Source: http://www.docstoc.com/docs/1899364/missouri-income-tax-forms
Timestamp: 2014-03-15 18:36:05
Document Index: 636913453

Matched Legal Cases: ['art 1', 'art 1', 'art 3', 'art 2', 'ART 1', 'ART 2', 'ART 2', 'art 2', 'art 1', 'art 1', 'art 1']

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MISSOURI DEPARTMENT OF REVENUE                            2007 FORM MO-1040 $ Do automatic calculations                                                               Don&#39;t do any calculations
INDIVIDUAL INCOME TAX RETURN—LONG FORM                                                                     INSTRUCTIONS
FOR CALENDAR YEAR JAN. 1–DEC. 31, 2007, OR FISCAL YEAR BEGINNING                                                                           - Enter numbers without decimals (integers)
Select Month   2007, ENDING Select Month           Select Year                                                                             - Don&#39;t forget to attach all required forms
AMENDED RETURN — CHECK HERE               SOFTWARE                                                                                         - You can tab from one field to another or use the mouse to click
NAME AND ADDRESS                          VENDOR CODE                                                                 006                  in the field you want.
SOCIAL SECURITY NUMBER                                                    SPOUSE’S SOCIAL SECURITY NUMBER
- If a field does not allow a negative number, and a negative
NAME (LAST)                                                     (FIRST)                                  M.I. JR, SR                    number is entered, a zero will be displayed.
- If you are using Adobe Reader, the data cannot be saved—you
SPOUSE’S (LAST)                                                 (FIRST)                                  M.I. JR, SR                    must print the forms, sign the forms and mail to the Department
IN CARE OF NAME (ATTORNEY, EXECUTOR, PERSONAL REPRESENTATIVE, ETC.)                                                      COUNTY OF RESIDENCE                                SCHOOL DISTRICT NO.
SELECT COUNTY                                      SELECT or TYPE SCHOOL DISTRICT NO.
PRESENT ADDRESS (INCLUDE APARTMENT NUMBER OR RURAL ROUTE)                                                                CITY, TOWN, OR POST OFFICE                                                      STATE    ZIP CODE
You may contribute to any one or all of the trust funds on                                               Children’s         Veterans           Elderly Home        Missouri               Workers’ LEAD Childhood     Missouri         General
Workers                                Military   General Revenue
Line 45. See instructions for a description of each trust                                                                                      Delivered           National               Memorial      Lead          Family     Revenue
fund, as well as trust fund codes to enter on Line 45.                                                                                         Meals               Guard                                Testing       Relief
PLEASE CHECK THE APPROPRIATE BOXES THAT APPLY TO YOURSELF OR YOUR SPOUSE AS OF DECEMBER 31, 2007.
AGE 62 THRU 64                                              AGE 65 OR OLDER                                 BLIND                                   100% DISABLED                            NON-OBLIGATED SPOUSE
YOURSELF                                       YOURSELF                                     YOURSELF                                YOURSELF                                YOURSELF
SPOUSE                                         SPOUSE                                       SPOUSE                                  SPOUSE                                  SPOUSE
Yourself                                               Spouse
1.   Federal adjusted gross income from your 2007 federal return (See worksheet.)Worksheet 1Y            ...........                                                      00   1S                             00
2.   Total additions (from Form MO-A, Part 1, Line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . MO-A 2Y......                                             0   00   2S                       0     00
3.   Total income — Add Lines 1 and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Y                                     0        3S                       0
4.   Total subtractions (from Form MO-A, Part 1, Line 13) . . . . . . . . . . . . . . . . . . . . . . . . MO-A 4Y  ......                                             0   00   4S                       0     00
5.   Missouri adjusted gross income — Subtract Line 4 from Line 3. . . . . . . . . . . . . . . . . . . . . . . 5Y                                                     0   00   5S                       0     00
6.   Total Missouri adjusted gross income — Add columns 5Y and 5S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6                                                0   00
7. Income percentages — Divide columns 5Y and 5S by total on Line 6.
(Total of columns 7Y and 7S must equal 100%.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Y                                               0 % 7S                              0 %
8. Pension and Social Security/Social Security disability exemption (from Form MO-A, Part 3) . . . . . . . . . MO-A 8   ......                                                            0   00
