Form Int-5 - Missouri Farmer'S Cooperative Credit Associations Intangible Property Tax Return - 2014

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Missouri Department of Revenue
Form
2014 Farmer’s Cooperative Credit Associations
INT-5
Intangible Property Tax Return
2015 Taxable year based on the 2014 calendar year income period
Due date April 15, 2015
Name
Address
City
State
Zip Code
Federal Employer Identification Number (FEIN)
County Name
County Code
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1.
Gross income derived from all sources during 2014 ..............................................................................
1
2.
Gross income derived from notes and mortgages .................................................................................
2
%
3.
Ratio of Line 2 to Line 1 .........................................................................................................................
3
4.
Total dividends declared and credited (whether paid or not) to share accounts of members in 2014 ...
4
5.
Taxable portion of dividends (______________ % Line 3 multiplied by Line 4) ....................................
5
6.
Amount of tax (2% of Line 5) ..................................................................................................................
6
6A. Miscellaneous credits (attach schedule) ..........................................................................................
6A
6B. Enterprise Zone Credit .....................................................................................................................
6B
6C. Missouri tax - Line 6 less Lines 6A and 6B ......................................................................................
6C
7.
Interest for delinquent payment after April 15, 2015 ..............................................................................
7
8.
Total Amount Due ..................................................................................................................................
8
This must be completed — Information is shown on your Real or Personal Property Tax Receipt
Subdivisions
Name or Number
County
City or Town
Road District
School District
Library District
Water District
Sewer District
Fire District
Other Districts
Form-INT-5 (Revised 11-2014)

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