File by Mail Instructions for your 2024 Minnesota Tax Return

Important: Your taxes are not finished until all required steps are completed.

(If you prefer, you can still e-file. Go to the end of these instructions for
more information.)
Jacob R Ehrreich
224 S Oak St
Waconia, MN 55387-1515
|
Balance | Your Minnesota state tax return (Form M1) shows you are due a refund
Due/ | of $520.00. Your refund will be direct deposited into the following
Refund | account: Account Number: 288803569, Routing Transit Number: 051504759.
|
______________________________________________________________________________________
|
What You | Your tax return - The official return for mailing is included in
Need to | this printout. Remember to sign and date the return.
Mail |
| Be sure to attach a complete copy of your federal return and other
| required attachments.
|
| Mail your return and attachments to:
| Minnesota Department of Revenue
| Mail Station 0010
| 600 N. Robert St.
| St. Paul, MN 55146-0010
|
| Deadline: Postmarked by October 15, 2025
|
| Don't forget correct postage on the envelope.
|
______________________________________________________________________________________
|
What You | Keep these instructions and a copy of your return for your records.
Need to | You can download or print a copy of your return by logging into your
Keep | TurboTax account.
|
______________________________________________________________________________________
|
2024 | Taxable Income $ 39,925.00
Minnesota | Total Tax $ 2,257.00
Tax | Total Payments/Credits $ 520.00
Return | Amount to be Refunded $ 520.00
Summary |
|
______________________________________________________________________________________
|
Special | Your printed state tax forms may have special formatting on them,
Formatting | such as bar codes or other symbols. This is to enable fast
| processing. Don't worry, these forms have been approved by your
| taxing authority and are acceptable for printing and mailing.
|
______________________________________________________________________________________
|
Changed | You can still file electronically. Just go back to TurboTax, select
Your Mind | the File tab, then select the E-file category. We'll walk you
About | through the process. Once you file, we will let you know if your
e-filing? | return is accepted (or rejected) by the state taxing agency.
|
______________________________________________________________________________________

Page 1 of 1
 Income Tax Extension Payment

Pay by Checkeck
• Make your check payable to “Minnesota Revenue.”
• Print the last four digits of your Social Security number in the memo line of your check.
• Mail your payment and the voucher below to the address on the voucher.

Note: Your payment may be delayed if your voucher information is missing or incorrect. When printing the
voucher, set your printer to “Actual size” (not “Shrink oversized pages”).

Scan Line
The scan line is the most important part of the voucher. When submitting your voucher make sure the scan
line:
• Is printed with 66 digits – characters, symbols, or masking are unacceptable.
• Is not cut off or missing.

Pay Electronically
• Pay electronically from your bank account. Go to [Link] and type make a payment
into the Search box. Choose Bank Account from the menu. We do not charge for this service.
• Pay by credit card or debit card. Go to [Link] and type make a payment into the
Search box. Choose Credit or Debit Card from the menu. A third party processes these payments and
charges a fee for this service.
• Pay by ACH credit transfer through your financial institution. Go to [Link] and type
ACH Credit into the Search box.

REV 03/18/25 [Link]

Cut carefully along this line to detach.

Your check authorizes us to make a one-time electronic fund transfer from your account.

1555

Preparer Tax
Income Tax Extension Payment Identification Number:
Jacob R Ehrreich Social Security
Number (required): 474232687
224 S Oak St Spouse’s Social
Waconia MN 55387-1515 Security Number:
Tax-Year End: 123124
Make check payable to:
Minnesota Revenue
P.O. Box 64058, St. Paul, MN 55164-0058 Amount of Check: 520 00

001010000000000000000012312430004742326875000000000000000000001555
2024 Form M1, Individual Income Tax
* 2 4 1 1 1 1 *

Do not use staples on anything you submit.

