Form Mo-1040 - Individual Income Tax Return - Long Form - 2014 Page 25

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2014
MISSOURI DEPARTMENT OF REVENUE
FORM
HOME ENERGY AUDIT EXPENSE
MO-HEA
NAME OF TAXPAYER
ADDRESS
CITY
STATE
ZIP
QUALIFICATIONS
Any taxpayer who paid an individual certified by the Division of Energy to complete a home energy audit may deduct 100% of the costs incurred for the audit and the
implementation of any energy efficiency recommendations made by the auditor. The subtraction may not exceed $1,000, for a single taxpayer or $2,000 for taxpayers
filing combined returns. To qualify for the subtraction, you must have incurred expenses in the taxable year you are filing a claim, and the expenses incurred must not have
been excluded from your federal adjusted gross income or reimbursed through any other state or federal program.
INSTRUCTIONS - IN THE SPACES PROVIDED BELOW:
• Report the name of the auditor who conducted the audit
• Enter the total amount paid to implement the energy efficiency recommendations on Line B
• Report the auditor’s certification number
• Enter the total amount paid for the audit and any implemented recommendations on Line C
• Summarize each of the auditor’s recommendations
• Attach applicable receipts
• Enter the amount paid for the audit on Line A
• Attach completed MO-HEA and receipts to Form MO-1040
NAME OF AUDITOR
AUDITOR CERTIFICATION NUMBER
SUMMARY OF RECOMMENDATIONS
1.
2.
3.
4.
5.
A. Amount paid for audit .....................................................................................................................................................
A.
00
B. Amount paid to implement recommendations ...............................................................................................................
B.
00
C. Total Paid - Add Lines A and B and enter here. Enter on Line C or $1,000, whichever is less, on Line 13 of
Form MO-A. If you are filing a combined return, you may split the amount reported on Line 13 between both
taxpayers (not to exceed $2,000) ...................................................................................................................................
C.
00
D. Enter $1,000 if a single filer or $2,000 if filing a combined return ..................................................................................
D.
00
E. Amount from Line C or Line D, whichever is less. Enter here and on Form MO-A, Line 13
If you are filing a combined return, you may split the amount reported on Line 13 between both spouses ...................
E.
00
Form MO-HEA (Revised 12-2014)
2014 TAX CHART
If Missouri taxable income from Form MO-1040, Line 24, is less than $9,000, use the chart to figure tax;
if more than $9,000, use worksheet below or use the online tax calculator at
If the Missouri taxable income is:
The tax is:
$0 to $99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0
At least $100 but not over $1,000 . . . . . . . . . . 1½% of the Missouri taxable income
FIGURING TAX
Over $1,000 but not over $2,000 . . . . . . . . . . . $15 plus 2% of excess over $1,000
ON $9,000 OR LESS
Over $2,000 but not over $3,000 . . . . . . . . . . . $35 plus 2½% of excess over $2,000
Over $3,000 but not over $4,000 . . . . . . . . . . . $60 plus 3% of excess over $3,000
Example: If Line 24 is $3,090, the tax
would be computed as follows: $60 +
Over $4,000 but not over $5,000 . . . . . . . . . . . $90 plus 3½% of excess over $4,000
$2.70 (3% of $90) = $62.70. The whole
Over $5,000 but not over $6,000 . . . . . . . . . . . $125 plus 4% of excess over $5,000
dollar amount to enter on Line 25 would
be $63.
Over $6,000 but not over $7,000 . . . . . . . . . . . $165 plus 4½% of excess over $6,000
Over $7,000 but not over $8,000 . . . . . . . . . . . $210 plus 5% of excess over $7,000
Over $8,000 but not over $9,000 . . . . . . . . . . . $260 plus 5½% of excess over $8,000
Over $9,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . $315 plus 6% of excess over $9,000
Yourself
Spouse
Example
If more than $9,000,
$ _______________
$ _______________
tax is $315 PLUS
Missouri taxable income (Line 24) .......
$ 12,000
6% of excess over
Subtract $9,000 ................................
– $
9,000
– $
9,000
– $ 9,000
$9,000.
= $ _______________
= $ _______________
Difference .........................................
= $ 3,000
Round to nearest
Multiply by 6%...................................
x
6%
x
6%
x
6%
whole dollar and
= $ _______________
= $ _______________
Tax on income over $9,000
enter on Form
= $
180
Add $315 (tax on first $9,000) ..........
+ $
315
+ $
315
MO-1040, Line 25.
+ $
315
TOTAL MISSOURI TAX ...................
= $ _______________
= $ _______________
= $
495
A separate tax must be computed for you and your spouse.
25

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