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Click ‘Get Form’ to open the mn form in the editor.
Begin by entering your last name, first name, and Social Security Number in the designated fields. Ensure accuracy as this information is crucial for identification.
Select your state of residence (Michigan or North Dakota) and fill in your ZIP code along with your permanent address details.
In section 1, input the total wages earned in Minnesota during the previous year, rounding to the nearest dollar.
Indicate how long you have lived at your permanent residence by filling in the start and end dates.
Answer whether you return to your permanent residence at least once a month. If 'No', you do not qualify for the exemption.
If applicable, provide details about any previous residency in Minnesota, including dates.
Complete employer information including name, Federal Tax ID, mailing address, and phone number.
Finally, sign and date the form to declare that all provided information is correct before submitting it to your employer.
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