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Last Updated: 5/13/2013

MinnesotaCare Taxes: Forms and Instructions

We have a new process for paying your tax by credit or debit card.  See Online Payment Options for current instructions.​

Forms and instructions are offered in Adobe Acrobat Reader PDF format.  To view and print these files, install the current version of the free Adobe Reader on your computer.

Note: If you have trouble using any of these forms, you may be using an older version of Reader.

Instructions

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pdfMinnesotaCare Estimated Tax Instructions (Hospital and Surgical Center Taxes)
pdfMinnesotaCare Estimated Tax Instructions (Legend Drug Use Tax)
pdfMinnesotaCare Estimated Tax Instructions (Provider Tax)
pdfMinnesotaCare Estimated Tax Instructions (Wholesale Drug Distributor Tax)
pdfMinnesotaCare Legend Drug Use Tax Instructions (2012)
pdfMinnesotaCare Provider, Hospital and Surgical Center Tax Instructions (2012)
pdfMinnesotaCare Wholesale Drug Distributor Tax Instructions (2012)

 

Worksheets

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 Worksheet C
 Worksheet P
 Worksheet RC
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pdfWorksheet C2012 Legend Drug Use Tax Return
pdfWorksheet P2012 MinnesotaCare Pharmacy Refund
pdfWorksheet RC2012 MinnesotaCare Research Credit
pdfWorksheet C2012 Provider, Hospital and Surgical Center Tax Return
pdfWorksheet C2012 Wholesale Drug Distributor Tax Return

 

Forms

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 MC10
 MC101
 MC11
 REV184
 REV184a
 REV187
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Description
pdfMC10MinnesotaCare Provider Estimated Tax Payment Voucher (Revised 1/13)MinnesotaCare Provider Estimated Tax Payment Voucher (Revised 1/13)
pdfMC101Business Activity Questionnaire for Determining MinnesotaCare Tax NexusBusiness Activity Questionnaire for Determining MinnesotaCare Tax Nexus
pdfMC11MinnesotaCare Provider Tax Return Payment Voucher (Revised 1/13)MinnesotaCare Provider Tax Return Payment Voucher (Revised 1/13)
pdfREV184Power of Attorney (Revised 10/12)Power of Attorney (Revised 10/12)
pdfREV184aElection for Power of Attorney (Revised 10/12)Election for Power of Attorney (Revised 10/12)
pdfREV187Authorization to Communicate through Email Transmission (Revised 12/05)Authorization to Communicate through Email Transmission (Revised 12/05)