Form Mo-C - Missouri Dividends Deduction Schedule Page 2

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List the source of the Missouri dividend below.
State of Commercial
Amount of
Payor (Corporation Name)
Domicile
Dividend
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Form MO‑C (Revised 12‑2014)
Mail To:
Taxation Division
Phone: (573) 751‑4541
Visit
P.O. Box 3365
Fax: (573) 522‑1721
for additional information.
Jefferson City, MO 65105‑3365
E-mail:
corporate@dor.mo.gov
*14102020001*
14102020001

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