Form Mo-1040p - Missouri Individual Income Tax Return And Property Tax Credit Claim/pension Exemption - Short Form - 2006 Page 2

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FORM MO-1040P

PAGE 2

14. Total Missouri taxable amount from Line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yourself

Spouse

15. Multiply Line 14 by the percentages you determined on Line 5.

Do this for you and your spouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16. Use the tax table on page 4 of Form MO-1040P to figure the

tax on amounts from Line 15 for you and your spouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17. TOTAL TAXES — Add your tax and your spouse’s tax from Line 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. Missouri withholding for you and your spouse from your Forms W-2(s)

and 1099(s). Attach copies of Forms W-2(s) and 1099(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19. Any Missouri estimated tax payments for 2006 (Be sure to include

any amount of your 2005 overpayment credited to your 2006 Missouri tax return.) . . . . . . . . . . . . . . . . . . . 19

Attach

Form MO-PTS.

20. PROPERTY TAX CREDIT — Enter amount from Form MO-PTS,

MO-PTS

Line 14. Attach Form MO-PTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21. TOTAL PAYMENTS AND CREDITS

Add Lines 18, 19, and 20 and enter amount here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22. If amount of TOTAL PAYMENTS AND CREDITS (Line 21) is larger than amount of

TOTAL TAXES (Line 17), enter the difference here. You have overpaid.

If not, enter the amount on Line 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23. Enter the amount from Line 22 you want applied to next year’s taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Children’s

Veterans

Elderly

Missouri

General

Addl. Trust

Workers’

Childhood

24. You may donate part of your

LEAD

Fund Code

eneral

Revenue

Home

National

Military

Memorial

Lead

Workers

(See Instr.)

evenue

Family

Delivered

refund or contribute additional

Guard

Testing

Relief Fund

Meals

_____|_____

payments to any or all of the

trust funds listed to the right.

Please indicate your choices

and the amount of your

donations for each fund

in the appropriate boxes. . . . . . 24

25. Subtract Lines 23 and 24 from Line 22 and enter here. This is your refund. Sign below and

mail to: Department of Revenue, P.O. Box 3385, Jefferson City, MO 65105-3385. . . . . . . . . .REFUND 25

26. If Line 21 is less than Line 17, enter the difference here. You have an amount due. Sign below and

mail to: Department of Revenue, P.O. Box 3385, Jefferson City, MO 65105-3385. . . . . .AMOUNT DUE 26

If you pay by check, you authorize the Department of Revenue to process the check electronically. Any check returned unpaid may be presented again electronically.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is

true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which he/she has any knowledge. As provided in Chapter 143,

RSMo, a penalty of up to $500 shall be imposed on any individual who files a frivolous return.

I authorize the Director of Revenue or delegate to discuss my return and

PREPARER’S PHONE NUMBER

attachments with the preparer or any member of the preparer’s firm.

YES

SIGNATURE

DATE

PREPARER’S SIGNATURE

FEIN, SSN, OR PTIN

SPOUSE’S SIGNATURE

DAYTIME TELEPHONE

PREPARER’S ADDRESS AND ZIP CODE