Form Mo-1040p - Missouri Individual Income Tax Return And Property Tax Credit Claim/pension Exemption - 2014 Page 28
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32MISSOURI DEPARTMENT OF REVENUE
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INDIVIDUAL INCOME TAX PAYMENT VOUCHER INSTRUCTIONS
What Is Form MO-1040V and Why Should I Use It?
How Do I Make My Payment?
Failure to include required documentation or information may reduce or delay your refund.
Form MO-1040V, Individual Income Tax Payment Voucher, is
• Make your check or money order payable to the “Missouri Department
NOTE: Be sure you and your spouse are eligible to claim the property tax credit.
the voucher you send with your payment when you do not make
of Reve nue.” Do not send cash (U.S. funds only). Do not postdate
Please read instructions if you have any doubt about what is required.
the payment with your income tax return. It is similar to
your check; it will be cashed upon receipt. The Department of
vouchers returned with loan, utility, and credit card payments.
Revenue may collect checks returned for insufficient or uncollected
If you are age 65 or older: Attach a copy of your Form SSA-1099 and RRB-1099.
Form MO-1040V ensures that your payment will be processed
funds electronically.
If you are 100 Percent Disabled Veteran: Attach a copy of the letter received from the Department of Veterans
more efficiently and accurately. Form MO-1040V allows you to
• Write your name, address, SSN, daytime telephone number, and
Affairs that states you are 100 percent disabled as a result of military service, or references the Missouri Property
file your completed income tax return and send your payment at
“2014 MO Income Tax” on your check or money order.
Tax Credit. You can call the Department of Veterans Affairs at (800) 827-1000 to request the letter.
a later date. Your income tax return and payment are due no later
• Detach the payment voucher at the perforation, and mail with your
If you are 100 Percent Disabled: Attach a copy of the letter from the Social Security Administration, Form
than April 15, 2015.
payment.
SSA-1099, or SSI Statement.
When Should I Use Form MO-1040V?
• Please mail your Form MO-1040V and payment to:
If you are 60 years of age or older and received surviving spouse benefits: Attach a copy of Form SSA-1099.
If you have an amount due on an electronically filed return, or do not
Missouri Department of Revenue
submit payment in full when you file your income tax return, send
If the Form MO-1040P and Form MO-PTS is being filed on behalf of a claimant, a statement to that
P.O. Box 371
Form MO-1040V with your payment. DO NOT use Form MO-1040V
effect from the claimant’s legal guardian (or Power of Attorney) must be attached.
Jefferson City, MO 65105-0371
for making extension payments. Please use Form MO-60, or visit our
If you owned and occupied your home: Attach a copy of your paid 2014 real estate tax receipt(s).
Please print as shown below in black or dark blue ink. Do not
website to pay online.
use red ink or pencil.
If you owned and occupied your home and more than five acres: Attach a copy of your paid 2014 real
1 2 3 4
A B C D
How Do I Fill In the Payment Voucher?
estate tax receipt(s) and a Form 948, Assessor’s Certification.
Complete the name(s) and address block.
If you owned and occupied a mobile home: Attach a copy of your paid 2014 personal property or real
Federal Privacy Notice
Line 1 - Enter your social security number (SSN) on Line 1. If you
estate tax receipt(s) and a Form 948, Assessor’s Certification.
are filing a combined return, enter on Line 1 the first SSN as shown
The Federal Privacy Act requires the Missouri Department of Revenue (Department) to inform
taxpayers of the Department’s legal authority for requesting identifying information, including
on your return.
NOTE: Copies of cancelled checks and mortgage statements are not acceptable for your real estate tax receipt.
social security numbers, and to explain why the information is needed and how the information
will be used.
Line 2 - Enter the first four letters of your last name on Line 2.
