Looking for a Missouri Tax Forms And Templates? Download it for free!

Form Mo-8453 - Individual Income Tax Declaration For Internet Or Electronic Filing - 2010 Page 2

INSTRUCTIONS FOR FORM MO-8453

NAME, ADDRESS, AND SOCIAL SECURITY NUMBER — If the taxpayer received an Income Tax Instruction Book, check to see that the

information on the label is correct. If all information is correct, use the label on the Form MO-8453. The address must match the address

shown on the electronically filed Form MO-1040.

PART 1 — TAX RETURN INFORMATION

Line 1 — Enter the federal adjusted gross income from Form MO-1040, Line 1.

Line 2 — Enter the Missouri tax from Form MO-1040, Line 31.

Line 3 — Enter the amount of refund, if any, from Form MO-1040, Line 46.

Line 4 — Enter the amount you owe, if any, from Form MO-1040, Line 49.

PAYMENT OF BALANCE DUE

Payment of tax due must be made by April 18, 2011, in order to avoid additions to tax and interest.

The taxpayer must submit Form MO-1040V with payment. You may pay online at or by calling (888) 929-0513 to pay

with a major credit card.

PART 2 — DECLARATION OF TAXPAYER

Please check appropriate Direct Deposit box.

The Form MO-8453 must be signed by the taxpayer(s).

PART 3 — DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER

The Form MO-8453 must be signed by the ERO. A paid preparer must sign in the space provided for “Paid Preparer Use Only”, unless the

paid preparer is also the ERO, then only the “ERO Use Only” space should be completed and the paid preparer box checked.

Form MO-8453 and supporting documentation (Form W-2s, other state’s returns, etc.) must be retained by the ERO or by the taxpayer if

DO NOT MAIL!

filed over the Internet.

MO 860-2541 (12-2010)

Form Mo-8453 - Individual Income Tax Declaration For Internet Or Electronic Filing - 2010 Page 2