Form Mo-1120s - Missouri S Corporation Income Tax Return For 2011/missouri S Corporation Franchise Tax Return For 2012 Page 2

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ALLOCATION OF MISSOURI S CORPORATION ADJUSTMENT TO SHAREHOLDERS
CORPORATION NAME
MO TAX I.D. NUMBER
CHARTER NUMBER
FEDERAL I.D. NUMBER
5. SHAREHOLDER’S CORPORATION
2. CHECK BOX IF
1. NAME OF EACH SHAREHOLDER. ALL SHAREHOLDERS MUST
4. SHAREHOLDER’S
ADJUSTMENT
3. SOCIAL SECURITY NUMBER
SHAREHOLDER IS
BE LISTED. USE ATTACHMENT IF NECESSARY.
SHARE %
ADDITION
SUBTRACTION
NONRESIDENT
00
a)
—
—
%
00
b)
—
—
%
00
c)
—
—
%
00
d)
—
—
%
00
e)
—
—
%
00
f)
—
—
%
00
g)
—
—
%
00
h)
—
—
%
00
i)
—
—
%
00
j)
—
—
%
00
k)
—
—
%
00
l)
—
—
%
00
m)
—
—
%
00
n)
—
—
%
00
o)
—
—
%
00
p)
—
—
%
00
q)
—
—
%
00
r)
—
—
%
00
s)
—
—
%
00
t)
—
—
%
00
u)
—
—
%
00
v)
—
—
%
00
w)
—
—
%
00
x)
—
—
%
00
TOTAL
100 %
COLUMN 4 — Enter percentages from Federal Schedule K-1(s). Round percentages to whole numbers.
COLUMN 5 — Enter Missouri S corporation adjustment from Form MO-1120S, Line 13 or 14, as total of Column 5. Multiply each percentage in Column 4 by the total in Column 5.
Indicate at the top of Column 5 whether the adjustments are additions or subtractions. The amount after each shareholder’s name in Column 5 must be reported as a
modification by the shareholder on his/her Form MO-1040, Individual Income Tax Return either as an addition to, or subtraction from, federal adjusted gross income.
MO-1120S (09-2011)

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