Form Mo-851 - Affiliations Schedule
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Missouri Department of Revenue
Form
Affiliations Schedule
MO-851
This form must be completed by the parent corporation for itself and for corporations in the affiliated group. File Form MO-851 by attaching
it to the Missouri consolidated tax return for the group.
Common Parent Corporation
Missouri Tax Identification Number
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Number and Street
Federal Identification Number
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City
State
Zip Code
Missouri Charter Number
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Payments
Missouri Tax
No.
Name and Address of Corporation
Portion of Form
Portion of Estimated
Identification Number
MO-7004
Tax Payment
Tax Payments
Common parent corporation ..............................................
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Subsidiary corporations:
1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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11
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12
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13
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14
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15
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Additional schedules may be used, if necessary.
Form MO-851 (Revised 09-2013)
Mail to:
Taxation Division
Phone: (573) 751-4541
P.O. Box 3365
Fax: (573) 522-1721
Visit
Jefferson City, MO 65105-3365
E-mail:
corporate@dor.mo.gov
for additional information.
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