Form Mo-2210 - Underpayment Of Estimated Tax By Individuals - 2014 Page 2

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Page 2

NAME AS SHOWN ON FRONT

SOCIAL SECURITY NUMBER

PART III — REGULAR METHOD

SECTION A — FIGURE YOUR UNDERPAYMENT (COMPLETE LINES 14 THROUGH 19)

If you meet any of the exceptions (see instruction D) to the penalty for ALL quarters, omit Lines 14 through 19 and go directly to Line 20.

14. Required annual payment (Enter payment as computed on Part I, Line 6) ............................................................................................

DUE DATES OF INSTALLMENTS

APR. 15, 2014

JUNE 15, 2014

SEPT. 15, 2014

JAN. 15, 2015

15. Required installment payments .......................................................................

16. Estimated tax paid ...........................................................................................

17. Overpayment of previous installment ..............................................................

18. Total payments ................................................................................................

19. Underpayment of current installment ............................................................

19a. Overpayment of current installment ............................................................

19b. Underpayment of previous installment ........................................................

19c. Total overpayment ......................................................................................

19d. Total underpayment ....................................................................................

SECTION B — EXCEPTIONS TO THE PENALTY (see instruction D)

(For special exceptions see instruction I for service in a “combat zone”, and instruction J for farmers.)

20. Total amount paid and withheld from January 1 through the installment

date indicated ..................................................................................................

21. Exception No. 1 — prior year’s tax

25% OF 2013 TAX

50% OF 2013 TAX

75% OF 2013 TAX

100% OF 2013 TAX

2013 tax

...............................................

22. Exception No. 2 — tax on prior year’s income using 2014

25% OF TAX

50% OF TAX

75% OF TAX

100% OF TAX

rates and exemptions ..............................................................................................

22.5% OF TAX

45% OF TAX

67.5% OF TAX

23. Exception No. 3 — tax on annualized 2014 income ........................................

90% OF TAX

24. Exception No. 4 — tax on 2014 income over 3, 5 and 8-month periods .........

SECTION C — FIGURE THE PENALTY (Complete Lines 25 through 29)

25. Amount of underpayment ................................................................................

26. Date of payment, due date of installment, or April 15, 2015,

whichever is earlier .........................................................................................

27a. Number of days between the due date of installment, and either the

date of payment, the due date of the next installment, or

December 31, 2014, whichever is earlier ........................................................

27b. Number of days from January 1, 2015 or installment date to date

of payment or April 15, 2015 ............................................................................

28a. Multiply the 3% annual interest rate times the amount on Line 25 for the

number of days shown on Line 27a. ................................................................

28b. Multiply the 3% annual interest rate times the amount on Line 25 for the

number of days shown on Line 27b. ................................................................

28c. Total penalty (Line 28a plus Line 28b) .............................................................

29. Total amounts on Line 28c. Show this amount on Line 48 of Form MO-1040 as “Underpayment of Estimated Tax Penalty”.

If you have an underpayment on Line 47 of Form MO-1040, enclose your check or money order for payment in the amount equal to the

total of Line 47 and the penalty amount on Line 48. If you have an overpayment on Line 46, the Department of Revenue

will reduce your overpayment by the amount of the penalty .............................................................................................................................................

IF THIS FORM IS NOT FILED WITH FORM MO-1040, ATTACH CHECK OR MONEY ORDER PAYABLE

NOTE:

TO “DEPARTMENT OF REVENUE” AND MAIL TO P.O. BOX 329, JEFFERSON CITY, MO 65107-0329.

Form MO-2210 (Revised 12-2014)