Form Mo-1120 - Missouri Corporation Income Tax Return For 2012/missouri Corporation Franchise Tax Return For 2013

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CORPORATION NAME

MAIL TO:

Balance Due

Refund or No Amount Due

M issouri Department of Revenue

NUMBER AND STREET

P.O. Box 3365

P.O. Box 700

Jefferson City, MO 65105-3365

Jefferson City, MO 65105-0700

FORM MO-1120

CITY OR TOWN, STATE, ZIP CODE

Missouri Corporation

INCOME TAX

FRANCHISE TAX

MO TAX I.D. NUMBER

CHARTER NUMBER

FEDERAL I.D. NUMBER

Return for 2012

Return for 2013

Check Applicable Boxes

Attach copy of Federal Return, pages 1–5

Beginning

, 20

Beginning

, 20

Ending

, 20

Ending

, 20

C onsolidated MO Return

A mended Return

F inal Corporation

Bankruptcy

Income Tax

C onsolidated Federal and

Name Change

1120C

Balance Sheet Date (MMDDYY)

SOFTWARE VENDOR CODE

Return

(Assigned by DOR)

_ _/_ _/_ _ _ _

Separate Missouri Return

A ddress Change

990T

001

C heck this box if your assets in Missouri (Schedule MO-FT, Line 6a), or apportioned to Missouri (Schedule

B. Return filed for BOTH (income and franchise)

MO-FT, Line 6b) do not exceed $10,000,000. You do not owe franchise tax. If your assets do exceed the

C. Return filed for INCOME tax only

$10,000,000 threshold, you must complete and attach Schedule MO-FT and enter the franchise tax

D. Return filed for FRANCHISE tax only

due on the Form MO-1120, Line 16 below. If Box A is checked, Box C cannot be checked.

1. Federal Taxable Income from Federal Form 1120, Line 30 . ................................................................................................. 1

2. Corporation income tax from Missouri, or other states, their subdivisions, and District of

Columbia deducted in determining federal taxable income .............................................. 2

3. Missouri modifications — Additions (complete Page 2, Part 1) ........................................ 3

4. Total additions — Add Lines 2 and 3 .................................................................................................................................... 4

5. Missouri modifications — Subtractions (complete Page 2, Part 2) ....................................................................................... 5

6. Balance — Line 1 plus Line 4 less Line 5 ............................................................................................................................. 6

7. Small Business Deduction for New Jobs under Section 143.173, RSMo (complete Form MO-NJD) . ................................. 7

8. Federal Income Tax — current year (complete Page 2, Part 3) ........................................................................................... 8

9. Missouri Taxable Income — all sources — Line 6 less Line 7 and Line 8 ............................................................................ 9

1 0. Missouri Taxable Income — if all Missouri income, repeat Line 9. If not, complete Schedule MO-MS and enter apportionment

method chosen

, and the applicable %

Multiply Line 9 by the percentage ................... 10

1 1. Missouri Dividends Deduction (see instructions before entering an amount) ....................................................................... 11

1 2. Enterprise Zone or Rural Empowerment Zone Income Modification..................................................................................... 12

1 3. Missouri Taxable Income — Line 10 less Line 11 and Line 12 . ............................................................................................ 13

1 4. Corporation Income Tax — 6.25% of Line 13 ....................................................................................................................... 14

1 5. Recapture of Missouri Low Income Housing Credit (attach a copy of Federal Form 8611) (see instructions) .................. 15

1 6. Corporation Franchise Tax (Complete Schedule MO-FT and attach balance sheet) ........................................................... 16

17. Total Tax — Add Lines 14, 15, and 16 . ................................................................................................................................. 17

1 8. Tax credits — (attach Form MO-TC) . .................................................................................................................................... 18

1 9. Estimated tax payments (include approved overpayments applied from previous year) . ......................................................... 19

20. Payments with Form MO-7004 ............................................................................................................................................. 20

2 1. AMENDED RETURN ONLY: Tax paid with (or after) the filing of the original return............................................................ 21

2 2. Subtotal — Add Lines 18 through 21 .................................................................................................................................... 22

2 3. AMENDED RETURN ONLY: Overpayment, if any, as shown on original return or as later adjusted .................................. 23

2 4. Total — Line 22 less Line 23 . ................................................................................................................................................ 24

25. If Line 24 is greater than Line 17, enter OVERPAYMENT here . .......................................................................................... 25

26. Amount remitted or

LEAD

Additional

Workers

eneral

amount of tax overpayment

Missouri

Fund Code

Missouri

Fund Code

evenue

Childhood

National Guard

Military

(See Instr.)

Veterans

Elderly Home

to be contributed to the

Workers’

Children’s

General

After School

Organ Donor

Lead Testing

Trust Fund

Family Relief

Trust Fund

Delivered Meals

Memorial Fund

Trust Fund

Revenue Fund

______|______

Retreat Fund

Program Fund

funds listed to the right.

Fund

Trust Fund

26.

27. Overpayment to be applied to next filing period . ................................................................................................................... 27

28. Overpayment to be refunded — Line 25 less Lines 26 and 27............................................................................. REFUND 28

29. If Line 24 is less than Line 17, enter UNDERPAYMENT here ............................................................................................. 29

Interest

Penalty

Form MO-2220

30. E nter total amount on Line 30

31. T OTAL DUE — Add Lines 29 and 30 (U.S. funds only) . ................................................................................ TOTAL DUE 31

If you pay by check, you authorize the Department of Revenue to process the check electronically. Any returned check may be presented again electronically.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of

I authorize the Director of Revenue or

YES

my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which

delegate to discuss my return and

he or she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on any corporation which files a

DOR

attachments with the preparer or any

frivolous return. I declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not

ONLY

eligible for any tax exemption, credit or abatement if I employ such aliens. I also declare that if I am a business entity, I participate in a federal

member of his or her firm, or if internally

work authorization program with respect to the employees working in connection with any contracted services, and I do not knowingly employ any

prepared, any member of the internal staff.

person who is an unauthorized alien in connection with any contracted services.

SIGNATURE OF OFFICER (REQUIRED)

TITLE OF OFFICER

PHONE NUMBER

DATE SIGNED

(MMDDYYYY)

(_ _ _)_ _ _-_ _ _ _

_ _/_ _/_ _ _ _

PREPARER’S SIGNATURE (INCLUDING INTERNAL PREPARER)