Instructions For Form Mo-1040p - Property Tax Credit/ Pension Exemption Short Form - 2012 Page 28
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Failure to include required documentation or information may reduce or delay your refund.
NOTE: Be sure you and your spouse are eligible to claim the property tax credit.
Please read instructions if you have any doubt about what is required.
If you are age 65 or older: Attach a copy of your Form SSA-1099 and RRB-1099.
If you are 100 Percent Disabled Veteran: Attach a copy of the letter received from the Department of
Veterans Affairs that states you are a 100 percent disabled as a result of military service, or references
the Missouri Property Tax Credit. You can call the Department of Veterans Affairs at (800) 827-1000
to request the letter.
If you are 100 Percent Disabled: Attach a copy of the letter from the Social Security Administration,
Form SSA-1099, or SSI statement.
If you are 60 years of age or older and received surviving spouse benefits: Attach a copy of Form
SSA-1099.
If the Form MO-1040P and Form MO-PTS is being filed on behalf of a claimant, a statement to that
effect from the claimant’s legal guardian (or Power of Attorney) must be attached.
If you owned and occupied your home: Attach a copy of your paid 2012 real estate tax receipt(s).
If you owned and occupied your home and more than five acres: Attach a copy of your paid 2012
real estate tax receipt(s) and a Form 948, Assessor’s Certification.
If you owned and occupied a mobile home: Attach a copy of your paid 2012 personal property or
real estate tax receipt(s) and a Form 948, Assessor’s Certification.
NOTE: Copies of cancelled checks and mortgage statements are not acceptable for your real estate tax receipt.
If you rent your home: Fill out the 2012 Form MO-CRP, Certification of Rent Paid. (Attach a copy of
the rent receipt(s) or a signed statement from your landlord to Form MO-CRP).
NOTE: If you rent from a facility that does not pay property taxes, you are not eligible for a Property Tax Credit.
Sign Form MO-1040P. (Both spouses must sign if filing a combined claim.)
Attach your Forms MO-1040P, MO-PTS, and supporting documentation and mail to:
If a refund is due or no
If you have a balance due:
If you filed a 2-D barcode and
If you filed a 2-D barcode and
amount is due:
a refund is due:
have a balance due:
Department of Revenue
Department of Revenue
Department of Revenue
Department of Revenue
P.O. Box 2800
P.O. Box 3395
P.O. Box 3385
P.O. Box 3395
Jefferson City, MO 65105-2800 Jefferson City, MO 65105-3395
Jefferson City, MO 65105-3385
Jefferson City, MO 65105-3395
2012
1. Social
*
MISSOURI DEPARTMENT OF REVENUE
security number .............
FORM
INDIVIDUAL INCOME TAX
2. Name
*
MO-1040V
PAYMENT VOUCHER
control . ...........................
PLEASE PRINT. MAKE CHECK PAYABLE TO MISSOURI DEPARTMENT OF REVENUE.
3. Spouse’s social
*
MAIL FORM MO-1040V AND PAYMENT TO THE MISSOURI DEPARTMENT OF
security number .............
REVENUE, P.O. BOX 371, JEFFERSON CITY, MO 65105-0371.
4. Spouse’s name
*
NAME
control . ..........................
5. Amount of payment
$
0 0
SPOUSE’S NAME
•
(U.S. funds only) ............
STREET ADDRESS
CITY
STATE ZIP CODE
*
FULL PAYMENT OF TAXES MUST BE SUBMITTED BY APRIL 15, 2013 TO AVOID
•
INTEREST AND ADDITION TO TAX FOR FAILURE TO PAY. If you pay by check, you
DOR USE ONLY
authorize the Department of Revenue to process the check electronically. Any returned
check may be presented again electronically.
*
• PLEASE SEND CHECK OR MONEY ORDER (U.S. FUNDS ONLY)
MO-1040V (12-2012)
28
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