Form Mo-1040 - Booklet Missouri Individual Income Tax Long Form

Yourself

Spouse

24. Taxable income amount from Lines 23Y and 23S .................................................................. 24Y

24S

25. Tax (See tax table on page 25 of the instructions.) ................................................................. 25Y

25S

26. Resident credit — Attach Form MO‑CR and other states’ income tax return(s). ......................... 26Y

26S

27. Missouri income percentage — Enter 100% unless you are completing Form MO‑NRI.

Attach Form MO‑NRI and a copy of your federal return if less than 100%. Check the box

if you or your spouse is a professional entertainer or a member of a professional athletic team.

YOURSELF

SPOUSE ......................................................................... 27Y

27S

28. Balance — Subtract Line 26 from Line 25; OR

Multiply Line 25 by percentage on Line 27. ............................................................ 28Y

28S

29. Other taxes (Check box and attach federal form indicated.)

Lump sum distribution (Form 4972)

Recapture of low income housing credit (Form 8611) ................................................ 29Y

29S

30. Subtotal — Add Lines 28 and 29. ........................................................................................... 30Y

30S

31. Total Tax — Add Lines 30Y and 30S. ........................................................................................................................

MISSOURI

32.

tax withheld — Attach Forms W‑2 and 1099. ............................................................................................... 32

33. 2011 Missouri estimated tax payments (include overpayment from 2010 applied to 2011) ............................................... 33

34. Missouri tax payments for nonresident partners or S corporation shareholders — Attach Forms MO‑2NR and MO‑NRP. ........ 34

35. Missouri tax payments for nonresident entertainers — Attach Form MO‑2ENT. ........................................................ 35

36. Amount paid with Missouri extension of time to file (Form MO‑60) ............................................................................. 36

37. Miscellaneous tax credits (from Form MO‑TC, Line 13) — Attach Form MO‑TC........................................................ 37

38. Property tax credit — Attach Form MO‑PTS. .............................................................................................................. 38

39. Total payments and credits — Add Lines 32 through 38. ........................................................................................... 39

Skip Lines 40–42 if you are not filing an amended return.

40. Amount paid on original return .................................................................................................................................... 40

41. Overpayment as shown (or adjusted) on original return ............................................................................................. 41

INDICATE REASON FOR AMENDING.

M M D D Y Y

A. Federal audit ...................................................................Enter date of IRS report.

B. Net operating loss carryback .....................................................Enter year of loss.

C. Investment tax credit carryback .............................................. Enter year of credit.

D. Correction other than A, B, or C ..... Enter date of federal amended return, if filed.

42. Amended Return — total payments and credits. Add Line 40 to Line 39 or subtract Line 41 from Line 39. .............

43. If Line 39, or if amended return, Line 42, is larger than Line 31, enter difference

(amount of OVERPAYMENT) here. ............................................................................................................................

44. Amount of Line 43 to be applied to your 2012 estimated tax .....................................................................................

45. Enter the amount of your

Additional

eneral

Workers

LEAD

Fund Code

Missouri

evenue

donation in the trust fund

(See Instr.)

Veterans

Elderly Home

Childhood

Military

General

Children’s

National Guard

Workers’

After School

boxes to the right. See

Trust Fund

Delivered Meals

Trust Fund

Memorial

Lead Testing

Family Relief

Revenue

Retreat

Organ Donor

______|______

Trust Fund

Fund

Program Fund

Fund

instructions for trust fund

codes.......................... 45.

46. Overpayment to be refunded to you. Subtract Lines 44 and 45 from Line 43 and enter here. Sign below and

REFUND

mail return to: Department of Revenue, PO Box 500, Jefferson City, MO 65106‑0500. ............................

47. If Line 31 is larger than Line 39 or Line 42, enter the difference (amount of UNDERPAYMENT) here and go to

instructions for Line 48. .............................................................................................................................................. 47

48. Underpayment of estimated tax penalty — Attach Form MO‑2210. Enter penalty amount here. ............................. 48

49. Total amount due — Add Lines 47 and 48 and enter here. Sign below and mail return and payment to:

Department of Revenue, PO Box 329, Jefferson City, MO 65107‑0329.

Please write your social security number(s) and daytime phone number on your check or money order (U.S. funds only).

Make payable to Missouri Department of Revenue. ...........................................................

AMOUNT YOU OWE

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 my knowledge and belief it is true, correct, and complete. Declaration of

preparer (other than taxpayer) is based on all information of which he/she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on any individual who files a frivolous

return. I also 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 authorize the Director of Revenue or delegate to discuss my return and attachments

E‑MAIL ADDRESS

PREPARER’S TELEPHONE

with the preparer or any member of the preparer’s firm.

(

)

YES

SIGNATURE

DATE

PREPARER’S SIGNATURE

FEIN, SSN, OR PTIN

SPOUSE’S SIGNATURE (If filing combined, BOTH must sign)