Form Mo-1065 Draft - Partnership Return Of Income - 2016
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Missouri Department of Revenue
Form
2016 Partnership Return of Income
MO-1065
For the year January 1 – December 31, 2016, Or Fiscal Year Beginning _____________________ 2016, and ending _____________________20____
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Missouri Tax Identification Number
Federal Employer Identification Number (FEIN)
Amended Return
Composite
Final Return
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Name, Address, Federal Employer I.D. Change
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Business Name
Number and Street
E-mail Address
City or Town
State
Zip Code
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If you are a Limited Liability
1. Does the partnership have any Missouri modifications?
Yes
No If Yes complete Parts 1 and 2 below.
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Company being taxed as a
2. Does the partnership have any nonresident partners?
Yes
No If Yes, complete
Form
MO-NRP.
partnership, please select
Note: If No to both questions, do not complete remainder of return. Attach a copy of Federal Form 1065 and all its
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this box.
schedules, Including Schedule K-1, sign below, and mail.
Additions (attach detailed explanation of each item)
1. State and local income taxes deducted on Federal Form 1065 ........................
1
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2. Less: Kansas City and St. Louis earnings taxes ................................................
2
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3. Net (subtract Line 2 from Line 1) ......................................................................................................................... 3
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4. State and local bond interest (except Missouri) .................................................
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5. Less: related expenses (omit if less than $500) ................................................
5
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6. Net (subtract Line 5 from Line 4) .......................................................................................................................
6
00
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7.
Partnership
Fiduciary
Other adjustments (list ____________________________________ ) 7
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8. Food Pantry Contributions .................................................................................................................................
8
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9. Total of Lines 3, 6, 7 and 8 ................................................................................................................................
9
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Subtractions (attach explanation of each item)
10. Interest from exempt federal obligations ............................................................ 10
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11. Less: related expenses (omit if less than $500) ................................................ 11
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12. Net (subtract Line 11 from Line 10) ................................................................................................................... 12
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13. Amount of any state income tax refund included in federal ordinary income .................................................... 13
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14.
Partnership
Fiduciary
Other adjustments (list ____________________________________ ) 14
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15. Missouri depreciation adjustment (See
Section 143.121,
RSMo.) ................................................................... 15
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16. Total of Lines 12, 13, 14 and 15 ........................................................................................................................ 16
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17. Missouri partnership adjustment — Net Addition — excess Line 9 over Line 16 .............................................. 17
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18. Missouri partnership adjustment — Net Subtraction — excess Line 16 over Line 9 ......................................... 18
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19. Agriculture Disaster Relief ................................................................................................................................ 19
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Complete if Part 1 indicates a Partnership Adjustment
2. Select box
3. Social Security Number
1. Name of each partner. All partners must be listed.
4. Partner’s
5. Partner’s Partnership Adjustment
6. Agriculture Relief
if Partner is
Share %
Use attachment if more than four.
r Addition
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Subtraction
nonresident
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a)
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%
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b)
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%
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c)
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%
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d)
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%
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Total
100 %
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Preparer’s Phone Number
I
authorize the Director of Revenue or delegate to discuss my return
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(
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and attachments with the preparer or any member of his or her firm.
YES
NO
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Under penalties of perjury, I declare that the above information and any attached supplement is true, completed, and correct.
Signature of General Partner
Preparer’s Signature (Other than taxpayer)
FEIN, SSN, OR PTIN
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Date (MM/DD/YYYY)
Phone Number
Preparer’s Address and Zip Code
Date (MM/DD/YYYY)
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Attach copy of Federal Form 1065 and all its schedules including K-1
Form MO-1065 (Revised 12-2016)
Mail to:
Taxation Division
Phone: (573) 751-1467
Visit
P.O. Box 3000
TTY: (800) 735-2966
for additional information.
Jefferson City, MO 65105-3000
Fax: (573) 526-7939
E-mail:
income@dor.mo.gov
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