Form Mo-22 - Authorization And Consent Of Subsidary Corporation To Be Included In A Missouri Consolidated Income Tax Return

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FORM
For the first year a Missouri consolidated income
MISSOURI DEPARTMENT OF REVENUE
tax return is filed, this form must be attached for
MO-22
AUTHORIZATION AND CONSENT OF
each subsidiary. After the first year, this form is
(REV.09-2012)
only required of any additional affiliation to the
SUBSIDIARY CORPORATION TO BE
group.
INCLUDED IN A MISSOURI
ATTACH TO
CONSOLIDATED INCOME TAX RETURN
P L E A S E T Y P E O R P R I N T
FORM MO-1120
For the calendar year 20
or other taxable year beginning
and ending
,
,
,
.
20
20
Will a Federal consolidated return election be in effect for the taxable year of this consent with
YES
NO
respect to the group with which the subsidiary corporation is affiliated?
If the answer is NO, the group is not entitled to file a Missouri consolidated income tax return and this form should not be filed.
NAME OF SUBSIDIARY CORPORATION
MO TAX I.D. NUMBER
NUMBER AND STREET
FEDERAL I.D. NUMBER
CITY OR TOWN, STATE, AND ZIP CODE
1. DATE INCORPORATED (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
2. PLACE INCORPORATED
3. KIND OF BUSINESS
ACTIVE
INACTIVE
MO TAX I.D. NUMBER
4. NAME OF COMMON PARENT CORPORATION
ADDRESS
FEDERAL I.D. NUMBER
5. Has the subsidiary corporation filed Missouri returns in prior years as part of an affiliated group
YES
NO
filing a consolidated return?
Has the subsidiary corporation filed Federal returns in prior years as part of an affiliated group
YES
NO
filing a consolidated return?
If the answer to either question is YES, attach a schedule of the year(s) in which such returns
were filed and name(s) of the parent corporation and all affiliated members of the group.
The subsidiary corporation named above hereby authorizes: (a) the common parent corporation named above to make a
Missouri consolidated income tax return on its behalf for the taxable year for which this form is filed; and (b) the common
parent corporation (or, in the event of its failure, the Director of Revenue or his or her delegate) to make a Missouri
consolidated income tax return on its behalf for each taxable year thereafter for which a Missouri consolidated income tax
return is or must be made by the affiliated group under the provisions of the Missouri consolidated return regulations.
The subsidiary corporation, in consideration of the privilege of joining in the making of a consolidated return with the
common parent corporation, hereby consents to and agrees to be bound by the provisions of the Missouri income tax
law and regulations, agrees that the tax shall be computed on the Missouri consolidated taxable income of the group and
consents and agrees that the liability with respect to such tax shall be joint and several.
Under penalties of perjury, I declare that the subsidiary named above has authorized me to sign this form on its behalf, and
that this form has been examined by me and the information contained herein is, to the best of my knowledge and belief, true,
correct, and complete.
DATE (MM/DD/YYYY)
SIGNATURE
TITLE
__ __ / __ __ / __ __ __
__
TDD 1-800-735-2966
MO-22 (09-2012)
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