Fillable Form Mo-Cfc - Champion For Children Tax Credit (Page 2 of 2) in pdf

Form Mo-Cfc - Champion For Children Tax Credit Page 2

Download a blank fillable Form Mo-Cfc - Champion For Children Tax Credit in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Mo-Cfc - Champion For Children Tax Credit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

We are submitting this claim for the purpose of establishing the taxpayer’s eligibility for the tax credit pursuant to

Section 135.341,

RSMo, and said taxpayer is entitled to a tax credit of 50% of the contribution. Champion for Children tax credits are subject to available

funding. If claims exceed the funding, the redemption of the credit will be prorated to the extent funds are available.

I certify this claim to be true and accurate.

Signature of Qualified Agency Director

Date (MM/DD/YYYY)

__ __ / __ __ / __ __ __ __

Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.

Taxpayer Signature

Taxpayer’s Printed Name

Date (MM/DD/YYYY)

__ __ / __ __ / __ __ __ __

Spouse’s Signature (if applicable)

Spouse’s Printed Name

Date (MM/DD/YYYY)

__ __ / __ __ / __ __ __ __

This form must be attached to the Miscellaneous Income Tax Credits

(Form

MO-TC), along with your tax return.

Additional Contributions

Contribution Amount

Date (MM/DD/YY)

Tax Credit (50%)

(Minimum amount $100)

-- Round to nearest dollar --

__ __ / __ __ / __ __ __ __

Form MO-CFC (Revised 12-2014)

Taxation Division

Phone: (573) 751-3220

Visit

P.O. Box 27

Fax: (573) 751-7744

for additional information.

Jefferson City, MO 65105-0027

E-mail:

taxcredit@dor.mo.gov

*14301020001*

14301020001

Form Mo-Cfc - Champion For Children Tax Credit Page 2

Related Articles

Related forms

Related Categories