Form Mo-1120v - Corporation Income And Franchise Tax Payment Voucher - 2012

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MISSOURI DEPARTMENT OF REVENUE
CORPORATION INCOME AND FRANCHISE TAX PAYMENT VOUCHER INSTRUCTIONS
What Is Form MO-1120V and Why Should I Use It?
Missouri Corporation Income and Franchise Tax Payment Voucher
Line 1 — Enter the amount of your payment in whole dollars on Line 1.
(Form MO-1120V), is the voucher you send with your payment when you
How Do I Make My Payment?
have an amount due on your Corporation Income and Franchise Tax
• Make your check or money order payable to the “Missouri Department
Return. Form MO-1120V ensures that your payment will be processed more
of Reve n ue.” Do not postdate your check; it will be cashed upon
efficiently and accurately. Your Corporation Income and Franchise Tax
receipt. The Department may collect checks returned for insufficient or
Return and payment are due no later than the 15th day of the fourth month
uncollected funds electronically.
following the end of the income tax year or the beginning of the franchise
• Include the corporation’s Missouri tax identification number on the
tax year.
check or money order (U.S. Funds only).
When Should I Use Form MO-1120V?
If you have an amount due on an electronically filed return, or do not
• Please mail your Form MO-1120V and payment to:
submit payment in full when you file your Corporation Income and Franchise
Missouri Department of Revenue
Tax Return, send Form MO-1120V with your payment.
P.O. Box 3365
How Do I Fill In the Payment Voucher?
Jefferson City, MO 65105-3365
Complete the name and address block.
Enter your Missouri tax identification number, federal identification
number, taxable year ending, due date and charter number.
Please print as shown below in black or dark blue ink. Do not use red ink or pencil.
1 2 3 4
A B C
D
Federal Privacy Notice
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 social
security numbers, and to explain why the information is needed and how the information will be used.
Chapter 143 of the Missouri Revised Statutes authorizes the Department to request information necessary to carry out the tax laws of the state of Missouri. Federal law 42 U.S.C. Section 405 (c)(2)(C)
authorizes the states to require taxpayers to provide social security numbers.
The Department uses your social security number to identify you and process your tax returns and other documents, to determine and collect the correct amount of tax, to ensure you are
complying with the tax laws, and to exchange tax information with the Internal Revenue Service, other states, and the Multistate Tax Commission (Chapters 32 and 143, RSMo). In addition,
statutorily provided non-tax uses are: (1) to provide information to the Department of Higher Education with respect to applicants for 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 to other agencies or persons shall be used solely for the purpose of administering
tax laws or the specific laws administered by the person having the statutory right to obtain it [as indicated above]. In addition, information may be disclosed to the public regarding the name 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, see
Chapters135, 143, and 144, RSMo.)
You are required to provide your social security number on your tax return. Failure to provide your social security number or providing a false social security number may result in criminal action
against you.
For more information, visit
(10-2012)
2012
MISSOURI DEPARTMENT OF REVENUE
CORPORATION INCOME AND FRANCHISE TAX
FORM
MO-1120V
PAYMENT VOUCHER
MISSOURI TAX I.D. NUMBER
FEDERAL I.D. NUMBER
TAXABLE YEAR ENDING
DUE DATE (MM/DD/YYYY)
_ _ / _ _ / _ _ _ _
CHARTER NUMBER
1. Amount of this
installment
$
.0 0
(U.S. funds only) .....
NAME AND ADDRESS
*
DOR USE
ONLY
*
Return this form with check or money order payable to: Missouri
If you pay by check, you authorize the Department of Revenue to process the
Department of Revenue, P.O. Box 3365, Jefferson City, MO
check electronically. Any returned check may be presented again electronically.
65105‑3365.
(10-2012)

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