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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

  • 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, can't use this form.
  • Employers may be assessed a $50 penalty for each form they're required to submit but don't.
  • If the form isn't filled out completely, employers must withhold Minnesota income tax.
  • To be used by nonresidents to file exemption from state withholding tax.

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