Minnesota reciprocity form: Fill out & sign online

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Click ‘Get Form’ to open the Minnesota Reciprocity Form in our platform's 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 permanent address, including city and ZIP code.
In section 1, input the wages you earned in Minnesota during the previous year. Round to the nearest dollar for precision.
Indicate how long you have lived at your permanent residence by filling in the 'From' and 'To' dates.
Answer whether you return to your permanent residence at least once a month. If 'No', you do not qualify for the reciprocity exemption.
If applicable, provide details about any previous residency in Minnesota, including dates.
Complete employer information fields accurately, including their name, federal tax ID, mailing address, and phone number.
Finally, review all entries for completeness before signing and dating the form. Remember to keep a copy for your records.

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