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MISSOURI DEPARTMENT OF REVENUE
DLN
FORM
TAXATION DIVISION
MO-BTC
BANK TAX CREDIT FOR
S CORPORATION SHAREHOLDERS
(REV. 09-2011)
Shareholder’s Identifying Number:
Corporation’s Identifying Number:
Shareholder’s Name, Address, and Zip Code
Corporation’s Name, Address, and Zip Code
1. Bank Franchise Tax Amount (from Form INT-2, Line 18 less Line 19A and Line 19B)
Savings & Loan Association Tax Amount (from Form INT-3, Line 18)
Credit Institution Tax Amount (from Form 2823, Line 20) .............................................................................
1
2. Ownership Percentage . . ..............................................................................................................................
2
3. Bank Tax Credit (multiply Line 1 by Line 2)
Also enter this amount on Form MO-TC........................................................................................................
3
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.
See reverse side for instructions.
This publication is available upon request in alternative accessible format(s).
MO-BTC (09-2011)
DLN
MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
MO-BTC
BANK TAX CREDIT FOR
S CORPORATION SHAREHOLDERS
(REV. 09-2011)
Shareholder’s Identifying Number:
Corporation’s Identifying Number:
Shareholder’s Name, Address, and Zip Code
Corporation’s Name, Address, and Zip Code
1. Bank Franchise Tax Amount (from Form INT-2, Line 18 less Line 19A and Line 19B)
Savings & Loan Association Tax Amount (from Form INT-3, Line 18)
Credit Institution Tax Amount (from Form 2823, Line 20) .............................................................................
1
2. Ownership Percentage . . ..............................................................................................................................
2
3. Bank Tax Credit (multiply Line 1 by Line 2)
Also enter this amount on Form MO-TC........................................................................................................
3
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.
See reverse side for instructions.
This publication is available upon request in alternative accessible format(s).
MO-BTC (09-2011)