Form Mo-1120s - S Corporation Income Tax Return - 2014 Page 3
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1
2
3
4
5Missouri Tax
Corporation
I.D. Number
Name
Federal Employer
Charter
I.D. Number
Number
2. Select if
4.
5. Shareholder’s Adjustment
1. Name of each shareholder. All shareholders
shareholder is
3. Social Security Number
Shareholder’s
must be listed. Use attachment if necessary.
Addition
Subtraction
nonresident
Share %
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
Total
%
00
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 or her
Form
MO-1040, Individual Income Tax Return, either as an addition to, or subtraction from, federal adjusted gross income.
Mail To: Balance Due:
Refund or No Amount Due:
Missouri Department of Revenue
Missouri Department of Revenue
Phone: (573) 751-4541
Fax: (573) 522-1721
P.O. Box 3365
P.O. Box 700
Jefferson City, MO 65105-3365
Jefferson City, MO 65105-0700
E-mail:
corporate@dor.mo.gov
Visit
for additional information.
*14112030001*
14112030001
Form MO-1120S (Revised 12-2014)
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