Form Mo-1040a - Single/married (Income From One Spouse) Short Form

Funds

Codes

LINE 18 — REFUND

If you mail your payment after

your return is filed, attach your

American Cancer Society Heartland

Subtract Lines 16 and 17 from Line

Division, Inc., Fund

payment to the Form MO-1040V

. . . . . . . . . . . . . .

15 and enter on Line 18.

American Diabetes Association

found on page 10.

If your refund is $100,000 or

Gateway Area Fund

. . . . . . . . . . . . . .

Electronic Bank Draft (E-Check):

more, please consider filing

American Heart Association Fund

. .

By entering your bank routing

electronically and receiving

American Red Cross Trust Fund

. . . .

number and checking account

your refund by direct deposit to

Amyotrophic Lateral Sclerosis

number you can pay on line at

your bank account. For security

(ALS-Lou Gehrig’s Disease) Fund

. .

purposes, all refunds over this

Arthritis Foundation Fund

. . . . . . . . . .

amount must be electronically

individual/ or by calling (888)

Breast Cancer Awareness Fund

. . . . .

deposited. If you do not file elec-

Developmental Disabilities

929-0513. There will be a con-

Waiting List Equity Trust Fund

tronically with direct deposit, the

. . . . .

venience fee to use this service.

Foster Care and Adoptive Parents

Department will contact you

Credit Card:

Recruitment and Retention Fund

. .

for your banking information,

The Department accepts

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

which may delay your refund.

MasterCard, Dis cover, Visa,

Missouri National Guard

Note: If you have any other liability

Foundation Fund. . . . . . . . . . . . . .19

and American Express. You can

due the state of Missouri, such as

Muscular Dystrophy Association

pay online at

child support payments, or a debt

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

personal/individual/, or by calling

with the Internal Revenue Service,

National Multiple Sclerosis Society

(888) 929-0513. The convenience

your income tax refund may be

Fund

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

fees listed below will be charged

Pediatric Cancer Research

applied to that liability in ac-

to your account for processing

Trust Fund

cordance with Section 143.781,

. . . . . . . . . . . . . . . . . . . . . . .

Puppy Protection Trust Fund

credit card payments:

. . . . . . .

RSMo. You will be notified if your

The minimum contribution is $2, or

refund is offset against any debt(s).

Amount of

Convenience

$4 if married filing combined for the

LINE 19 — AMOUNT DUE

Tax Paid

Fee

fol low ing funds: Children’s Trust

If the amount due is greater than

Fund, Veterans Trust Fund, Elderly

$0.00–$50.00 . . . . . $1.25

$500, you may owe an under-

Home Delivered Meals Trust Fund,

$50.01–$75.00 . . . . . . $1.75

payment of estimated tax penalty.

Missouri National Guard Trust Fund,

$75.01–$100.00 . . . . . $2.15

Complete

Form

MO-2210,

and Organ Donor Program Fund.

$100.01and up

2.15%

Underpayment of Estimated Tax

The minimum contribution is $1, or

for Individuals, that can be found

$2 if married filing combined for the

Note: The convenience fees for

on our website at

following funds: Workers’ Memorial

credit card transactions are

mo.gov/personal/individual/. If

Fund, Childhood Lead Testing Fund,

paid to the third party vendor,

you owe a penalty, you cannot

Missouri Military Family Relief Fund,

not to the Missouri Department

General Revenue Fund, Missouri

file a Form MO-1040A. You must

of Revenue. By accessing this

National Guard Foundation Fund, Breast

file a Form MO-1040 and attach

payment system, the user will be

Cancer Awareness Fund, Foster Care

Form MO-2210.

and Adoptive Parents Recruitment

leaving Missouri’s website and

Payments must be postmarked by

and Retention Fund, American Red

connecting to the website of the

April 15, 2015, to avoid interest

Cross Trust Fund, Developmental

third party vendor, which is a

and late payment charges. The

Disabilities Waiting List Equity

secure and confidential website.

Department of Rev e nue offers

Trust Fund, Puppy Protection Trust

several payment options. Check

Fund, and Pediatric Cancer Research

SIGN RETURN

or money order: Attach a check

Trust Fund.

You must sign Form MO-1040A.

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

The minimum contribution is $1,

Both spouses must sign a combined

payable to: Missouri Department

not to exceed $200, for the following

return. If you use a paid preparer,

of Revenue.

irrevocable trust funds:

the preparer must also sign the

American Cancer Society Heartland

By submitting payment by check,

return. If you wish to authorize the

Division, Inc., Fund, American Diabetes

you authorize the Department of

Director of Revenue to release infor-

Asso ci a tion Gateway Area Fund;

Revenue to process the check

mation regarding your tax account

American Heart Association Fund; ALS

electronically upon receipt.

to your preparer or any member of

Lou Gehrig’s Disease Fund; Arthritis

Do not postdate. The De part ment

your preparer’s firm, indicate by

Foundation Fund; March of Dimes

of Revenue may electronically

check ing the “yes” box above the

Fund; Muscular Dys trophy Association

resubmit checks returned for

signature line.

Fund; and National Multiple Sclerosis

insufficient or uncollected funds.

Society Fund.

Form Mo-1040a - Single/married (Income From One Spouse) Short Form - 2014 Page 8

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