Schedule M1w - Minnesota Income Tax Withheld - 2002
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1Schedule M1W
Sequence #1
Minnesota Income Tax Withheld 2002
Your last name
Your first name
Social Security number
Spouse’s last name
Spouse’s first name
Spouse’s Social Security number
Instructions
If you received a W-2, 1099, Schedule KF, KS or KPI that shows Minnesota income tax was withheld, you must complete this schedule to
determine the amount to enter on line 30 of your Form M1.
• List only the W-2, 1099 and other schedules that report Minnesota income tax withheld. If you have more than eight W-2 or 1099 forms,
complete and enclose an additional Schedule M1W.
• Do not list amounts withheld by a state other than Minnesota.
• Be sure to include this schedule when you file your return. If you fail to submit the schedule when required, processing of your return will
be delayed and the department may disallow your withholding amount.
• Do not send in W-2 and 1099 forms with your return; keep them with your tax records.
1 Minnesota tax withheld on W-2s.
Round all amounts to nearest whole dollar.
Box 13
Mark an X if
If Retirement Plan
Box 15
the W-2 is for:
box is checked,
Employer’s 7-digit Minnesota
Box 16
Box 17
You
Spouse
mark an X below.
state ID number
State wages, tips, etc.
Minnesota tax withheld
or
MN
MN
MN
MN
MN
MN
MN
MN
Total Minnesota tax withheld on W-2s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Minnesota tax withheld on 1099 forms.
Mark an X if the
1099 is for:
Payer’s 7-digit Minnesota state ID
You or Spouse
number (if unknown, contact the payer)
Minnesota tax withheld
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
MN
. . . . . . . . . .
. . . . . . .
Total Minnesota tax withheld on 1099 forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Total Minnesota tax withheld from partnerships, S corporations and fiduciaries, if any
(add line 21 of Schedule KPI, line 18 of Schedule KS and line 12 of Schedule KF) . . . . . . . . 3
4 Total. Add the Minnesota tax withheld on lines 1, 2 and 3.
Enter the total here and on line 30 of Form M1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
You must include this schedule and a copy of Schedules KPI, KS and/or KF, if required, with your Form M1.
Stock No. 1002170
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