Form Mo-Fpt - Food Pantry Tax Credit
Download a blank fillable Form Mo-Fpt - Food Pantry Tax Credit in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Mo-Fpt - Food Pantry Tax Credit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Form
Missouri Department of Revenue
Food Pantry Tax Credit
MO-FPT
SSN, FEIN, or MO State Tax ID Number
Name of Taxpayer
Spouse SSN, FEIN, or MO State Tax ID Number
Spouse’s Name
Address of Taxpayer
City
State
Zip Code
Food Pantry Name and Address
Tax Type
Any taxpayer who donates cash or food to a food pantry may claim a tax credit against the tax imposed by Chapter 143
RSMo,
except
RSMo. The credit claimed shall equal 50% of the value of the contribution or donation
Sections 143.191
to
143.265,
made. Donations to a food bank or an out-of-state food pantry do not qualify for the credit. Credits cannot exceed $2,500 per
taxpayer per year, cannot exceed the taxpayer’s tax liability, and cannot be sold or transferred. All claims must be filed by April
15th of the fiscal year. If claims exceed $1.25 million, all claims will be apportioned equally among those filing a valid claim.
• If married individuals filing a combined return made contributions to a
• I f you included any contributions as charitable donations on your
food pantry, each spouse may claim up to $2,500.
Federal Schedule A, and you claimed itemized deductions on your
• I f you made contributions to more than one food pantry, you will need to
Missouri return, you must report those contributions on
Form
MO-A,
Line 4. See Form MO-A instructions for further information.
complete a separate Form MO-FPT for each pantry.
• A n eligible staff member of the food pantry must certify that each
• E nter the date and amount of each contribution in the appropriate
contribution reported was received.
columns below.
• I f your corporation, partnership, resident estate, or trust reduced its
• M ultiply each contribution amount by 50% and report the credit
federal taxable income by charitable contributions to a food pantry,
amount in the appropriate column.
you must report those amounts as additions on
Form
MO-1120, Form
• Total all contributions and tax credit amounts from each column.
MO-1120S, MO-1065, or MO-1041.
• Enter the tax credit amount.
Tax Credit (50%)
Date of Contribution
Contribution Amount
Spouse
Yourself
Yourself
Spouse
Yourself
Spouse
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
*Total
*If needed, attach a separate sheet and include the total of all contributions here. Enter the total amount on Form MO-TC.
I certify the above contributions were made to the food pantry listed above and I am eligible to sign this document.
Signature of Food Pantry Staff Member
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature(s) of Taxpayer - Spouse must also sign if they are claiming a credit(s)
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Form MO-FPT (Revised 12-2013)
This form must be attached to the Miscellaneous Income Tax Credits (Form
MO-TC) along with your tax return.
Taxation Division
Phone: (573) 526-8733
Visit
P.O. Box 27
Fax: (573) 751-7744
for additional information.
Jefferson City, MO 65105-0027
E-mail:
income@dor.mo.gov
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial