Form Mo-2nr - Statement Of Income Tax Payments For Nonresident Individual Partners Or S Corporation Shareholders - 2011

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MISSOURI DEPARTMENT OF REVENUE
DLN
2011
Reset Form
Print Form
STATEMENT OF INCOME TAX PAYMENTS FOR
FORM
NONRESIDENT INDIVIDUAL PARTNERS OR
MO-2NR
S CORPORATION SHAREHOLDERS
FOR CALENDAR YEAR 2011 OR FISCAL YEAR BEGINNING
, 2011 AND ENDING
, 2012
1. NAME OF PARTNERSHIP/S CORPORATION
2. MISSOURI TAX ID NUMBER
DOR ONLY
ADDRESS
3. FEDERAL ID NUMBER
CITY OR TOWN
STATE
ZIP CODE
4. TYPE OF ENTITY
Limited Liability Company
Partnership
S Corporation
(Treated as a Partnership)
5. NAME OF PARTNER/SHAREHOLDER
6. SOCIAL SECURITY NUMBER
ADDRESS
7. INCOME SUBJECT TO TAX
00
CITY OR TOWN
STATE
ZIP CODE
8. MISSOURI INCOME TAX PAYMENT
00
Copy A
Partner/Shareholder copy — Keep this copy for your records
This publication is available upon request in alternative accessible format(s).
MO 860-2855 (09-2011)
MISSOURI DEPARTMENT OF REVENUE
DLN
2011
STATEMENT OF INCOME TAX PAYMENTS FOR
FORM
NONRESIDENT INDIVIDUAL PARTNERS OR
MO-2NR
S CORPORATION SHAREHOLDERS
FOR CALENDAR YEAR 2011 OR FISCAL YEAR BEGINNING
, 2011 AND ENDING
, 2012
1. NAME OF PARTNERSHIP/S CORPORATION
2. MISSOURI TAX ID NUMBER
DOR ONLY
ADDRESS
3. FEDERAL ID NUMBER
CITY OR TOWN
STATE
ZIP CODE
4. TYPE OF ENTITY
Limited Liability Company
Partnership
S Corporation
(Treated as a Partnership)
5. NAME OF PARTNER/SHAREHOLDER
6. SOCIAL SECURITY NUMBER
ADDRESS
7. INCOME SUBJECT TO TAX
00
CITY OR TOWN
STATE
ZIP CODE
8. MISSOURI INCOME TAX PAYMENT
00
Copy B
Partner/S Corporation copy — Keep this copy for your records
This publication is available upon request in alternative accessible format(s).
MO 860-2855 (09-2011)
MISSOURI DEPARTMENT OF REVENUE
DLN
2011
STATEMENT OF INCOME TAX PAYMENTS FOR
FORM
NONRESIDENT INDIVIDUAL PARTNERS OR
MO-2NR
S CORPORATION SHAREHOLDERS
FOR CALENDAR YEAR 2011 OR FISCAL YEAR BEGINNING
, 2011 AND ENDING
, 2012
1. NAME OF PARTNERSHIP/S CORPORATION
2. MISSOURI TAX ID NUMBER
DOR ONLY
ADDRESS
3. FEDERAL ID NUMBER
CITY OR TOWN
STATE
ZIP CODE
4. TYPE OF ENTITY
Limited Liability Company
Partnership
S Corporation
(Treated as a Partnership)
5. NAME OF PARTNER/SHAREHOLDER
6. SOCIAL SECURITY NUMBER
ADDRESS
7. INCOME SUBJECT TO TAX
00
CITY OR TOWN
STATE
ZIP CODE
8. MISSOURI INCOME TAX PAYMENT
00
Copy C
Attach to Form MO-1NR. See instructions for Line 1 of MO-1NR.
This publication is available upon request in alternative accessible format(s).
MO 860-2855 (09-2011)

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