2019 M1PR-AI, Additions to Income

2019 Schedule M1PR-AI, Additions to Income

*195711*

Complete Schedule M1PR-AI, Additions to Income, to report amounts for line 5 of Form M1PR, Homestead Credit Refund (for Home-

owners) and Renter's Property Tax Refund. Enter the type of income that was received in Column A and the amount in Column B.

See instructions to determine which types of income to include.

Your First Name and Initial

Last Name

Your Social Security Number

If a Joint Return, Spouse's First Name and Initial Spouse's Last Name

Spouse's Social Security Number

Column A -- Type of Income Received

Column B --Amount

1a

1b

2a

2b

3a

3b

4a

4b

5a

5b

6a

6b

7a

7b

8a

8b

9a

9b

10a

10b

11a

11b

12a

12b

13a

13b

14a

14b

15a

15b

16a

16b

17a

17b

18a

18b

19a

19b

20 Total of Column B. Add all amounts in Column B. Enter here and on line 5 of Form M1PR . . . . . . . . . . . . . . . . . .20

You must include this schedule with your Form M1PR. If you had more than 19 items, include a statement with the type of income and amounts received.

9995

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