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Missouri Department of Revenue
(MM/DD/YY)
Form
2015 No Franchise Tax Due
MO-NFT
Beginning
Ending
Taxable Year
(MM/DD/YY)
(MM/DD/YY)
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Charter
Number
Corporation Name
Balance Sheet Date (MM/DD/YYYY)
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Only complete this form if your corporation’s assets are less than or equal to $10,000,000.
Note: If a corporation fails or neglects to file a Missouri corporation franchise tax report pursuant to Chapter 147, the
Director of Revenue will notify the Secretary of State to begin administrative dissolution proceedings.
Complete the information below. (Each corporation must complete a separate Form MO-NFT,
Form
MO-1120, or
Form
MO-1120S.)
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Zero Franchise Tax Liability — Check this box if your corporation’s assets in or apportioned to Missouri are less than
or equal to $10,000,000.
Last Name, First Name, Middle Initial
Social Security Number
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Spouse’s Last Name, First Name, Middle Initial
Social Security Number
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City
State
Zip Code
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature of Officer
Title of Officer
Telephone Number
Date Signed (MM/DD/YYYY)
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(__ __ __) __ __ __ -__ __ __ __
For Privacy Notice, see the Form MO-1040 Instructions.
Form MO-NFT (Revised 12-2014)
Visit
Mail to:
Taxation Division
Phone: (573) 751-4541
P.O. Box 3365
Fax: (573) 522-1721
for additional information.
Jefferson City, MO 65105-3365
E-mail:
franchise@dor.mo.gov
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