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  2 4  6 8     10 12  14 16  18  20 22  24  26            28  30    32 FINAL DRAFT - 10/2/2334  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
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    6                                                                                                                                                 *235711*                        6

    7  2023 Schedule M1PR-AI, Additions to Income                                                                                                                                     7
    8                                                                                                                                                                                 8
    9  Complete Schedule M1PR-AI, Additions to Income, to report amounts for line 5 of Form M1PR, Homestead Credit Refund (for Home-                                                  9
    10 owners) and Renter’s Property Tax Refund. Enter the type of income that was received in Column A and the amount in Column B.                                                   10
    11 See instructions to determine which types of income to include.                                                                                                                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
    15 SPOUSE FIRST NAME,IN                                   SPOUSE LAST NAMEXXXXXXXXXXXXXXXXX                                                       999999999                       15
    16 If a Joint Return, Spouse’s First Name and Initial     Spouse’s Last Name                                                                      Spouse’s Social Security Number 16
    17       Column A — Type of Income Received                                                                                                       Column B —Amount                17
    18                                                                                                                                                                                18
    19   1a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 1b                                                                                            12345678          19
    20                                                                                                                                                                                20
    21   2a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX  X2b                                                                                          12345678          21
    22                                                                                                                                                                                22
    23   3a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 3b                                                                                            12345678          23
    24                                                                                                                                                                                24
    25   4a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 4b                                                                                            12345678          25
    26                                                                                                                                                                                26
    27   5a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 5b                                                                                            12345678          27
    28                                                                                                                                                                                28
    29   6a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 6b                                                                                            12345678          29
    30                                                                                                                                                                                30
    31   7a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 7b                                                                                            12345678          31
    32                                                                                                                                                                                32
    33   8a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 8b                                                                                            12345678          33
    34                                                                                                                                                                                34
    35   9a    TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 9b                                                                                            12345678          35
    36                                                                                                                                                                                36
    37   10a   TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 10b                                                                                           12345678          37
    38                                                                                                                                                                                38
    39 11a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 11b                                                                                           12345678          39
    40                                                                                                                                                                                40
    41 12a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 12b                                                                                           12345678          41
    42                                                                                                                                                                                42
    43 13a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 13b                                                                                           12345678          43
    44                                                                                                                                                                                44
    45 14a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 14b                                                                                           12345678          45
    46                                                                                                                                                                                46
    47 15a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 15b                                                                                           12345678          47
    48                                                                                                                                                                                48
    49 16a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 16b                                                                                           12345678          49
    50                                                                                                                                                                                50
    51 17a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 17b                                                                                           12345678          51
    52                                                                                                                                                                                52
    53 18a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 18b                                                                                           12345678          53
    54                                                                                                                                                                                54
    55 19a     TYPE OF INCOMEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX19b                                                                                        12345678              55
    56                                                                                                                                                                                56
    57 20  Total of Column B. Add all amounts in Column B. Enter here and on line 5 of Form M1PR .... ..... ....... ..                            20                12345678          57
    58                                                                                                                                                                                58
    59 You must include this schedule with your Form M1PR. If you had more than 19 items, include a statement with the type of income                                                 59
    60 and amounts received.                                                                                                                                                          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
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