Form Mo-Ftx - Corporation Franchise Tax Amended Return - 2001

FORM

MISSOURI DEPARTMENT OF REVENUE

CORPORATION FRANCHISE TAX

MO-FTX

AMENDED RETURN

(REV. 12-2001)

FILE PERIOD BEGINNING (MMDDYY)

20

, ENDING

20

DATE OF BALANCE SHEET (MMDDYY)

DO YOUR ASSETS INCLUDE AN INTEREST IN A PARTNERSHIP AND/OR LIMITED LIABILITY COMPANY?

YES

NO

This return is NOT an annual registration report. (See instructions.)

DOR

CORPORATION NAME

MITS/MO I.D. NUMBER

ONLY

NUMBER AND STREET

CHARTER NUMBER

FEDERAL I.D. NUMBER

CITY OR TOWN

NAME OF PARENT ON FEDERAL CONSOLIDATED RETURN

DOR

STATE AND ZIP CODE

PARENT FEIN

ONLY

READ INSTRUCTIONS BEFORE COMPLETING THIS RETURN

[

NOTE:

STOP HERE

If your assets do not exceed $1,000,000 in Missouri or apportioned to Missouri, check this box and

.

You are not required to pay Franchise Tax. You must file this return and sign below to verify no tax is due.

CORPORATIONS HAVING ALL ASSETS WITHIN MISSOURI COMPLETE ITEMS 1, 2, 6a, AND 7 ONLY.

CORPORATIONS HAVING ASSETS BOTH WITHIN AND WITHOUT MISSOURI COMPLETE ALL ITEMS EXCEPT 6a.

00

1. PAR VALUE OF ISSUED and OUTSTANDING STOCK (For no-par value stock, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2. ASSETS

00

2a. Total assets per ATTACHED BALANCE SHEET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a

2b. Less: Investments in and advances to subsidiaries over 50% owned (Attach schedule showing name of corporation(s) and

00

percentage of ownership) and amounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b

00

2c. Adjusted total (Line 2a less Line 2b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c

3. ALLOCATION PER ATTACHED BALANCE SHEET OR SCHEDULE (See instructions.)

(A) MISSOURI

(B) EVERYWHERE

00

00

3a. Accounts receivable (net of allowance for bad debt) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a

3a

00

00

3b. Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b

3b

00

00

3c. Land and fixed assets (net of accumulated depreciation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c

3c

00

00

3d. Total allocated assets (add Lines 3a, 3b, and 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3d

3d

%

4. MISSOURI PERCENTAGE FOR APPORTIONMENT (Line 3d, Column A divided by Column B) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

00

5. ASSETS APPORTIONED TO MISSOURI (Line 2c times Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

6. TAX BASIS:

00

6a. Corporations having all assets within Missouri (Line 2c or Line 1, whichever is greater) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a

6b. Corporations having assets both within and without Missouri (Line 5 or the product of Line 1 times Line 4,

00

whichever is greater.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b

7. TAX COMPUTATION

00

7a. Tax — 1/30th of 1% (.000333 of Line 6a or Line 6b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a

7b. SHORT PERIODS (for new corporations and change in accounting short periods only) —

00

Line 7a x _______ (insert number of months in short period) = Prorated Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b

12

00

7c. Tax due (Line 7a or Line 7b, whichever applies) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c

7d. Miscellaneous tax credits (See instructions) (Cannot exceed Line 7a or Line 7b)

00

(Enter code(s) as shown in instruction #11 on back of return for amount on Line 7d.) __________________ . . . . . . . . . . 7d

00

7e. Amount previously paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7e

00

7f. Amount previously refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7f

00

7g. OVERPAID (Line 7d plus Line 7e less Line 7f, Line 7a or Line 7b). Refund $________ or next year’s credit $________ . . . . 7g

00

7h. BALANCE DUE (Line 7a or Line 7b plus Line 7f less the total of Lines 7d and 7e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7h

00

7i. Interest — 6% annually from date due to date paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7i

00

7j. PENALTY — 5% per month or fractional part thereof until paid, not to exceed 25% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7j

00

7k. TOTAL DUE (add Lines 7g, 7h, and 7i) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7k

MAKE CHECK OR MONEY ORDER PAYABLE TO: MISSOURI DIRECTOR OF REVENUE. ATTACH BALANCE SHEET(S) TO THIS RETURN.

DOR

MAIL PAYMENT AND RETURN TO: MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 3080, JEFFERSON CITY, MISSOURI 65105-3080.

ONLY

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 pre-

parer (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 corporation which files a frivolous return.

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

PREPARER’S PHONE NUMBER

S

and attachments with the preparer or any member of his/her firm.

YES

NO

E

SIGNATURE OF OFFICER

DATE

PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)

DATE

B

F

TITLE OF PRESIDENT, VICE-PRESIDENT, SECRETARY, TREASURER PHONE NUMBER

PREPARER’S ADDRESS AND ZIP CODE

FEIN OR PTIN

P

MO 860-2961 (12-2001)

This publication is available upon request in alternative accessible format(s).