Form Mo-851 Affiliations Schedule - Missouri Department Of Revenue

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Department Use Only
Missouri Department of Revenue
(MM/DD/YY)
Form
Affiliations Schedule
MO-851
Beginning
Ending
Taxable Year
(MM/DD/YY)
(MM/DD/YY)
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Charter
Number
Name
Number and Street
City
State
Zip Code
This form must be completed by the parent corporation for itself and for corporations in the affiliated group. File Form MO-851 by attaching it to the
Missouri consolidated tax return for the group.
Payments
Missouri Tax
No.
Portion of Estimated
Name and Address of Corporation
Portion of Form
Identification Number
MO-7004
Tax Payment
Tax Payments
Common Parent Corporation ...............................................................................................
Subsidiary Corporations:
1
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2
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3
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4
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5
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7
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8
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9
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10
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11
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12
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13
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14
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Additional forms may be used, if necessary.
Form MO-851 (Revised 12-2014)
Mail to:
Taxation Division
Phone: (573) 751-4541
Visit
P.O. Box 3365
Fax: (573) 522-1721
for additional information.
Jefferson City, MO 65105-3365
E-mail:
corporate@dor.mo.gov
*14110001001*
14110010001

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