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Funds

Codes

LINE 18 — REFUND

Revenue to process the check

electronically upon receipt. Do

American Cancer Society Heartland

Subtract Lines 16 and 17 from Line

Division, Inc., Fund . . . . . . . . . . . 01

not postdate. The De part ment

15 and enter on Line 18. To receive

American Diabetes Association

of Revenue may electronically

your refund on a Visa debit card,

Gateway Area Fund . . . . . . . . . . . 02

resubmit checks returned for

select the debit card box on Line

American Heart Association Fund. . .03

insufficient or uncollected funds.

18. For more information on

American Lung Association of

If you mail your payment after

Missouri’s refund debit card,

Missouri Fund. . . . . . . . . . . . . . . . 04

your return is filed, attach your

please visit our web site at

American Red Cross Trust Fund . . . 15

payment to the Form MO-1040V

Amyotrophic Lateral Sclerosis

found on page 10.

If your refund is $100,000 or more,

(ALS-Lou Gehrig’s Disease) Fund . .05

please consider filing electronically

Electronic Bank Draft (E-Check):

Arthritis Foundation Fund. . . . . . . . 09

and receiving your refund by direct

By entering your bank rout-

Breast Cancer Awareness Fund . . . 13

deposit to your bank account.

ing number, checking account

Developmental Disibilities

For security purposes, all refunds

number, and your next check

Waiting List Equity Trust Fund . . . 16

over this amount must be elec-

number, you can pay on line at

Foster Care and Adoptive Parents

tronically deposited. If you do not

Recruitment and Retention Fund . .14

file electronically with direct deposit,

March of Dimes Fund . . . . . . . . . . 08

individual/, or by calling (888)

the Department will contact you

Muscular Dystrophy Association

929-0513. There will be a $.60

for your banking information,

Fund . . . . . . . . . . . . . . . . . . . . . . . 07

handling fee per filing period/

which may delay your refund.

National Multiple Sclerosis Society

transaction to use this service.

Fund . . . . . . . . . . . . . . . . . . . . . . . 10

Note: If you have any other liability

Credit

Card:

The

Puppy Protection Trust Fund . . . . . 17

due the state of Missouri, such as

Department accepts

The minimum contribution is $2,

child support payments, or a debt

MasterCard, Dis cover,

or $4 if married filing combined

with the Internal Revenue Service,

Visa, and American Express. You

for the fol low ing funds:

Children’s

your income tax refund may be

can pay online at

Trust Fund, Veterans Trust Fund,

applied to that liability in ac-

gov/personal/individual/, or

Elderly Home Delivered Meals Trust

cordance with Section 143.781,

by calling (888) 929-0513.

Fund, Missouri National Guard Trust

RSMo. You will be notified if your

The convenience fees listed

Fund, and Organ Donor Program Fund.

refund is offset against any debt(s).

below will be charged to your

The minimum contribution is $1,

LINE 19 — AMOUNT DUE

account for processing credit card

or $2 if married filing combined

for the following funds:

payments:

If the amount due is greater than

Workers’ Memorial Fund, Childhood

$500, you may owe an under-

Note: The convenience fees for

Lead Testing Fund, Missouri Military

payment of estimated tax pen-

these transactions are paid to the

Family Relief Fund, General Revenue

alty. Complete Form MO-2210,

third party vendor, not to the

Fund, After School Retreat Reading

Underpayment of Estimated Tax

Missouri Department of Revenue.

and Assessment Grant Program Fund,

for Individuals, that can be found

By accessing this payment system,

Breast Cancer Awareness Fund,

on our web site at

the user will be leaving Missouri’s

Foster Care and Adoptive Parents

mo.gov/personal/individual/. If

web site and connecting to the web

Recruitment and Retention Fund,

you owe a penalty, you cannot

site of the third party vendor, which

American Red Cross Trust Fund,

file a Form MO-1040A. You must

is a secure and confidential web site.

Developmental Disabilities Waiting

file a Form MO-1040 and attach

List Equity Trust Fund, and Puppy

Form MO-2210.

Tax Paid

Convenience Fee

Protection Trust Fund.

Payments must be postmarked by

$0.00–$33.00

$1.00

The minimum contribution is

April 15, 2013, to avoid interest

$1, not to exceed $200, for the

$33.01–$100.00

3.00%

and late payment charges. The

following irrevocable trust funds:

$100.01–$250.00

2.95%

Department of Rev e nue offers

American Cancer Society Heartland

$250.01–$500.00

2.85%

several payment options. Check

Division, Inc., Fund, American Diabetes

$500.01–$750.00

2.85%

or money order: Attach a check

Asso ci a tion Gateway Area Fund;

$750.01–$1,000.00

2.80%

American Heart Association Fund;

or money order (U.S. funds only),

American Lung Association of Missouri

payable to: Missouri Department

$1,000.01–$1,500.00

2.75%

Fund; ALS Lou Gehrig’s Disease Fund;

of Revenue.

$1,500.01–$2,000.00

2.70%

Arthritis Foundation Fund; March of

By submitting payment by check,

$2,000.01 or more

2.60%

Dimes Fund; Muscular Dys trophy

you authorize the Department of

Association Fund; and National

Multiple Sclerosis Society Fund.

Instructions For Form Mo-1040a - Single/married (Income From One Spouse) Short Form - 2012 Page 8

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