PDF document
- 1 -
                                                                                                                                 *231311*
2023 Schedule M1W, Minnesota Income Tax Withheld
Complete this schedule to report Minnesota income tax withheld. Include this schedule when you file your return.

Your First Name and Initial                           Last Name                                                                Your Social Security Number

If a Joint Return, Spouse’s First Name and Initial    Spouse’s Last Name                                                        Spouse’s Social Security Number
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, 
complete this schedule to determine line 20 of Form M1. List only the forms that report Minnesota income tax withheld. Round dollar 
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 
W-2G; keep them with your tax records. All instructions are included on this schedule.
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,
 complete line 5 on the back. 
 A                          B—Box 13                  C—Box 15                             D—Box 16                             E—Box 17
 If the Form W-2 is for:    If Retirement Plan        Employer’s seven-digit Minnesota     State wages, tips, etc.              Minnesota tax withheld
   • you, enter 1           box is checked,           Tax ID Number                        (round to nearest whole dollar)      (round to nearest whole dollar)
   • spouse, enter 2        mark an X below.
   a1                       b1                     c1 MN                                   d1                                  e1

   a2                       b2                     c2 MN                                   d2                                  e2

   a3                       b3                     c3 MN                                   d3                                  e3

   a4                       b4                     c4 MN                                   d4                                  e4

   a5                       b5                     c5 MN                                   d5                                  e5

 Subtotal for additional Forms W-2 (from line 5 on page 2)  .... ...... ..... ...... ...... ..... ...... ..... . 

 Total Minnesota tax withheld on all Forms W-2 (add amounts in line 1, column E)  .... ...... ...... ....  1 

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. 
 A                                                    B                                    C                                     D
 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 
 you, enter 1                                       Number (if unknown, contact the payer)  the back for amounts to include)   (round to nearest whole dollar)
 •   spouse, enter 2

   a1                                              b1 MN                                   c1                                  d1

   a2                                              b2 MN                                   c2                                  d2

   a3                                              b3 MN                                   c3                                  d3

   a4                                              b4 MN                                   c4                                  d4

 Subtotal for additional 1099, W-2G, and 1042-S (from line 6 on page 2)  ... ...... ..... ....... ..... .....

 Total Minnesota tax withheld on all 1099, W-2G, and 1042-S (add amounts in line 2, column D)            ... ......  2 

3  Total Minnesota tax withheld by partnerships, S corporations, and fiduciaries 
 (from line 7 on page 2)    ... ...... ..... ....... ..... ...... ..... ..... ...... ...... ...... ..... ......  3 
4  Total. Add the Minnesota tax withheld on lines 1, 2, and 3.  
 Enter the total here and on line 20 of Form M1         ... ...... ..... ....... ..... ...... ..... ..... ...... ..  4 
                                                        Include this schedule with your Form M1.  
                                                        If required, include Schedules KPI, KS, and KF. 
                                                                         9995



- 2 -
2023 M1W, page 2
                                                                                                                                              *231401*
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 
1099, W-2G, and 1042-S. Complete line 7 to report Minnesota tax withheld on Schedules KPI, KS, and KF.

5  Minnesota wages and Minnesota tax withheld on additional Forms W-2 (other than W-2G).
 A                       B—Box 13              C—Box 15                                     D—Box 16                                                 E—Box 17
 If the Form W-2 is for: If Retirement Plan    Employer’s seven-digit Minnesota             State wages, tips, etc.                                  Minnesota tax withheld
 you, enter 1          box is checked,       Tax ID Number                                (round to nearest whole dollar)                          (round to nearest whole dollar)
 spouse, enter 2       mark an X below. 

 a1                      b1                 c1 MN                                      d1                                                       e1

 a2                      b2                 c2 MN                                      d2                                                       e2

 a3                      b3                 c3 MN                                      d3                                                       e3

 a4                      b4                 c4 MN                                      d4                                                       e4

 Subtotal for additional Forms W-2 (add amounts in line 5, column E)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  .5. .    
 Enter the result here and include on line 1 on the front of this schedule.
6  Minnesota tax withheld on additional Forms 1099, W-2G, and 1042-S.
 A                                             B                                            C                                                            D
 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 
    you, enter 1                             Number (if unknown, contact the payer)       bottom of this page for amounts to include)  (round to nearest whole dollar)
    spouse, enter 2

   a1                                       b1 MN                                         c1                                                    d1

   a2                                       b2 MN                                         c2                                                    d2

   a3                                       b3 MN                                         c3                                                    d3

   a4                                       b4 MN                                         c4                                                    d4

 Subtotal for additional Forms 1099, W-2G, and 1042-S (add amounts in line 6, column D) .. ...... ..... ....                                6
 Enter the result here and include on line 2 on the front of this schedule.    
7  Minnesota income  and tax withheld by partnerships, S corporations, and fiduciaries, if any.  
                                            A                                        B—Minnesota Income Amount                           C—Minnesota Tax Withheld
                                            Entity’s seven-digit Minnesota Tax ID    (from line 50 of Schedule KPI,                      (the sum of lines 31 and 52 of Schedule KPI,
                                            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)

                                            a1 MN                                      b1                                                       c1

                                            a2 MN                                      b2                                                       c2

                                            a3 MN                                      b3                                                       c3

                                            a4 MN                                      b4                                                       c4
 Subtotal of Minnesota tax withheld by any partnerships, S corporations, and fiduciaries (add amounts in 
  line 7, column C). Enter the result here and on line 3 on the front of this schedule... ...... ..... ....... ..  7

 Table for Column C, Lines 2 and 6
 Use to determine which amounts from your Form 1099 and 1042-S you must include as income on column C, lines 2 and 6.  
 Form      Include the Sum of Boxes:               Form      Include the Sum of Boxes:                                        Form                Include the Sum of Boxes:
 1099-G  . ..... .....     1, 2, 5–7                1099-INT ... ...... ..... .        1                                       1099-K .... ..... .....  1a
 1099-MISC ... .....   1–3, 5, 6, 8–11, 14, 15      1099-OID ..... ...... ... 1, 2                                             1099-R ... ...... .....  16, 2a or 1
 1099-DIV . ...... ...     1a, 2a                   1042-S   ... ...... ..... ...      2                                       1099-NEC ... ...... ...  1 
                                                                  9995






PDF file checksum: 1114697698

(Plugin #1/9.12/13.0)