Form Mo-1040 - Individual Income Tax Return Long Form - 2015

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2015 FORM MO-1040

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MISSOURI DEPARTMENT OF REVENUE

INDIVIDUAL INCOME TAX RETURN—LONG FORM

(NOTE: For proper form functionality, utilize Internet Explorer

FOR CALENDAR YEAR JAN. 1–DEC. 31, 2015, OR FISCAL YEAR BEGINNING

browser and Adobe Reader for PDF viewer)

20 ___ , ENDING

20 ___

INSTRUCTIONS:

- Enter numbers without decimals (integers)

SOFTWARE

CHECK HERE

AMENDED RETURN —

006

- Don't forget to attach all required forms

006

VENDOR CODE

NAME AND ADDRESS

- You can tab from one field to another or use the mouse to click in

SOCIAL SECURITY NUMBER

SPOUSE’S SOCIAL SECURITY NUMBER

the field you want.

- Use the print button at the top of page to print form

NAME (LAST)

(FIRST)

M.I. JR, SR

- Click on the blue boxes to prepopulate an amount.

- Click on the gray boxes to view the instructions for that line.

- If a field does not allow a negative number and a negative number

SPOUSE’S (LAST)

(FIRST)

M.I. JR, SR

is entered, a zero will be displayed.

IN CARE OF NAME (ATTORNEY, EXECUTOR, PERSONAL REPRESENTATIVE, ETC.)

COUNTY OF RESIDENCE

SELECT COUNTY

PRESENT ADDRESS (INCLUDE APARTMENT NUMBER OR RURAL ROUTE)

CITY, TOWN, OR POST OFFICE

STATE

ZIP CODE

You may contribute to any one or all of the trust

Elderly

Missouri

Workers’

Childhood

General

Missouri

funds on Line 45. See pages 9–10 for a description

LEAD

Home

National

Memorial

Lead

Revenue

Military

Workers

eneral

of each trust fund, as well as trust fund codes to

Guard

Fund

Testing

Children’s

Delivered

Family Relief

Fund

Veterans

evenue

Organ Donor

enter on Line 45.

Trust Fund

Fund

Trust Fund

Meals Trust Fund

Fund

Trust Fund

Program Fund

PLEASE CHECK THE APPROPRIATE BOXES THAT APPLY TO YOURSELF OR YOUR SPOUSE AS OF DECEMBER 31, 2015.

AGE 65 OR OLDER

BLIND

100% DISABLED

NON-OBLIGATED SPOUSE

AGE 62 THROUGH 64

YOURSELF

SPOUSE

Spouse

Yourself

Worksheet

Line 1

1. Federal adjusted gross income from your 2015 federal return (See worksheet on page 6.) ...... 1Y

00 1S

Line 2

2. Total additions (from Form MO‑A, Part 1, Line 7) ................................................................... 2Y

00 2S

MO-A

3. Total income — Add Lines 1 and 2. ........................................................................................ 3Y

00 3S

4. Total subtractions (from Form MO‑A, Part 1, Line 16) ............................................................ 4Y

00 4S

Line 4

MO-A

5. Missouri adjusted gross income — Subtract Line 4 from Line 3. ............................................ 5Y

00 5S

Line 7

6. Total Missouri adjusted gross income — Add columns 5Y and 5S. ..........................................

7. Income percentages — Divide columns 5Y and 5S by total on Line 6. (Must equal 100%) ......

% 7S

Line 8

8. Pension and Social Security/Social Security Disability/Military exemption (from Form MO‑A, Part 3, Section E.) ......

MO-A

9. Mark your filing status box below and enter the appropriate exemption amount on Line 9.

A. Single — $2,100 (See Box B before checking.)

E. Married filing separate (spouse

B. Claimed as a dependent on another person’s federal

NOT filing) — $4,200

tax return — $0.00

F. Head of household — $3,500

C. Married filing joint federal & combined Missouri — $4,200

G. Qualifying widow(er) with

Line 9

D. Married filing separate — $2,100

dependent child — $3,500 ...............

10. Tax from federal return (Do not enter federal income tax withheld.)

• Federal Form 1040, Line 56 minus Lines 45, 46, 66a, 68, 69, and any amount from Form 8885 on Line 73.

• Federal Form 1040A, Line 37, minus Lines 29, 42a, 44, 45, and any alternative minimum tax included on Line 28

• Federal Form 1040EZ, Line 10 minus Line 8a ............................................................... 10

Line 10

11. Other tax from federal return — Attach copy of your federal return (pages 1 and 2). ..... 11

Line 11

12. Total tax from federal return — Add Lines 10 and 11. .................................................. 12

13. Federal tax deduction — Enter amount from Line 12 not to exceed $5,000 for individual filer;

$10,000 for combined filers. ..............................................................................................................................

Line 13

14. Missouri standard deduction or itemized deductions. Single or Married Filing Separate — $6,300;

Itemized Deductions Worksheet

Head of Household— $9,250; Married Filing a Combined Return or Qualifying Widow(er) — $12,600;

If you are age 65 or older, blind, or claimed as a dependent, see your federal return or page 7.

If you are itemizing, see Form MO‑A, Part 2. ....................................................................................

Line 14

15. Number of dependents from Federal Form 1040 OR 1040A, Line 6c

Do not

Line 15

Check box if claiming a stillborn child, see instructions on Page 7 ................................

x $1,200 = .....

include

yourself

16. Number of dependents on Line 15 who are 65 years of age or older and do not

Line 16

receive Medicaid or state funding (DO NOT INCLUDE YOURSELF OR SPOUSE.) .....

x $1,000 = .....

spouse.

Line 17

17. Long‑term care insurance deduction ....................................................................................................................

Long-term Care Worksheet

Line 18

18. Health care sharing ministry deduction ...............................................................................................................

19. Total deductions — Add Lines 8, 9, 13, 14, 15, 16, 17, and 18 . .........................................................................

20. Subtotal — Subtract Line 19 from Line 6. ............................................................................................................

Line 20

21. Multiply Line 20 by appropriate percentages (%) on Lines 7Y and 7S. ..................................

21Y

00 21S

22. Enterprise zone or rural empowerment zone income modification .........................................

00 22S

22Y

Line 22

23. Subtract Line 22 from Line 21. Enter here and on Line 24. ...................................................

23Y

00 23S

MO-1040 2-D (Revised 12-2015)