Form Int-4 - Credit Union Tax Return - 2015
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Missouri Department of Revenue
Form
2015 Credit Union Tax Return
INT-4
2016 taxable year based on the 2015 calendar year income period
Due date April 18, 2016
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, 2015 ...........
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, 2015 .
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.
Taxable income (Line 6 less Line 11) ...................................................................................
12
If apportionment required, see instructions.
13.
Tax — Line 12 multiplied by 7% or amount from apportionment schedule, Line 8 ..............
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 .....................................................................................
17
18.
Balance due or overpaid (Line 15 less Lines 16A, 16B, 16C, and 17) .................................
18
19.
Interest for delinquent payment after April 18, 2016 (see instructions) ................................
19
20.
Total amount due or overpayment to be refunded (Line 18 plus Line 19) ............................
20
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