PDF document
- 1 -
2023 M4R, Minnesota Business Activity Report
Corporations are required to file Form M4R if they obtain any business from within Minnesota during the tax year. If you are registered with the Minnesota 
Secretary of State’s Office to do business in this state, you are not required to file Form M4R. 

For Calendar Year             Or fiscal year (enter beginning/ending dates)
                              Begins                      Ends 
Name of Corporation                                                                FEIN                            Minnesota Tax ID

Mailing Address                                                                    Are you a member of a           Do you make retail
                                                                                   unitary business?               sales in Minnesota?
City                                                  State ZIP Code                                  Yes      No               Yes   No

Principal Office in Minnesota                                                      Principal Type of Business

Street Address                                                                     Principal Product or Service

City                                                  State ZIP Code               Amount of Minnesota Sales (wholesale or retail) or Receipts 
                                                                                   $

Offices and other places of business in Minnesota. (Attach additional sheets if you need more room.)
Location                                                                                         Nature of Activity

Officers, employees, agents and representatives with activity in Minnesota. 
(Attach a brief job description for each officer and class of employee.)
Title                                                                                            Number of Persons

On a separate sheet, explain all “yes” answers below in detail. During the period covered by the report, did the corporation:
                                                                                                                                Yes     No
  1   Own or lease tangible or intangible personal property or real property in Minnesota?                          1  

  2   Employ or own any other assets in Minnesota?                                                                  2 

  3   Own or consign any merchandise located in Minnesota?                                                          3 

  4   Own assets located in Minnesota that are leased to others?                                                    4 

  5   Perform or contract any training, installation or repair work in Minnesota?                                   5 

  6   Perform or contract any warranty work in Minnesota?                                                           6 
  7   Derive any revenues from services performed by employees or entities 
      for persons or businesses located in Minnesota?                                                               7 
  8   Derive income from any source within Minnesota, including income from activities 
      conducted by subsidiaries, affiliated entities or partnerships?                                               8 
I certify that this report, including any accompanying material, is true, correct and complete to the best of my knowledge and belief.
Signature                            Title                                                       Date              Direct Phone

Signature of Preparer                PTIN                                                        Date              Direct Phone 

         Mail to: Minnesota Department of Revenue, Mail Station 5130, 600 N. Robert St., St. Paul, MN 55146-5130
                                                                           9995



- 2 -
2023 Form M4R Instructions

Filing Requirements
Corporations are required to file Form M4R, Minnesota Business Activity Report, with the Minnesota Department of Revenue if they obtain 
any business from within Minnesota during the calendar or fiscal accounting year. If you are registered with the Minnesota Secretary of 
State’s Office to do business in this state, you are not required to file Form M4R. See the “Exemptions” and “Exempt activities” sections 
below for additional exceptions to this requirement.
Business obtained from within Minnesota includes:
• sales of products or services to Minnesota customers who receive the product or service in Minnesota
• sales of services that are performed outside Minnesota, the benefits of which are consumed in Minnesota
• transactions with Minnesota customers that involve intangible property and result in income flowing to the corporation from within
Minnesota
• leases of tangible personal property located in Minnesota;
• sales and leases of Minnesota real estate
• deposits made to financial institutions by Minnesota customers
Exemptions. You do not have to file Form M4R if:
• you have received a certificate of authority to do business in Minnesota from the Secretary of State by the end of the accounting period for
which you would have had to file the report
• your corporation is an insurance company other than a disqualified captive insurance company
• you are exempt from taxation under Subchapter F of the Internal Revenue Code
• your corporation is a mining business and subject to Minnesota’s occupation tax
• you have filed a timely tax return
Exempt activities. You are not required to file this report if your activities in Minnesota relate solely to your ownership of an interest in the 
following:
• real estate mortgage investment conduits
• real estate investment trusts
• regulated investment companies
• securitized loans
• secondary loan market assets
• property acquired in satisfaction of a default on a secondary loan market asset, provided the property is disposed of in a reasonable time
Exempt activities related to the above types of property include contacts with Minnesota reasonably required to:
• evaluate and complete the acquisition or disposition of the property
• service the property or collect income from the property
• acquire or liquidate collateral relating to the property
Secondary loan market assets consist of interest in the following assets in which the obligations are solicited and entered into by persons 
independent of and not acting on behalf of your corporation:
• lease financing receivables
• loans secured by real or tangible personal property
• commercial or consumer loans and installment obligations
• credit card or merchant discount receivables
• securities or money market instruments
The exemption for secondary loan market assets does not apply to a member of a unitary business that acquires the asset from another 
member of the unitary business.

Due Date
You must file Form M4R each year by the 15th day of the fourth month after the close of your calendar or fiscal accounting year.

Penalties
If you do not file Form M4R, you will lose your right under Minnesota law to file a lawsuit, except for lawsuits related to your Minnesota tax 
liability. 
You will not be able to use the courts (except for activities or property described under “Exempt activities”) to enforce contracts or to settle 
lawsuits that arise before the end of the last accounting period for which you fail to file a timely report.
You will be allowed to continue any lawsuits if you pay all taxes, interest and civil penalties due, or if you provide for them by posting a 
security bond with the Department of Revenue. 
                                                                                                                Continued                         1



- 3 -
2023 Form M4R Instructions (Continued)

The Department of Revenue may disclose to litigants if a Business Activities Report has been filed by a party to a lawsuit.

Minnesota Tax ID Number
The Minnesota Tax ID number is the seven-digit number assigned by the Department of Revenue. It is the same as your Minnesota Sales and 
Use Tax number or your Minnesota employer’s withholding tax number.
If you do not have a Minnesota Tax ID and do not need to file sales, use or withholding tax in Minnesota, leave this space blank. 

Information and Assistance
Website: www.revenue.state.mn.us.
Email:   BusinessIncome.tax@state.mn.us 
Phone:  651-556-3075  
This material is available in alternate formats.

                                                                                                                                  2






PDF file checksum: 2586995955

(Plugin #1/9.12/13.0)