Form Mo-1120s - S Corporation Income Tax Return Page 2

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Corporation Name
MO Tax I.D. Number
Charter Number
Federal I.D. Number
2. Check box if
5. Shareholder’s Corporation
1. Name of each shareholder. All shareholders must
4. Shareholder’s
shareholder is
Adjustment
3. Social Security Number
be listed. Use attachment if necessary.
Share %
r
r
nonresident
Addition
Subtraction
r
a)
%
00
__ __ __-__ __-__ __ __ __
r
b)
%
00
__ __ __-__ __-__ __ __ __
r
c)
%
00
__ __ __-__ __-__ __ __ __
r
d)
%
00
__ __ __-__ __-__ __ __ __
r
e)
%
00
__ __ __-__ __-__ __ __ __
r
f)
%
00
__ __ __-__ __-__ __ __ __
r
g)
%
00
__ __ __-__ __-__ __ __ __
r
h)
%
00
__ __ __-__ __-__ __ __ __
r
i)
%
00
__ __ __-__ __-__ __ __ __
r
j)
%
00
__ __ __-__ __-__ __ __ __
r
k)
%
00
__ __ __-__ __-__ __ __ __
r
l)
%
00
__ __ __-__ __-__ __ __ __
r
m)
%
00
__ __ __-__ __-__ __ __ __
r
n)
%
00
__ __ __-__ __-__ __ __ __
r
o)
%
00
__ __ __-__ __-__ __ __ __
r
p)
%
00
__ __ __-__ __-__ __ __ __
r
q)
%
00
__ __ __-__ __-__ __ __ __
r
r)
%
00
__ __ __-__ __-__ __ __ __
r
s)
%
00
__ __ __-__ __-__ __ __ __
r
t)
%
00
__ __ __-__ __-__ __ __ __
r
u)
%
00
__ __ __-__ __-__ __ __ __
r
v)
%
00
__ __ __-__ __-__ __ __ __
r
w)
%
00
__ __ __-__ __-__ __ __ __
r
x)
%
00
__ __ __-__ __-__ __ __ __
Total
%
00
Column 4 — Enter percentages from Federal Schedule K-1(s). Round percentages to whole numbers.
Column 5 — Enter Missouri S corporation adjustment from Form MO-1120S, Line 13 or 14, as total of Column 5. Multiply each percentage
in Column 4 by the total in Column 5. Indicate at the top of Column 5 whether the adjustments are additions or subtractions.
The amount after each shareholder’s name in Column 5 must be reported as a modification by the shareholder on his or her
Form
MO‑1040, Individual Income Tax Return, either as an addition to, or subtraction from, federal adjusted gross income.
Form MO-1120S (Revised 05-2014)
Mail To:
Balance Due:
Refund or No Amount Due:
Missouri Department of Revenue
Missouri Department of Revenue
Phone: (573) 751-4541
P.O. Box 3365
P.O. Box 700
Fax: (573) 522-1721
Jefferson City, MO 65105-3365
Jefferson City, MO 65105-0700
E‑mail:
corporate@dor.mo.gov
Visit
for additional information.

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