Minnesota Political Contribution Refund

Political Contribution Refund
2024 PCR, Political Contribution Refund Application
2024 Form PCR, Political Contribution Refund Application

*245611*

Complete this form to claim a refund of contributions made to Minnesota political parties and candidates for Minnesota state offices.
Include with this form your original Form EP-3, Minnesota Political Contribution Receipt, for all your contributions made between
January 1, 2024, and December 31, 2024. DO NOT STAPLE.
Your First Name and Initial		

Your Last Name			

Your Social Security Number

If a Joint Return, Spouse’s First Name and Initial	

Spouse’s Last Name			

Spouse’s Social Security Number

Check if: New Address	

Mailing Address		
City	

State	

ZIP Code	

Foreign Address

	

Your Date of Birth

		
Number of Forms EP-3 attached

Spouse’s Date of Birth

Place an X in one box (Married couples: See the notice below)
  (1) Single

  (2) Married, filing joint application		

  (3) Married, filing separate application

You may file only one application each year. You cannot file another application for the same year or amend an application after you file it.
1	 Add all contributions you (and your spouse, if filing a joint application) made during 2024 shown on
your Form(s) EP-3 attached to this application. Enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1	 	
2	 If you are a married couple filing a joint application, enter $150.
If you are single, or married but filing a separate application, enter $75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2		
3	 Enter the amount from line 1 or line 2 above, whichever is less.
	 This is your refund amount	  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3	 	
4	 For direct deposit of the full refund amount on line 3, enter your bank account information. (Use an account not associated with any foreign banks.)
	

Account type: 		

Checking	    
Savings	
					

Routing Number	

Account Number

I declare that this form is correct and complete to the best of my knowledge and belief.
Your Signature	

Spouse’s Signature (If a joint application)	 	

Date	

	

                  Daytime Phone

Married Couples
•	 You must choose to file either a joint application or separate applications; you cannot file both.
• 	 If you file a separate application, do not enter your spouse’s name, Social Security Number, or date of birth.
Do not have your spouse sign your application.
Mail this application no later than April 15, 2025, to:
	
Minnesota Department of Revenue
	
Political Contribution Refund
	
600 N. Robert St.
	
St. Paul, MN 55146-1800

9995

2024 Form PCR Instructions
If you are a Minnesota voter who contributed gifts or money to Minnesota political parties or candidates for Minnesota state offices, you may
apply for a refund of all or a portion of contributions made between January 1, 2024, and December 31, 2024. The maximum refund is $75 for
an individual and $150 for a married couple filing a joint application.
You (and your spouse if filing a joint application) may file only one Form PCR for each calendar year you made contributions, even if
you contributed to more than one candidate or party.
You may receive a refund for all or a portion of contribu­tions you made between January 1, 2024, and December 31, 2024, to candidates who
have signed an agreement with the Minnesota Campaign Finance and Public Disclosure Board to observe the state campaign spending limit
law. Your contributions to candidates for these state offices may qualify:
•	 Minnesota House of Representatives
•	 Minnesota State Senate
•	 Governor and Lieutenant Governor of Minnesota
•	 Attorney General of Minnesota
•	 Secretary of State of Minnesota
•	 Minnesota State Auditor
You may also receive a refund of all or a portion of contri­butions you made to any of these:
•	 Democratic-Farmer-Labor Party
•	 Republican Party of Minnesota
•	 Grassroots-Legalize Cannabis Party
•	 Legal Marijuana Now Party
•	 Libertarian Party of Minnesota
•	 Any precinct, city, county, congressional or legislative district unit of the Minnesota parties listed above.

Who can claim this refund?

You must be, or be eligible to be, a registered voter in Minnesota. Also, all of these must apply:
•	 You are a United States citizen.
•	 You are age 18 years or older.
•	 You lived in Minnesota for at least 20 days immediately before any 2024 statewide or local election in which you would be eligible to vote
if you were registered.
You are not eligible for the refund, regardless of whether or not you are a registered voter, if any of these are true:
•	 You are under a person’s guardianship, but have not retained the right to vote.
•	 You have been found by a court to be legally incompetent to vote.
•	 You have been convicted of a felony and your civil rights have not been restored.

Include EP-3 Forms

To receive your refund, you must include with your Form PCR the original Form EP-3, Minnesota Political Contribution Receipt, you received for each contribution.
If you do not include the original receipts, we will send your form back to you. You must have made contributions between January 1, 2024,
and December 31, 2024, to file the 2024 Form PCR.

When to File

You may apply for your refund at any time, but no later than April 15, 2025.
Do not mail your application in the same envelope with your Minnesota income tax return. You cannot use the amount of your Political
Contribution Refund as a credit on your Form M1. Including Form PCR in the same envelope as your return may delay processing of both
forms.

Amended Returns, Extensions for Filing are Not Permitted

You cannot amend Form PCR. You cannot get an extension to file Form PCR. You must file the form by April 15, 2025. We will not issue
refunds for 2024 Forms PCR filed after this date.

Continued

2024 Form PCR Instructions, Cont.
Completing Form PCR

Important: In the heading of Form PCR, you must enter your name, address, date of birth, and Social Security Number (and your spouse’s
name, date of birth, and Social Security Number, if filing a joint application). Also, be sure to indicate the number of receipts you are attaching. If you do not include this information, your refund may be delayed.

Filing Status Boxes

If you are not married, check the Single box.
If you are married, you and your spouse may either:
•	File one application together with your spouse for a maximum refund of $150.
•	 File separate applications for a maximum refund of $75 each.
If you choose to file a joint application, you must enter the name, date of birth, and Social Security Number for both you and your spouse.
Check the box for Married, filing joint application.
If you are married and choose to file separate applications, do not include your spouse’s name, date of birth, and Social Security Number.
Enter your name only and check the box for Married, filing separate application.

Line Instructions

Line 1
Add the amounts shown on all of your Form EP-3 receipts, and enter the total on line 1. Your receipts must be for contributions made between January 1, 2024, and December 31, 2024.
Line 2
If you are filing a joint application, enter $150. If you are single, or married and filing a separate application, enter $75.
Line 3
Enter the amount from line 1 or line 2, whichever is less.
You will receive the total of your contributions up to the maximum refund, which is $150 if you are married filing a joint application or $75 if
you are single, or married filing a separate application.
Line 4
If you want the refund to be directly deposited into your checking or savings account, enter the requested information on line 4.
Note: You must use an account not associated with any foreign banks.

The routing number must have nine digits.
The account number may contain up to 17 digits (both numbers and letters). Leave out any hyphens, spaces, and symbols.

If You Owe Taxes or Debts

If you owe any Minnesota or federal taxes, criminal fines, or a debt to a state agency, district court, qualifying hospital, or public library, we
may apply your refund to the amount you owe (including any penalty and interest).

Use of Information

All information you provide on Form PCR is private by state law and cannot be given to others, including your spouse, without your consent, except to the IRS, to other states that guarantee its privacy by law, to Minnesota courts, and to other Minnesota state, county, and local
government agencies. All information on this form, other than your phone number and bank account, is required to properly identify that you
qualify for this refund. If all required information is not provided, your application may be delayed or denied. Your Social Security Number is
required under Minnesota Statute 270C.306.
Your Social Security Number and all other information on Form PCR are private and cannot be disclosed to others without your consent
except as listed above. Your contribution can be counted with those of other contributors to that candidate or political party, and the total can
be given to the Minnesota Campaign Finance and Public Disclosure Board.

Forms and Information

•	 Website: www.revenue.state.mn.us
•	 Email:

[email protected]

•	 Phone:

651-296-3781 or 1-800-652-9094