JACOB R EHRREICH 474232687 07131991

Your First Name and Initial Last Name Your Social Security Number Your Date of Birth (MM/DD/YYYY)

If a Joint Return, Spouse’s First Name and Initial Spouse’s Last Name Spouse’s Social Security Number Spouse’s Date of Birth

224 S OAK ST Check if Address is: New Foreign
Current Home Address

WACONIA MN 55387
City State ZIP Code County

2024 Federal Filing Status (place an X in one box):

(1) Single (2) Married Filing Jointly (3) Married Filing Separately (4) Head of Household (5) Qualifying Surviving Spouse
Spouse Name
Spouse SSN

State Elections Campaign Fund

To grant $5 to this fund, enter the code for the party of your choice. It will help candidates for state offices pay campaign expenses. This will not increase your tax or reduce your refund.

Political Party Code Numbers: Republican . . . . . . . . . . . . . . . 11 Grassroots/Legalize Cannabis 14 Legal Marijuana Now . . . . . . . 17
Democratic/Farmer-Labor . . . 12 Libertarian . . . . . . . . . . . . . . . 16 General Campaign Fund . . . . 99
Your Code Spouse’s Code

From Your Federal Return (see instructions)

54500 0 0 39900
A. Wages, salaries, tips, etc. B. IRA, pensions, and annuities C. Unemployment D. Federal taxable income

1 Federal adjusted gross income (from line 11 of federal Form 1040 and 1040-SR) . . . . . . . . . . . . . . . . . . . . . . . . . . 1 54500

2 Additions to income from line 10 of Schedule M1M and line 9 of Schedule M1MB (see instructions) . . . . . . . . . . 2

3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 54500

4 Itemized deductions (from Schedule M1SA) or your standard deduction (see instructions) . . . . . . . . . . . . . . . . . 4 14575

5 Exemptions (from Schedule M1DQC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 State income tax refund from line 1 of federal Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Subtractions from line 35 of Schedule M1M and line 21 of Schedule M1MB (see instructions) . . . . . . . . . . . . . . . 7

8 Total subtractions. Add lines 4 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 14575

9 Minnesota taxable income. Subtract line 8 from line 3. If zero or less, leave blank. . . . . . . . . . . . . . . . . . . . . . . . 9 39925

10 Tax from the table or schedules in the Form M1 instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2257

11 Alternative minimum tax (enclose Schedule M1MT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1

12 Add lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 2257

13 Full-year residents: Enter the amount from line 12 on line 13. Skip lines 13a and 13b.
Part-year residents and nonresidents: From Schedule M1NR, enter the amount from line 32 on
line 13, from line 28 on line 13a, and from line 29 on line 13b (enclose Schedule M1NR) . . . . . . . . . . . . . . . . . . . . 1 3 2257

13a 0 13b 0
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 2024 M1, page 2

* 2 4 1 1 2 1 *

14 Other taxes, such as recapture amounts and the tax on lump-sum distributions (check appropriate boxes)

(a) Schedule M1HOME (b) Schedule M1529 (c) Schedule M1LS (d) Schedule NIIT 14

1 5 Tax before credits. Add lines 13 and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 5 2257

16 Amount from line 19 of Schedule M1C, Nonrefundable Credits (enclose Schedule M1C) . . . . . . . . . . . . . . . . . . 16 5000

17 Subtract line 16 from line 15 (if result is zero or less, leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7
18 Nongame Wildlife Fund contribution (see instructions)
This will reduce your refund or increase the amount you owe . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Add lines 17 and 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 9

20 Minnesota income tax withheld. Complete and enclose Schedule M1W to report
Minnesota withholding from Forms W-2, 1099, and W-2G and Schedules KPI, KS, and KF . . . . . . . . . . . . . . . . . . . . 20

21 Minnesota estimated tax and extension payments made for 2024 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 520

22 Amount from line 13 of Schedule M1REF, Refundable Credits (see instructions; enclose Schedule M1REF) . . . 22

23 Total payments. Add lines 20 through 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 520

24 REFUND. If line 23 is more than line 19, subtract line 19 from line 23 (see instructions).
For direct deposit, complete line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 520

25 Direct deposit of your refund (you must use an account not associated with a foreign bank):
Checking Savings 051504759 288803569
Routing Number Account Number

