Form Mo-1120v - Corporation Income And Franchise Tax Payment Voucher - 2014

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Missouri Department of Revenue

Corporation Income and Franchise Tax

Form

Payment Voucher Instructions

MO-1120V

The MO-1120 voucher is used if you have an amount due on an electronically filed return, or you do not submit payment in full when you file

your Corporation Income Tax and Franchise Tax Return. Your Corporation Income Tax and Franchise Tax Return and payment are due no later

than the 15th day of the fourth month following the end of the income tax year or the beginning of the franchise tax year.

Complete the voucher in its entirety to ensure the payment is applied to the correct account and tax period. On Line 1, the payment amount

must be entered in whole dollars and match the amount of the check.

Attach a check or money order (U.S. funds only) payable to the Missouri Department of Revenue indicating the Missouri Tax Identification

Number. Do not postdate the payment. Mail to: Missouri Department of Revenue, P.O. Box 3365, Jefferson City, MO 65105-3365. By

submitting payment by check, you authorize the Department of Revenue to process the check electronically upon receipt. The Department of

Revenue may electronically resubmit checks returned for insufficient or uncol lected funds.

Following are options to submit the payment electronically. If payment is submitted electronically, do not complete this voucher.

• Electronic Bank Draft (E-Check): You can pay online at

or by calling (888) 929-0513. You will

need to enter your bank routing number, checking account number, and your next check number. There will be a $0.60 fee per filing period

or transaction to use this service.

• Credit Card: The Department accepts MasterCard, Discover, Visa, and American Express. For online payment information and convenience

fee charges, visit:

Note: The convenience fees charges are paid to the third party vendor, not to

the Missouri Department of Revenue. By accessing this payment system, you will leave the Department’s website and connect to the third

party vendor’s website, which is secure and confi dential.

Please print as shown below in black or dark blue ink. Do not use red ink or pencil.

1 2 3 4

A B C D

Federal Privacy Notice

The Federal Privacy Act requires the Missouri Department of Revenue (Department) to inform taxpayers of the Department’s legal authority for requesting identifying information, including social security

numbers, and to explain why the information is needed and how the information will be used.

Chapter 143 of the Missouri Revised Statutes authorizes the Department to request information necessary to carry out the tax laws of the state of Missouri. Federal law 42 U.S.C. Section 405 (c)(2)(C) authorizes

the states to require taxpayers to provide social security numbers.

The Department uses your social security number to identify you and process your tax returns and other documents, to determine and collect the correct amount of tax, to

ensure you are

complying with the tax laws, and to exchange tax information with the Internal Revenue Service, other states, and the Multistate Tax Commission (Chapters 32 and 143, RSMo). In addition,

statutorily provided non-tax uses are: (1) to provide information to the Department of Higher Education with respect to applicants for financial assistance under Chapter 173, RSMo and (2) to offset refunds

against amounts due to a state agency by a person or entity (Chapter 143, RSMo). Information furnished to other agencies or persons shall be used solely for the purpose of administering tax laws or the

specific laws administered by the person having the statutory right to obtain it [as indicated above]. In addition, information may be disclosed to the public regarding the name of a tax credit recipient and

the amount issued to such recipient (Chapter 135, RSMo). (For the Department’s authority to prescribe forms and to require furnishing of social security numbers, see Chapters135, 143, and 144, RSMo.)

You are required to provide your social security number on your tax return. Failure to provide your social security number or providing a false social security number may result in criminal action against you.

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Missouri Department of Revenue

2014 Corporation Income and Franchise

Form

Tax Payment Voucher Instructions

MO-1120V

Missouri Tax Identification Number

Federal Employer Identification Number

Taxable Year Ending

Due Date (MM/DD/YYYY)

__ __ / __ __ / __ __ __ __

Charter Number

1. Amount of this

installment

.0 0

(U.S. funds only)

Name

Address

•

Department

Use Only

City, State, and Zip Code

If you pay by check, you authorize the Department of Revenue to process the check electronically. Any returned check may be presented again electronically.

Form MO-1120V (Revised 12-2014)

Mail To:

Missouri Department of Revenue

Phone: (573) 751-4541

Visit

P.O. Box 3365

Fax: (573) 522-1721

Jefferson City, MO 65105-3365

E-mail:

corporate@dor.mo.gov

for additional information.