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en-USMNen-USMNen-USMNen-USMNen-USMN en-USMNen-USMNen-USMNen-USMN en-US1 � Minnesota wages and Minnesota tax withheld on Forms W-2, other than from Forms W-2G. en-USen-US � complete line 5 on the back. A � B227Box 13 � C227Box 15 � D227Box 16 � E227Box 17 � � � � � � 225 you, enter 1 � box is checked, � Tax ID Number � (round to nearest whole dollar) � (round to nearest whole dollar) � 225 spouse, enter 2 � mark an X below. en � � en-USen-US(from line 5 on the back)en-US � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................................... en-US � en-USTotal Minnesota tax withheld on all Forms en-USW-2en-US (add amounts in line 1, column E)en-US � . . . . . . . . . . . . . . . . . . . . .................... en-US en-US1 en-US2 � Minnesota tax withheld on Forms 1099 and W-2G . en-USIf you have more than four forms, complete line 6 on the back. � A � B � C � D � � � en-US(see the table on � Minnesota tax withheld en-US � 225 � you, enter 1 � Number (if unknown, contact the payer) � the back for amounts to include) � (round to nearest whole dollar) � 225 � spouse, enter 2 � en-USen-US(from line 6 on the back) � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................... en-US � en-USTotal Minnesota tax withheld on en-USall Forms 1099 and W-2Gen-US en-US(add amounts in line 2, column D) � . . . . . . . . . . .......... en-US 2 en � � � � � � � � � � � en-US(from line 7 on the back) � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..................................................................... en-US en-US3 4 � Total. � Add the Minnesota tax withheld on lines 1, 2, and 3. en-US � � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................................................. en-US en-US4 � � � � � � � � � � � � � � � � � � � � � en-US en-USen-USen-USen-USDO NOTen-US send in your Forms W-2, 1099, or en-US en-US9995 � � � � � � � � � � � � � � � � � � � � � � en-US American LegalNet, Inc. www.FormsWorkFlow.com en-USMNen-USMNen-USMNen-USMN en-USMNen-USMNen-USMNen-USMN en-USMNen-USMNen-USMNen-USMN en-US5 � � A � B227Box 13 � C227Box 15 � D227Box 16 � E227Box 17 � � � � � � 225 you, enter 1 � box is checked, � Tax ID Number � (round to nearest whole dollar) � (round to nearest whole dollar) � 225 spouse, enter 2 � mark an X below. � � � en-US(add amounts in line 5, column E) en-US...................................en-US en-US5en � en-USen-US6 � � A � B � C � D � � � en-US(see the table on � Minnesota tax withheld en-US � 225 � you, enter 1 � Number (if unknown, contact the payer) � the back for amounts to include) � (round to nearest whole dollar) � 225 � spouse, enter 2 en � � en-US(add amounts in line 6, column D) � . . . . . . . . . . . . . . . . . . . . . . . . .......................... en-US en-US6en � en-USen-USen-US7 � � � � � � � � � � � � � en-USNumber � en-US � en-US � � en-USen-US(add amounts inen-US en-US � en-US line 7, column C)en-US � . . . . . . . . . . . . . . . . . . . . . . ........................ en-US en-US7en-US2018 M1W, page 2en-US9995 � � � � � � � en-USUse to determine which amounts from your Form 1099 you must include as income on column C, lines 2 and 6. � � � � � � � � � � � � � � en-US1099-G � . . . . . . . . . . . . ........... 1, 2, 52267 � 1099-INT � . . . . . . . . . . . . . . ................ � � . . . . . . . . . . . . . . . .............. en-US 1aen-US1099-en-US � . . . . . . . ......... � � . . . . . . . . . . . . . . . .............. 1, 2 � 1099-R � . . . . . . . . . . . . . ............... en-USen-US1099-DIV � . . . . . . . . . . . .......... en-US 1a, 2a en-US American LegalNet, Inc. www.FormsWorkFlow.com
