Fillable Form Int-2 - Bank Franchise Tax Return

Form Int-2 - Bank Franchise Tax Return - 2006 Page 2

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SCHEDULE A — TAXES CLAIMED AS CREDITS

DESCRIPTION (Do not list tangible personal property tax on leased property)

AMOUNT

TOTAL (Enter on Lines 8 and 19B, Page 1)

AUTHORIZATION/NON-AUTHORIZATION

I authorize the Director of Revenue or his/her delegate to

I do NOT authorize the Director of Revenue or his/her delegate

PREPARER’S TELEPHONE

discuss my return and attachments with the preparer or any

to discuss my return and attachments with the preparer or any

member of his/her firm.

SIGNATURE — PLEASE SIGN BELOW

, whose return is herewith submitted, declare that we have read and are familiar with all of the state-

ments contained in this return, including the accompanying schedules (if any) all of which are true and correct, according to our best knowledge and belief, and that this

return is a true and complete statement, in accordance with the law, for the taxable year covered.

SIGNATURE OF OFFICER

DATE

PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)

DATE

TITLE OF OFFICER

PHONE NUMBER

PREPARER’S ADDRESS AND ZIP CODE

FEIN OR PTIN

MAKE CHECK OR MONEY ORDER PAYABLE TO “FINANCIAL INSTITUTION TAX”. 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. MAIL COMPLETED FORM AND ATTACHMENTS TO THE TAXATION

BUREAU, P.O. BOX 898, JEFFERSON CITY, MO 65105-0898.