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2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40FINAL DRAFT 10/2/2342 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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ALT, Petition to Use Alternative Method of Allocation
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9 For use by Corporations, Partnerships and S corporations 9
10 Complete this form to request permission from the Department of Revenue to allocate all, or any part of, taxable net income in a manner 10
11 other than the apportionment provisions of Minnesota Statutes 290.191. Permission will be granted only if you can show that the formula 11
12 provided under Minnesota Statutes 290.191 does not fairly reflect your Minnesota income, and that the alternative formula you have 12
13 chosen does. See Minnesota Statutes 290.20, Rule 8020.0100, and Revenue Notice 04-07 for additional guidance. 13
14 A Petition is not required when a partner is not in a unitary business relationship with the partnership and the partner is requesting to 14
15 report its partnership income or loss as separately stated income or loss. This separate reporting method is addressed in Revenue Notice 15
16 08-03. 16
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Name of Business FEIN
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19 NAME OF BUSINESS 0123456789 19
Address of Principal Office or Place of Business Minnesota Tax ID Number
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21 ADDRESS STREET APARTMENT NUMBER ROUTE 0123456789 21
City State ZIP Code If a Corporation, Enter State of Incorporation
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23 CITYXXXXXXXXXXXXXXXXXXXXXXXXXX XX 55555 XX 23
24 Print or Type Check one: This is a request to use an alternative method of allocation for: 24
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26 Form M3, Partnership Return Form M4, Corporation Franchise Tax Form M8, S Corporation Return 26
X X X
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28 For tax year(s) beginning (mo/yr) XX XXXX and ending (mo/yr) XX XXXX 28
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31 Describe your business activity during the tax years covered by this request. 31
32 TEXT HERE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 32
33 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 33
34 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 34
35 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 35
36 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 36
Business Activity
37 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 37
38 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 38
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40 Explain why the apportionment formula of Minnesota Statute 290.191 would unfairly reflect your business’s Minnesota income, and why the 40
41 proposed alternative method of allocation provides an accurate computation. If this request covers more than one year, also explain why you 41
42 must continue to use the proposed method. Attach additional sheets if necessary. 42
43 TEXT HERE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 43
44 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 44
45 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 45
46 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 46
47 Reason for Petition XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 47
48 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 48
49 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 49
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51 Provide an example of how your Minnesota income would be computed under the proposed formula. 51
52 Attach additional sheets if necessary. 52
53 TEXT HERE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 53
54 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 54
55 Example XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 55
56 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 56
57 Alternative Formula XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 57
58 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 58
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60 I declare that the information in this request is correct and complete to the best of my knowledge and belief. 60
61 Authorized Signature Title Date Daytime Phone 61
62 XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXXX 62
Sign Here
63 Mail to: Minnesota Department of Revenue, c/o Corporate Technical Advisor, Mail Station 5140, St. Paul, MN 55146-5140 63
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