party Code Numbers:                     Republican      . . .  . . . . . .  . . . . .  . . 11 Grassroots/Legalize Cannabis 14 Legal Marijuana Now                         .  . . . . .  . 17  22
    23 Your Code          Spouse’s Code                                                        Democratic/Farmer-Labor  . .  . 12                    Libertarian . . .  . . . . . .  . . . . .  . . 16  General Campaign Fund      . . .  . . 99     23
    24                                                                                                                                                                                                                                               24
    25   1 Federal adjusted gross income        (from Line 1 of Form M1, see instructions if you did not file Form M1) . . .  . . . . .  .    1                                                                     12345678                         25
    26   2 Nontaxable Social Security         and/or Railroad Retirement Board benefits received                                                                                                                                                     26
    27        and not included in line 1 above (determine from instructions)  . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . .  .    2                                        12345678                         27
    28   3  Deduction for contributions to a qualified retirement plan                                                                                                                                                                               28
    29        (add lines 16 and 20 of federal Schedule 1) Also see line 9 of this Form M1PR  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . .  .    3                                                   12345678                         29
    30   4  Total payments from programs including MFIP (MN Family Investment Program), MSA (MN Supplemental Aid)                                                                                                                                    30
    31        SSI (Supplemental Security Income), GA (General Assistance), and Minnesota Housing Support (formerly GRH)     4                                                                                       12345678                         31
    32                                                                                                                                                                                                                                               32
    33   5    Additional nontaxable income from line 20 of Schedule M1PR-AI, Additions to Income  . . .  . . . .  . . . . .  . . . . .  . . .  . . . .                                                   5          12345678                         33
    34                                                                                                                                                                                                                                               34
    35   6  Add lines 1 through 5 (if you are a renter and this line is less than the rent you paid, enclose an explanation)   . .                                                                       6          12345678                         35
    36        Subtraction for 65 or older (born before January 2, 1959) or disabled:                                                                                                                                                                 36
           7
    37        If you (or your spouse if filing a joint return) are age 65 or older or are disabled, enter $4,800:                                             . . .  . . . . . .  . . . .   7                       12345678                         37
    38        Check the box if you or your spouse are:                              X (A) 65 or Older        X    (B)Disabled                                                                                                                        38
    39   8  Dependent Subtraction:  Enter your subtraction for dependents (use worksheet in instructions)  . . .  . . . . . .  . . .   8                                                                            12345678                         39
    40        Number of dependents:          12                        Names and Social Security numbers:         CHILD’S NAME/GRADE;                                                                                                                40
    41        CHILD’S NAME/GRADE; CHILD’S NAME/GRADE; ETC.XXXX                                                                                                                                                                                       41
    42   9  Retirement Account Subtraction (see instructions)  . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . .  .    9                                 12345678                         42
    43                                                                                                                                                                                                                                               43
    44  10    Total other subtractions (see instructions)  .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . 10                           12345678                         44
    45        Subtraction type               SUBTRACTION TYPE XXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                            45
    46  11    This line intentionally left blank . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . 11                 12345678                         46
    47                                                                                                                                                                                                                                               47
    48  12    Add lines 7 through 11  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  .  .  12           12345678                         48
    49                                                                                                                                                                                                                                               49
    50  13    Subtract line 12 from line 6    . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . .  .  13            12345678                         50
    51                                                                                                                                                                                                                                               51
    52  14    Co-occupant Income (from line 13 of Worksheet 5 - Co-occupant Income. If negative, enter as a negative)                                                       . . .  . 14                             12345678                         52
    53                                                                                                                                                                                                                                               53
    54  15    Add line 14 to line 13  . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  .  .  15         12345678                         54
    55 Homeowners — Do not complete lines 16-18. Continue to next section.                                                                                                                                                                           55
    56 16     Enter total rent from Certificates of Rent Paid (CRPs) (you must enclose your CRPs)  . . . .  . . . . . .  . . . . . .  . . . . .  .  . 16                                                            12345678                         56
    57                                                                                                                                                                                                                                               57
    58 17  Multiply line 16 by 17% (.17)      . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . .   17                12345678                         58
    59 18     Renter’s Refund. Using the amount from line 13 and line 17, find the amount to enter here from the renters                                                                                                                             59
    60        refund table in the instructions. You must continue with lines 23-25 on the next page .  . . . . . .  . . . . .  . . . . . .  .   18                                                                  12345678                         60
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    62                                                                                                                                                                                                                                               62
    63                                                                                                       9995                                                                                                                                    63
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    4  2023 Form M1PR, page 2                                                                                                                                                                                                            4
    5  Homeowners                                                                                                                                                                                                                        5
                                                                                                                                                                                                     *235221*
    6  Property ID Number    12345678901234 County where property is located NAMEOFCOUNTYXXXX                                                                                                                                            6
    7                                                                                                                                                                                                                                    7
    8  19     Property tax from line 1 of Statement of Property Taxes Payable in 2024    .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .   19                                                 12345678                    8
    9        (Mobile homeowners: See worksheet 1 in the instructions)                                                                                                                                                                    9
    10 20    If claiming the special refund, enter amount from line 38 of Schedule 1 below (see instructions) . . .  . . . . . .  .   20                                                                  12345678                       10
    11                                                                                                                                                                                                                                   11