If you rent your home: Fill out the 2014 Form MO-CRP, Certification of Rent Paid. (Attach a copy of the
Chapter 143 of the Missouri Revised Statutes authorizes the Department to request information
See examples.
necessary to carry out the tax laws of the state of Missouri. Federal law 42 U.S.C. Section 405
rent receipt(s) or a signed statement from your landlord to Form MO-CRP).
NAME
ENTER
(c)(2)(C) authorizes the states to require taxpayers to provide social security numbers.
John Brown
BROW
The Department uses your social security number to identify you and process your tax
}
NOTE: If you rent from a facility that does not pay property taxes, you are not eligible for a Property Tax Credit.
returns and other documents, to determine and collect the correct amount of tax, to ensure
Juan De Jesus
DEJE
you are complying with the tax laws, and to exchange tax information with the
Sign Form MO-1040P. (Both spouses must sign if filing a combined claim.)
Joan A. Lee
LEE
Internal Revenue Service, other states, and the Multistate Tax Commission (Chapters 32
Please use capital
and 143, RSMo). In addition, statutorily provided non-tax uses are: (1) to provide
Jean McCarthy
MCCA
letters as shown.
Attach your Forms MO-1040P, MO-PTS, and supporting documentation and mail to:
information to the Department of Higher Education with respect to applicants for
John O’Neill
ONEI
financial assistance under Chapter 173, RSMo and (2) to offset refunds against amounts
due to a state agency by a person or entity (Chapter 143, RSMo). Information furnished
Pedro Torres-Lopez
TORR
to other agencies or persons shall be used solely for the purpose of administering tax
Line 3 - If you are filing a combined return, enter on Line 3 your
laws or the specific laws administered by the person having the statutory right to obtain it [as
If a refund is due or no
If you have a balance due:
If you filed a 2-D barcode and
If you filed a 2-D barcode and
indicated above]. In addition, information may be disclosed to the public regarding the name
spouse’s SSN.
amount is due:
a refund is due:
have a balance due:
of a tax credit recipient and the amount issued to such recipient (Chapter 135, RSMo). (For the
Department’s authority to prescribe forms and to require furnishing of social security numbers,
Line 4 - Enter the first four letters of your spouse’s last name on Line
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
see Chapters 135, 143, and 144, RSMo.)
4. See examples for Line 2, above.
P.O. Box 2800
P.O. Box 3395
P.O. Box 3385
P.O. Box 3395
You are required to provide your social security number on your tax return. Failure to
Jefferson City, MO 65105-2800 Jefferson City, MO 65105-3395
Jefferson City, MO 65105-3385
Jefferson City, MO 65105-3395
Line 5 - Enter the amount of your payment in whole dollars on Line 5.
provide your social security number or providinga false social security number may result
in criminal action against you.
1. Social
2014
*
security number ..........
INDIVIDUAL INCOME TAX
FORM
2. Name
MO-1040V
*
PAYMENT VOUCHER
control ........................
3. Spouse’s social
PLEASE PRINT. MAKE CHECK PAYABLE TO MISSOURI DEPARTMENT OF
*
REVENUE. MAIL FORM MO-1040V AND PAYMENT TO THE MISSOURI
security number ..........
DEPARTMENT OF REVENUE, P.O. BOX 371, JEFFERSON CITY, MO 65105-0371.
4. Spouse’s name
NAME
*
control .......................
5. Amount of payment
$
0 0
SPOUSE’S NAME
(U.S. funds only) ........
•
STREET ADDRESS
Do not mail a copy of your previously fi led return
CITY
STATE
ZIP CODE
FULL PAYMENT OF TAXES MUST BE SUBMITTED BY APRIL 15, 2015 TO AVOID
*
INTEREST AND ADDITION TO TAX FOR FAILURE TO PAY. If you pay by check,
•
you authorize the Department of Revenue to process the check electronically. Any
DOR USE ONLY
returned check may be presented again electronically.
*
• PLEASE SEND CHECK OR MONEY ORDER (U.S. FUNDS ONLY)
Form MO-1040V (Revised 12-2014)
28
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