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Can I claim myself or my spouse

You may check the non-obligated

as an exemption on your federal

as a dependent? No, you cannot

spouse box if your spouse owes

return and was not a dependent of

someone else. Attach a copy of

include yourself or your spouse as

the state of Missouri any child

your federal return. Only one box

dependents. You can only include

support pay ments, back taxes, stu-

may be checked on Line 4, Boxes

dependents claimed on your fed-

dent loans, etc., and you do not

A through G.

eral return (Federal Form 1040A

want your portion of the refund

or 1040, Line 6c). See page 7, line

used to pay the amounts owed by

LINE 5 — TAX FROM

7 for more information.

your spouse. Debts owed to the

FEDERAL RETURN

Internal Revenue Service (IRS) are

Use the chart below to locate your

FORM MO-1040A

excluded from the non-obligated

tax on your federal return. Do not

spouse apportionment.

INFORMATION TO

enter your federal income tax

COMPLETE FORM

LINE 1 — FEDERAL ADJUSTED

withheld as shown on your Forms

MO-1040A

GROSS INCOME

W-2 or federal return.

NAME, ADDRESS, ETC.

Use the chart below to locate your

If you have an earned income

income on your federal return.

credit, you must subtract the credit

If all the address information is

from the tax on your federal return.

correct on the preprinted label

FEDERAL FORM

LINE

If a negative amount is calculated,

(if available), attach the label

Federal Form 1040

Line 37

enter “0”. If you used a method

to the Form MO-1040A and

Federal Form 1040A

Line 21

other than the federal tax table to

print or type your social security

Federal Form 1040EZ

Line 4

determine your federal tax, attach

number(s) in the spaces provided.

Federal Form 1040X

Line 1

the appropriate schedule.

If you did not receive a book

with a peel-off label, or the label

FEDERAL

LINE 2 — STATE INCOME

is incorrect, print or type your

FORM

LINE NUMBERS

TAX REFUND

name(s), address, and social

1040

Line 55 minus Lines 45, 64a,

Subtract any state income tax

66, 67, and amounts from

security number(s) in the spaces

Forms 8801, 8839 and 8885

refund included in your federal

provided on the return.

included on Line 71.*

adjusted gross income (Federal

If the taxpayer or spouse died in

1040A

Line 35 minus Lines 38a and

Form 1040, Line 10).

40 and any alternative mini-

2012, check the appropriate box.

mum tax included on Line 28.

LINE 4 — FILING STATUS AND

If a refund is due to a deceased

1040EZ

Line 10 minus Line 8a.

EXEMPTION AMOUNT

taxpayer, attach a copy of Federal

1040X

Line 8 minus Lines 13 and 14,

Enter on Line 4 the amount of

Form 1310 and death certificate.

except amounts from Forms

exemption claimed for your filing

2439 and 4136.

65 OR OLDER, BLIND,

status. You must use the same

100 PERCENT DISABLED,

*Note: At the time the Depart-

filing status as on your Federal

NON-OBLIGATED SPOUSE

ment printed their tax booklets,

Form 1040 with two exceptions:

If you or your spouse were age

the Internal Revenue Service had

1. Box B must be checked if you are

65 or older or blind and quali-

not finalized where Form 8839

claimed as a dependent on another

would be reported on the federal

fied for these deductions on your

person’s federal tax return and you

2012 federal return, check the

return.

If Form 8839 is not

checked either box on Federal

reported on line 71 of Federal

appropriate boxes.

Form 1040EZ, Line 5; or you were

Form 1040, do not reduce line 55

You may check the 100 percent

not allowed to check Box 6a on

by the amount from Form 8839.

disabled box if you are unable

Federal Forms 1040 or 1040A. If

you checked Box B, enter “0”.

to engage in any substantial

2. Box E may be checked only if

gainful activity by reason of any

all of the following apply: a) you

medically determinable physical

checked Box 3 (married filing

or mental impairment that can

separate return) on your Federal

be expected to result in death or

Form 1040 or 1040A; b) your

has lasted or can be expected to

spouse had no income and is not

last for a continuous period of not

required to file a federal return;

less than 12 months.

and c) your spouse was claimed

Instructions For Form Mo-1040a - Single/married (Income From One Spouse) Short Form - 2012 Page 6

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