26 AMOUNT YOU OWE. If line 19 is more than line 23, subtract line 23 from line 19 (see instructions) . . . . . . . . 26
27 Penalty amount from Schedule M15 (see instructions). Also subtract
this amount from line 24 or add it to line 26 (enclose Schedule M15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

28 Penalty and interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

IF YOU PAY ESTIMATED TAX and want part of your refund credited to estimated tax, complete lines 29 and 30.
29 Amount from line 24 you want sent to you . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

30 Amount from line 24 you want applied to your 2025 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Taxpayer(s): I declare that this return is correct and complete to the best of my knowledge and belief.

Your Signature Spouse’s Signature (If Filing Jointly) Date (MM/DD/YYYY)

9522217798 jacobehrreich@[Link]
Daytime Phone Email Address
SELF-PREPARED
Paid Preparer’s Signature Date (MM/DD/YYYY) PTIN or VITA/TCE # (required)

Preparer’s Daytime Phone Preparer’s Email Address

I do not want my paid preparer to file my return electronically. I authorize the Minnesota Department of Revenue to discuss this tax return
with the preparer or the third-party designee indicated on my federal return.
I am filing this return for Net Investment Income Tax requirements I authorize the Minnesota Department of Revenue to share necessary return information
(see instructions). with MNsure for the purpose of contacting me with information about my estimated
eligibility for free or reduced-cost health insurance (see instructions).
Include a copy of your 2024 federal return and schedules.
Mail to: Minnesota Individual Income Tax, Mail Station 0010, 600 N. Robert St., St. Paul, MN 55146-0010
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2024 Schedule M1C, Nonrefundable Credits
* 2 4 1 6 6 1 *

Complete this schedule to determine line 16 of Form M1. Include this schedule when filing your return.

Jacob R Ehrreich 474232687

Your First Name and Initial Your Last Name Your Social Security Number
1 Marriage Credit for joint return when both spouses have taxable earned income
or taxable retirement income (enclose Schedule M1MA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Credit for long-term care insurance premiums paid (enclose Schedule M1LTI) . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Credit for taxes paid to another state (enclose Schedules M1CR and M1RCR) . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Credit for Past Military Service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Employer Transit Pass Credit (enclose Schedule ETP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 SEED Capital Investment Credit (see instructions; enclose certification) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Education Savings Account Contribution​Credit (enclose Schedule M1529) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Credit for Attaining Master’s Degree in Teacher’s Licensure Field (enclose Schedule M1CMD) . . . . . . . . . . . . 8

9 Student Loan Credit (enclose Schedule M1SLC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Beginning Farmer Management Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Enter the certificate number from the certificate you received from the Rural Finance Authority:
BF 24 -
11 Film Production Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Enter the credit certificate number: TAXC -
12 Tax Credit for Owners of Agricultural Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Enter the certificate number from the certificate you received from the Rural Finance Authority:
AO 2 4 -
AO 2 4 -
13 Credit for Sales of Manufactured Home Parks to Cooperatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Short Line Railroad Infrastructure Modernization Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 State Housing Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 5000

Enter the credit certificate number:
SHTC - 2025 - 16055
16 Credit for increasing research activities (enclose Schedule KPI, KS, or KF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Carryover credits from prior years (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

D — Name of Credit E — Certificate Number F — Unused Credit

d1 e1 f1
d2 e2 f2
d3 e3 f3

18 Alternative Minimum Tax Credit (enclose Schedule M1MTC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Add lines 1 through 18. Enter total here and on line 16 of Form M1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 5000
You must include this schedule with your Form M1.

