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FORM
MISSOURI DEPARTMENT OF REVENUE
MO-8826
TAXATION DIVISION
DISABLED ACCESS CREDIT
(11-2012)
NAME(S) SHOWN ON RETURN
SOCIAL SECURITY OR MO TAX I.D. NUMBER
ADDRESS
STANDARD INDUSTRY CODE (SIC)
PHONE NUMBER
(__ __ __) __ __ __ - __ __ __ __
List the identity of any other state or federal program utilized to offset the cost of this project.
TAX TYPE
Individual
Corporation
Non-Profit
Other __________________________________________________
CURRENT YEAR CREDIT
1. Location and legal description of the property
2. Age of the structure
3. The property is:
Residential
Commercial
Government
4. Cost of project
Cost of labor
5. Date of completion
If you are only taking a credit from a pass through entity, skip Lines 1 through 4.
1. Total eligible access expenditures (Federal Form 8826, Line 1)
1
$10,250
2. Minimum amount
2
3. Subtract Line 2 from Line 1 (if zero or less, no credit is allowed)
3
4. Multiply Line 3 by 50% (.50)
4
5. Enter proportionate share of credits from Subchapter S Corporation or Partnership
(attach Form MO-8826 for each entity)
5
6. Add Lines 4 and 5, but do not enter more than $5,000. Enter here and on Form MO-TC.
6
I declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not 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 work authorization program with respect to the employees working
in connection with any contracted services and I do not knowingly employ any person who is an unauthorized alien in connection with any contracted services.
SIGNATURE OF CLAIMANT
DATE SIGNED (MM/DD/YYYY)
PHONE NUMBER
( _ _ _ ) _ _ _ - _ _ _ _
__ __ /__ __ /__ __ __ __
ADDRESS
For more information, visit
MO-8826 (11-2012)