Form Int-4 - Credit Union Tax Return - 2007

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MISSOURI DEPARTMENT OF REVENUE
DLN
TAXATION BUREAU
2007
P.O. BOX 898
Reset Form
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JEFFERSON CITY, MO 65105-0898
INT-4
(573) 751-2326
TDD 1-800-735-2966
CREDIT UNION TAX RETURN
2008 TAXABLE YEAR BASED ON THE 2007 CALENDAR YEAR INCOME PERIOD.
DUE BY April 15, 2008
NAME
ADDRESS
CITY, STATE, ZIP CODE
COUNTY
FEDERAL EMPLOYER IDENTIFICATION NUMBER
___ ___ ___ ___ ___ ___ ___ ___ ___
NOTE: A COPY OF THE NASCUS/NCUA CALL REPORT MUST BE ATTACHED.
PART I
1.
Total gross income from NASCUS/NCUA Call Report as of December 31, 2007 . . . . . . . . . . . . . . . . . . . . .
1
$
ADDITIONS
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 schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6.
Total of Lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
$
PART II
DEDUCTIONS
7.
Total operating expenses from NASCUS/NCUA Call Report as of December 31, 2007 . . . . . . . . . . . . . . . .
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 (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
11.
Total of Lines 7 through 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12.
Taxable income (Line 6 less Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 $
PART III
COMPUTATION OF TAX
If apportionment required, see instructions.
13.
Tax — Line 12 multiplied by 7% or from apportionment schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 $
14.
Tax credits from Line 4 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15.
Tax due (Line 13 less Line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16A. Less tentative payment or amount previously paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16A
16B. Miscellaneous credits (attach schedule and approved authorizations) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16B
16C. Enterprise zone credit (attach certificate of eligibility) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16C
17.
Overpayment of previous year’s tax (attach approved credit authorization) . . . . . . . . . . . . . . . . . . . . . . . . .
17
18.
NET TAX DUE (Line 15 less Lines 16A, 16B, 16C, and 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19.
Plus interest for delinquent payment (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
20.
TOTAL AMOUNT DUE (Line 18 plus Line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20 $
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.
MO 860-1643 (11-2007)
This form is available upon request in alternative accessible format(s).

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