Form M-4x - Amended Franchise Tax Return - Minnesota
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1
2MINNESOTA Department of Revenue
Amended Franchise Tax Return
M-4X
For tax year beginning _________________, 19_____, ending __________________, 19_____
Name of corporation
Minnesota ID number
Are you filing as a member of a unitary group?
Yes
No
If yes, did you file a single combined return?
Yes
No
Street address or post office box
FEIN
Are you filing an amended federal return
?
Yes
No
(1120X)
–
If yes, attach a complete copy.
City
State
Zip code
Check those that apply
Change in estimated tax
Cooperatives
Check the type of return being amended
Date return was filed
IRS adjustment
Exempt organizations
M4
Other
Net operating loss
Other
A
B
C
Originally reported
Net change
Correct amount
or adjusted
(attach explanation)
1 Minnesota net income (loss) . . . . . . . . . . . . . . . . . . . . . . . 1
2 Net operating loss deduction
(if you did not complete Schedules A or ACI) . . . . . . . . . . . 2
3 Subtract line 2 from line 1 or fill in amount from
Schedule A or Schedule CI if income is apportioned . . . . . . 3
4 Deductions to reduce income . . . . . . . . . . . . . . . . . . . . . . 4
5 Balance subject to tax (subtract line 4 from line 3) . . . . . . . 5
6 Regular tax before credits . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Credits to reduce tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Regular tax (subtract line 7 from line 6) . . . . . . . . . . . . . . . 8
9 Alternative minimum tax . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Minimum fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Franchise tax (add lines 8, 9 and 10) . . . . . . . . . . . . . . . 11
12 Total tax liability (line 11A) adjusted for changes
to estimated tax and/or refundable credits (read instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 If line 12 is greater than line 11C, subtract line 11C from line 12 and fill in amount of REFUND . 13
14 If line 11C is greater than line 12, subtract line 12 from line 11C and fill in additional tax . . . . . 14
15 Interest due on additional tax (see M-4X instructions for rates) . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Add lines 14 and 15. This is your TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Do not remit by EFT.
Make check payable to:
MN Dept. of Revenue
I declare that this return is correct and complete to the best of my knowledge and belief.
Authorized signature
Title
Date
Daytime phone
I authorize the MN
(
)
Dept. of Revenue to
Preparer’s signature
Minnesota ID or Social Security number
Date
Daytime phone
discuss this tax return
(
)
with the preparer.
Person within the corporation to contact concerning this return:
Name (please print)
Title
Daytime phone
(
)
Explain changes to income, deductions, credits, etc., on the back of this form.
Show computations in detail and attach any schedules needed.
Mail to: MN Corporation Franchise Tax, Mail Station 1255, St. Paul, MN 55146-1255
Stock No. 4098040
Printed on recycled paper with 10% post-consumer waste using soy-based ink.
(Rev. 10/98)
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