    12 21     Subtract line 20 from line 19 (if result is zero or less, leave blank)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . .   21                                     12345678                    12
    13 22    Homestead Credit Refund: Using the amounts from line 15 and line 21,                                                                                                                                                        13
    14       find the amount to enter here from the homeowners refund table in the instructions  . . .  . . . . . .  . . . . .  . . . . .   22                                                               12345678                    14
    15 Homeowners and Renters                                                                                                                                                                                                            15
    16 23     Add lines 18, 20, and 22  . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .   23         12345678                    16
    17                                                                                                                                                                                                                                   17
    18 24    Nongame Wildlife Fund contribution. Your refund will be reduced by this amount    . . .  . . . . . .  . .  .                          24                                                        12345678                    18
    19                                                                                                                                                                                                                                   19
    20 25    Your Refund. Subtract line 24 from line 23. Continue to line 39 . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  .  . 25                                        12345678                    20
    21                                                                                                                                                                                                                                   21
    22 Schedule 1 - Special Refund                                                                                                                                                                                                       22
    23 To qualify, you must have owned and lived in this homestead both on January 2, 2023, and on January 2, 2024. If you qualify, see the instructions.                                                                                23
    24 26     Line 1 of Statement of Property Taxes Payable in 2024. If the Statement does not list an amount for new                                                                                                                    24
    25       improvements or expired exclusions, skip lines 27 and 28 and enter this amount on line 29  . . . .  . . . . .  . . . . .   26                                                                   12345678                    25
    26 27     If the Statement lists an amount for new improvements or expired exclusions, complete and enclose                                                                                                                          26
    27       Worksheet 3 from the instructions and enter the percentage from Step 3 here . . .  . . . . . .  . . . . .  . . . . . . .  . . . .   27                                                                     12 %             27
    28                                                                                                                                                                                                                                   28
    29 28     Multiply line 26 by the percentage on line 27   .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  .   28                         12345678                    29
    30 29   If you did not have new improvements or expired exclusions, enter the amount from line 26.                                                                                                                                   30
    31       If you had new improvements or expired exclusions, subtract line 28 from line 26.   . . . .  . . . . . .  . . . . . .  . . . . .   29                                                           12345678                    31
    32 30     From your Statement of Property Taxes Payable in 2024, enter the amount from line 2 (2023 column).                                                                                                                         32
    33       If there is no amount on line 2, see instructions.  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . .   30                           12345678                    33
    34       X  Disabled Veterans Homestead Exclusion (see instructions)                                                                                                                                                                 34
    35 31     Special refund (not your regular refund) from line 20 of your 2022 Form M1PR  .  . . . . .  . . . . . .  . . . . . .  . . . . .  .   31                                                        12345678                    35
    36 32     Subtract line 31 from line 30 (if result is a negative number or more than line 29,          STOP HERE;                                                                                                                    36
    37       you are not eligible for the special refund)  . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .   32                       12345678                    37
    38 33     Subtract line 32 from line 29 (if result is less than $100, STOP HERE;                                                                                                                                                     38
    39       you are not eligible for the special refund)  . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .   33                       12345678                    39
    40                                                                                                                                                                                                                                   40
    41 34     Amount from Line 32 ___________ X 12% (.12)  123456    . . . . .  . . . . . . .  . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .   34                        12345678                    41
    42                                                                                                                                                                                                                                   42
    43 35     Amount from line 34 or $100, whichever is greater    . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .   35                              12345678                    43
    44                                                                                                                                                                                                                                   44
    45 36     Subtract line 35 from line 33 (if result is zero or less, STOP HERE; you are not eligible for this special refund)    36                                                                       12345678                    45
    46                                                                                                                                                                                                                                   46
    47 37     Multiply line 36 by 60% (.60)  . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .   37             12345678                    47
    48 38    Special Refund. Amount from line 37 or $1,000, whichever is less.                                                                                                                                                           48
    49       Enter the amount here and on line 20 of this Form M1PR.  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . .   38                                        12345678                    49
    50                                                                                                                                                                                                                                   50
    51  39  Direct deposit of your refund (you must use an account not associated with a foreign bank):                                                                                                                                  51
    52       X   Checking    X    Savings   1234567891234567891                             1234567890123456789                                                                                                                          52
    53                                      Routing Number                                  Account Number                                                                                                                               53
    54 Taxpayer: I declare that this return is correct and complete to the best of my knowledge and belief.                                                                                                                              54
    55                                                                                                                                                                                                                                   55
    56 Your Signature                            Spouse’s Signature (If Filing Jointly)                           11/22/3333Date (MM/DD/YYYY)      1234567891Daytime Phone                                                               56
    57                                                                                                                                                                                                                                   57
    58 Paid Preparer’s Signature                 11/22/3333            Date (MM/DD/YYYY)                          1112223333PTIN or VITA/TCE # (required)                                            1234567891Preparer’s Daytime Phone  58
    59                                                                                                                                                                                                                                   59
    60 X     I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer.                                                                                                                               60
    61          Mail to: Minnesota Property Tax Refund, Mail Station 0020, 600 Robert St. N., St. Paul, MN 55146-0020                                                                                                                    61
    62          Renters — Include your 2023 CRP(s).                                                                                                                                                                                      62
    63                                                                               9995                                                                                                                                                63
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