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MN MWR exemption certificate

MN MWR exemption certificate


MN MWR exemption certificate



    • Paper: Letter (8.5in x 11in)

    • Copies to print: 2

    • The completed form must be submitted to the employer by the later of the following:

      • February 28
      • 30 days after you begin working or change your permanent residence.
    • Employers must keep this form for five years from the date received.

    • Mail to:

      Minnesota Revenue
      Mail Station 6501
      St Paul MN  55146-6501


    Login: https://www.mndor.state.mn.us/tp/eservices/_/

    Register: https://www.mndor.state.mn.us/tp/eservices/_/

    • Employees are eligible to claim this exemption if:
      • The employee is a resident of Michigan or North Dakota.
      • The employee returns to their residence in that state at least once a month.
      • The employee doesn't want Minnesota income tax withheld from their wages.
    • Employees who live in other states, including Minnesota, cannot use this form.
    • Employers may be assessed a $50 penalty for each form they are required to submit but do not.
    • If the form is not filled out completely, employers mustt withhold Minnesota income tax.

    To be used by nonresidents to file exemption from state withholding tax.

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