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tŽƌŬƐŚĞĞƚϱʹŽͲŽĐĐƵƉĂŶƚ/ŶĐŽŵĞ

ŽŵƉůĞƚĞƚŚŝƐǁŽƌŬƐŚĞĞƚĨŽƌĂŶLJŽƚŚĞƌƉĞƌƐŽŶǁŚŽůŝǀĞĚǁŝƚŚLJŽƵĞdžĐĞƉƚĨŽƌďŽĂƌĚĞƌƐ͕ƌĞŶƚĞƌƐ͕LJŽƵƌĚĞƉĞŶĚĞŶƚƐ͕LJŽƵƌƉĂƌĞŶƚƐ͕ŽƌLJŽƵƌ
spouse’s parents. Complete the worksheet for your live-in parents if they co-owned your home and were not your dependents. If you had
ŵŽƌĞƚŚĂŶŽŶĞĐŽͲŽĐĐƵƉĂŶƚ͕ĐŽŵƉůĞƚĞĂƐĞƉĂƌĂƚĞǁŽƌŬƐŚĞĞƚĨŽƌĞĂĐŚŝŶĚŝǀŝĚƵĂůŽƌŵĂƌƌŝĞĚĐŽƵƉůĞ͘
Jacob Ehrreich 3
Co-occupant Name Number of Months Co-occupant Lived with You
EŽƚĞ͗&Žƌ^ƚĞƉƐϭƚŚƌŽƵŐŚϱ͕ŽŶůLJŝŶĐůƵĚĞƚŚĞŝŶĐŽŵĞƚŚĞĐŽͲŽĐĐƵƉĂŶƚƌĞĐĞŝǀĞĚĨŽƌƚŚĞƟŵĞƚŚĞLJůŝǀĞĚǁŝƚŚLJŽƵ͘
ϭ &ĞĚĞƌĂůĂĚũƵƐƚĞĚŐƌŽƐƐŝŶĐŽŵĞ(from line 1 of Form M1; ƐĞĞŝŶƐƚƌƵĐƟŽŶƐŝĨĐŽͲŽĐĐƵƉĂŶƚĚŝĚŶŽƚĮůĞ&ŽƌŵDϭ
or lived in the home for only part of the year). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϭ
Ϯ EŽŶƚĂdžĂďůĞ^ŽĐŝĂů^ĞĐƵƌŝƚLJĂŶĚͬŽƌZĂŝůƌŽĂĚZĞƟƌĞŵĞŶƚŽĂƌĚďĞŶĞĮƚƐƌĞĐĞŝǀĞĚĂŶĚŶŽƚŝŶĐůƵĚĞĚŝŶ
 ƐƚĞƉϭĂďŽǀĞ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐĨŽƌ>ŝŶĞϮŽĨ&ŽƌŵDϭWZͿ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ϯ ĞĚƵĐƟŽŶĨŽƌĐŽŶƚƌŝďƵƟŽŶƐƚŽĂƋƵĂůŝĮĞĚƌĞƟƌĞŵĞŶƚƉůĂŶ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐĨŽƌůŝŶĞϯŽĨ&ŽƌŵDϭWZͿ . . . . . . . . . . 3
ϰ dŽƚĂůŐŽǀĞƌŶŵĞŶƚĂƐƐŝƐƚĂŶĐĞƉĂLJŵĞŶƚƐ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐĨŽƌůŝŶĞϰŽĨ&ŽƌŵDϭWZͿ . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ϱ ĚĚŝƟŽŶĂůŶŽŶƚĂdžĂďůĞŝŶĐŽŵĞ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐĨŽƌůŝŶĞϲŽŶƉĂŐĞϴĨŽƌĞdžĂŵƉůĞƐͿ . . . . . . . . . . . . . . . . . . . . . . . . . . ϱ
List types and amounts 5000
ϲ ŽŵďŝŶĞƐƚĞƉƐϭƚŚƌŽƵŐŚϱ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϲ
ϳ ^ƵďƚƌĂĐƟŽŶĨŽƌϲϱŽƌĚŝƐĂďůĞĚ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐͿ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ϴ ĞƉĞŶĚĞŶƚƐƵďƚƌĂĐƟŽŶ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐͿ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
 ŶƚĞƌŶĂŵĞƐŽĨĚĞƉĞŶĚĞŶƚƐJacob R Ehrreich
ϵ ZĞƟƌĞŵĞŶƚĂĐĐŽƵŶƚƐƵďƚƌĂĐƟŽŶ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐĨŽƌůŝŶĞϭϬŽĨ&ŽƌŵDϭWZ͖
 KŶůLJŝŶĐůƵĚĞĐŽŶƚƌŝďƵƟŽŶƐƚŚĞĐŽͲŽĐĐƵƉĂŶƚŵĂĚĞǁŚŝůĞůŝǀŝŶŐǁŝƚŚLJŽƵͿ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ϭϬ dŽƚĂůŽƚŚĞƌƐƵďƚƌĂĐƟŽŶƐ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐͿ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϭϬ
11 dŚŝƐƐƚĞƉŝŶƚĞŶƟŽŶĂůůLJůĞŌďůĂŶŬ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϭϭ
ϭϮ ĚĚƐƚĞƉƐϳƚŚƌŽƵŐŚϭϭ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϭϮ
ϭϯ ^ƵďƚƌĂĐƚƐƚĞƉϭϮĨƌŽŵƐƚĞƉϲ;ƐĞĞŝŶƐƚƌƵĐƟŽŶƐďĞůŽǁĨŽƌƚŚŝƐůŝŶĞͿ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ϭϯ
 M1PR Worksheets 1-2 2024
G Include with Form M1PR

