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FINAL 9/30/16
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Schedule M1LS, Tax on Lump-Sum Distribution 2016
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Sequence #13
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Your First Name and Initial
Last Name
Social Security Number
YOUR FIRST NAME, INIT
YOUR LAST NAMEXXXXXXXXX
999999999
Round amounts to the
nearest whole dollar.
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You must complete federal Form 4972 before you can complete this schedule.
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1 Portion of your lump-sum distribution that is eligible for averaging
(from line 19 of federal Form 4972) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
12345678
2 If you completed Schedule M1R, see instructions. If you did not complete Schedule M1R, enter 0 . . . . . . 2
12345678
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
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Calculate Tax
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4 Multiply line 3 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 From the tax table in the M1 instructions, find the tax for the amount
on line 4 above using the column in the table for single persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Multiply line 5 by 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
If you did not complete lines 20 through 22 of federal Form 4972, skip lines 7 through 10 below,
and enter the amount from line 6 on line 11.
7 Amount from line 22 of federal Form 4972 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
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8 Multiply line 7 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 From the tax table in the M1 instructions, find the tax for the amount
on line 8 above using the column in the table for single persons . . . . . . . . . . . . . . . 9
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You must include this schedule and a copy of your federal Form 4972 when you file Form M1.
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1 0 Multiply line 9 by 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 1 Tax on the ordinary income portion of your lump-sum distribution (subtract line 10 from line 6).
If you shared the lump-sum distribution with other recipients, see instructions.
Enter the result here and on line 13 of Form M1.
(Estates and trusts: Include this amount on line 12 of Form M2 and check the box for M1LS) . . . . . . .
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2 4 6 8 10 1 2 14 16 18 2 0 2 2 2 4 2 6 2 83 0 3 2 3 43 6 3 8 4 0 4 2 4 4 4 6 4 8 5 0 52 5 4 5 6 5 8 6 0 6 2 6 4 6 6 6 8 7 0 7 2 74 76 7 8 8 0 8 2 8 4 8
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FINAL 9/30/16
2016 Schedule M1LS Instruction
Should I file Schedule M1LS?
Line Instructions
If you received a lump-sum distribution
from a pension, profit-sharing or stock
bonus plan in 2016, you must file Schedule
M1LS if both of the following conditions
apply:
Round amounts to the nearest whole dollar.
• you filed federal Form 4972, Tax on
Lump-Sum Distributions, and
• you were a Minnesota resident when you
received any portion of the lump-sum
distribution.
You must include Schedule M1LS and a
copy of your federal Form 4972 when you
file Form M1.
What if I moved into or out of
Minnesota in 2016?
If you received the full amount of the
distribution while you were a nonresident
of Minnesota, you do not have to complete
Schedule M1LS.
If you received a portion while you were a
nonresident and a portion while you were a
resident, you must complete Schedule M1LS
and include the full amount from federal
Form 4972 on your Schedule M1LS.
Five-Year Averaging Method
Even though federal Form 4972 allows you
to use only the ten-year averaging method,
you must use the five-year averaging
method for Minnesota.
Capital Gain Election
Minnesota does not allow a capital gain
election for lump-sum distributions. Therefore, any capital gain reported on federal
Form 4972, line 6, must be reported as an
addition to federal taxable income on line
12 of Schedule M1M.
Line 2
Subtraction for Age 65 or Older or
Disabled
If you completed Schedule M1R, Age 65 or
Older/Disabled Subtraction, and line 4 of
Form M1 is:
Line 11
Tax on Ordinary Income Portion of LumpSum Distribution
Subtract line 10 from line 6 and enter the
result on line 11.
Multiple recipients: If you shared a
lump-sum distribution from a qualified
retirement plan, follow the steps below to
determine line 11:
• Zero or less, enter the amount from line
13 of Schedule M1R on line 2 of Schedule
M1LS.
1 From the front of this
schedule, subtract
line 10 from line 6 . . . . . . . . .
• More than zero, read the rest of this
instruction.
2 Enter the percentage from
box 9a of Form 1099-R . . . . .
If line 4 minus line 7 of Form M1 is:
3 Multiply step 1 by the
percentage in step 2 . . . . . . . .
• Zero or less, assume for purposes of this
line that the actual number is a positive
rather than a negative number. Then,
compare it (as a positive number) to the
amount on line 13 of Schedule M1R and
enter whichever amount is less on line 2
of Schedule M1LS.
• More than zero, enter zero on line 2 of
Schedule M1LS.
Enter the result from step 3 on line 11 of
Schedule M1LS. In the space to the left of
line 11, print “MRD.”
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