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Missouri Department of Revenue
Form
2016 Credit Union Tax Return
INT-4
2017 taxable year based on the 2016 calendar year income period
Due date April 18, 2017
Name
Address
City
State
ZIP Code
Federal Employer Identification Number (FEIN)
County Name
County Code
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Note: A copy of the NASCUS or NCUA call report must be attached.
1. Total gross income from NASCUS or NCUA Call Report as of December 31, 2016...............
1.
2. Recoveries of bad debts from call report.................................................................................
2.
3. Missouri Credit Union tax expensed on call report..................................................................
3.
4. Missouri taxes claimed as credits on this return from Schedule A...........................................
4.
5. Other additions (attach detailed schedule)..............................................................................
5.
6. Total of Lines 1 through 5........................................................................................................
6.
7. Total operating expenses from NASCUS or NCUA Call Report as of December 31, 2016.....
7.
8. Dividends and interest paid on general shares from call report...............................................
8.
9. Loans charged off as bad debts from call report.....................................................................
9.
10. Other deductions (complete detailed schedule on page 2).....................................................
10.
11. Total of Lines 7 through 10...................................................................................................... 11.
12. Port Cargo Expansion deduction............................................................................................. 12.
13. International Trade Facility deduction...................................................................................... 13.
14. Qualified Trade Activities deduction (limit is 50% of Line 6)..................................................
14.
15. Taxable income (Line 6 less Lines 11, 12, 13, and 14)........................................................... 15.
16. Tax — Line 15 multiplied by 7% or amount from apportionment schedule, Line 8.................. 16.
17. Tax credits from Line 4 above.................................................................................................. 17.
18. Tax due (Line 16 less Line 17)................................................................................................. 18.
19A. Less tentative payment or amount previously paid.................................................................. 19A.
19B. Miscellaneous credits (attach schedule and approved authorizations).................................... 19B.
19C. Enterprise Zone Credit (attach certificate of eligibility)............................................................. 19C.
20. Overpayment of previous year’s tax........................................................................................
20.
21. Balance due or overpaid (Line 18 less Lines 19A, 19B, 19C, and 20)....................................
21.
22. Interest for delinquent payment after April 18, 2017 (see instructions).................................... 22.
23. Total amount due or overpayment to be refunded (Line 21 plus Line 22)...............................
23.