Name as Shown on Return Social Security No.

Jacob R Ehrreich 474-23-2687

A Description of this worksheet (e.g. address of home used for business) 224 south OAk street
B QuickZoom to another copy of Worksheet 2 O

Worksheet 1 - Mobile Home Owners

1 Multiply line 3 of your 2024 CRP by 17% (.17) 1 238.

2 Line 1 of your Statement of Property Taxes Payable in 2025 2

3 Add line 1 and line 2. Enter the result here and on line 14 of Form M1PR 3 238.

Worksheet 2 - Homeowners Who Rented Part of Their Home to Others or Used it for Business

1 Amount from line 1 of your Statement of Property Taxes Payable in 2025 1

2 Percent of your home not rented to others or not used for business 2 %

3 Multiply line 1 by line 2. Enter the result here and on line 14 of Form M1PR 3

Note: You must use this worksheet if you claimed a federal deduction for
using a portion of your home for business. This applies regardless of how
you calculated that deduction or any IRS limitations on that deduction.
Use the current year business use of your home to determine Step 2.
 1040 U.S. Individual Income Tax Return 2024
Form Department of the Treasury—Internal Revenue Service

OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

For the year Jan. 1–Dec. 31, 2024, or other tax year beginning , 2024, ending , 20 See separate instructions.
Your first name and middle initial Last name Your social security number
Jacob R Ehrreich 474 23 2687
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
224 S Oak St Check here if you, or your
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code spouse if filing jointly, want $3
to go to this fund. Checking a
Waconia MN 553871515 box below will not change
Foreign country name Foreign province/state/county Foreign postal code your tax or refund.
You Spouse

Filing Status Single Head of household (HOH)

Married filing jointly (even if only one had income)
Check only
one box. Married filing separately (MFS) Qualifying surviving spouse (QSS)
If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the
qualifying person is a child but not your dependent:
If treating a nonresident alien or dual-status alien spouse as a U.S. resident for the entire tax year, check the box and enter
their name (see instructions and attach statement if required):

Digital At any time during 2024, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No
Standard Someone can claim: You as a dependent Your spouse as a dependent
Deduction Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness You: Were born before January 2, 1960 Are blind Spouse: Was born before January 2, 1960 Is blind
Dependents (see instructions): (2) Social security (3) Relationship (4) Check the box if qualifies for (see instructions):
(1) First name Last name number to you Child tax credit Credit for other dependents
If more
than four
dependents,
see instructions
and check
here . .

Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . 1a 54,500.
b Household employee wages not reported on Form(s) W-2 . . . . . . . . . . . . . 1b
Attach Form(s)
W-2 here. Also c Tip income not reported on line 1a (see instructions) . . . . . . . . . . . . . . 1c
attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) . . . . . . . . 1d
W-2G and
1099-R if tax e Taxable dependent care benefits from Form 2441, line 26 . . . . . . . . . . . . 1e
was withheld. f Employer-provided adoption benefits from Form 8839, line 29 . . . . . . . . . . . 1f
If you did not g Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . . . . 1g
get a Form
W-2, see
h Other earned income (see instructions) . . . . . . . . . . . . . . . . . . 1h 0.
instructions. i Nontaxable combat pay election (see instructions) . . . . . . . 1i
z Add lines 1a through 1h . . . . . . . . . . . . . . . . . . . . . . 1z 54,500.
Attach Sch. B 2a Tax-exempt interest . . . 2a b Taxable interest . . . . . 2b
if required. 3a Qualified dividends . . . 3a b Ordinary dividends . . . . . 3b
4a IRA distributions . . . . 4a b Taxable amount . . . . . . 4b
Standard
Deduction for— 5a Pensions and annuities . . 5a b Taxable amount . . . . . . 5b
• Single or 6a Social security benefits . . 6a b Taxable amount . . . . . . 6b
Married filing
separately, c If you elect to use the lump-sum election method, check here (see instructions) . . . . .
$14,600 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . 7
• Married filing
jointly or 8 Additional income from Schedule 1, line 10 . . . . . . . . . . . . . . . . . 8
Qualifying
surviving spouse, 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . 9 54,500.
$29,200 10 Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . 10
• Head of
household, 11 Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . . . 11 54,500.
$21,900
• If you checked
12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . 12 14,600.
any box under 13 Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . 13
Standard
Deduction, 14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . 14 14,600.
see instructions.
15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income . . . . . 15 39,900.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2024)
Form 1040 (2024) Page 2

Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 . . 16 4,559.
Credits 17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . 17
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . 18 4,559.
19 Child tax credit or credit for other dependents from Schedule 8812 . . . . . . . . . . 19
20 Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . 20
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . 22 4,559.
23 Other taxes, including self-employment tax, from Schedule 2, line 21 . . . . . . . . . 23 0.
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . 24 4,559.
Payments 25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . 25a 5,000.
b Form(s) 1099 . . . . . . . . . . . . . . . . . . 25b
c Other forms (see instructions) . . . . . . . . . . . . . 25c
d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . 25d 5,000.
If you have a 26 2024 estimated tax payments and amount applied from 2023 return . . . . . . . . . . 26
qualifying child, 27 Earned income credit (EIC) . . . . . . . . . . . .No. . 27
attach Sch. EIC.
28 Additional child tax credit from Schedule 8812 . . . . . . . . 28
29 American opportunity credit from Form 8863, line 8 . . . . . . . 29
30 Reserved for future use . . . . . . . . . . . . . . . 30
31 Amount from Schedule 3, line 15 . . . . . . . . . . . . 31
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits . . 32
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . . 33 5,000.
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . 34 441.
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . . 35a 441.
Direct deposit? b Routing number 0 5 1 5 0 4 7 5 9 c Type: Checking Savings
See instructions.
d Account number 2 8 8 8 0 3 5 6 9
36 Amount of line 34 you want applied to your 2025 estimated tax . . . 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe.
You Owe For details on how to pay, go to [Link]/Payments or see instructions . . . . . . . . 37
38 Estimated tax penalty (see instructions) . . . . . . . . . . 38
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions . . . . . . . . . . . . . . . . . . . . . Yes. Complete below. No
Designee’s Phone Personal identification
name no. number (PIN)

Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation If the IRS sent you an Identity
Protection PIN, enter it here
Joint return? service champion (see inst.)
See instructions. Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an
Keep a copy for Identity Protection PIN, enter it here
your records. (see inst.)

Phone no. (952)221-7798 Email address

Preparer’s name Preparer’s signature Date PTIN Check if:
Paid Self-employed
Preparer
Firm’s name Self-Prepared Phone no.
Use Only
Firm’s address Firm’s EIN
Go to [Link]/Form1040 for instructions and the latest information. BAA REV 03/13/25 [Link] Form 1040 (2024)