9. Mark your filing status box below and enter the appropriate exemption amount on Line 9.
A. Single — $2,100 (See Box B before checking.)                                E. Married filing separate (spouse
B. Claimed as a dependent on another person’s federal                                NOT filing) — $4,200
tax return — $0.00                                                        F. Head of household — $3,500
C. Married filing joint federal &amp; combined Missouri — $4,200                   G. Qualifying widow(er) with
D. Married filing separate — $2,100                                                  dependent child — $3,500           9                                                              00
10. Tax from federal return (Do not enter amount from your Form W-2(s)—Do Not Enter Federal Tax Withheld.)
• Federal Form 1040, Line 57 minus Lines 45 and 66a; or
• Federal Form 1040A, Line 35 minus Line 40a and alternative minimum tax on Line 28; or
• Federal Form 1040EZ, Line 10 minus Line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10   00
11. Other tax from federal return — Attach copy of your federal return (pages 1 and 2). 11                          00
12. Total tax from federal return — Add Lines 10 and 11. . . . . . . . . . . . . . . . . . . . . . . . . 12       0 00
13. Federal tax deduction — Enter amount from Line 12 not to exceed $5,000 for individual filer;
$10,000 for combined filers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    13                       0   00
14. Missouri standard deduction OR itemized deductions. Single — $5,350; Head of Household— $7,850; Itemized Deductions Worksheet
Married Filing Separate — $5,350; Married Filing a Combined Return or Qualifying Widow(er) — $10,700; If claimed
as a dependent, age 65 or older, or blind, see your federal return or page 7. If itemizing, see Form MO-A, Part 2 . .                                       14                       0   00
15. Number of dependents from Federal Form 1040 OR 1040A, Line 6c                                                                                                                                        Do not
(DO NOT INCLUDE YOURSELF OR SPOUSE.) . . . . . . . . . . . . . . . . . . . . . . . . . . .                                           x $1,200 =          ..   15                       0   00       yourself
16. Number of dependents on Line 15 who are 65 years of age or older and do not                                                                                                                            or
receive Medicaid or state funding (DO NOT INCLUDE YOURSELF OR SPOUSE.)                                                        x $1,000 = . .                  16                       0 00         spouse.
17. Long-term care insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Long-term.Care .Worksheet. . .
......... .... .........                                     17                       0 00
18. Health care sharing ministry deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        18                         00
19. Total deductions — Add Lines 8, 9, 13, 14, 15, 16, 17, and 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                     19                       0 00
20. Subtotal — Subtract Line 19 from Line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          20                       0 00
21. Multiply Line 20 by appropriate percentages (%) on Lines 7Y and 7S. . . . . . . . . . . . . . . . . . 21Y                                                          0 00     21S                      0 00
22. Enterprise zone or rural empowerment zone income modification . . . . . . . . . . . . . . . . . . . . 22Y                                                            00     22S                        00
23. Subtract Line 22 from Line 21. Enter here and on Line 24. . . . . . . . . . . . . . . . . . . . . . . . . . . 23Y                                                  0 00     23S                      0 00
MO 860-1094 (11-2007)                                                                                     For Privacy Notice, see the instructions.
Yourself                                     Spouse
24. Taxable income amount from Lines 23Y and 23S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Y                                                 0    00     24S                                    0        00
25. Tax. (See tax table on page 38 of the instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Y                                           0    00     25S                                    0        00
26. Resident credit — Attach Form MO-CR and other states’ income tax return(s). OR .MO-CR 26Y              .......                                                     0    00     26S                                    0        00
27. Missouri income percentage — Enter 100% unless you are completing Form MO-NRI.
Attach Form MO-NRI and a copy of your federal return if less than 100%. Check the box
if you or your spouse is a professional entertainer or a member of a professional athletic team.
YOURSELF                   SPOUSE . . . . . . . . . . . . . . . . . . . . . . . . . . . .MO-NRI 27Y
........                                                    100      %      27S                              100            %
28. Balance — Subtract Line 26 from Line 25; OR
Multiply Line 25 by percentage on Line 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Y                                             0    00     28S                                    0 00
29. Other taxes (Check box and attach federal form indicated.)
Recapture of low income housing credit (Form 8611) . . . . . . . . . . . . . . . . . . . . . . . . 29Y                                                          00     29S                                             00
30. Subtotal — Add Lines 28 and 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Y                                    0 00 30S                                           0 00
31. Total Tax — Add Lines 30Y and 30S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         31                                      0 00
32. MISSOURI tax withheld — Attach Form W-2(s) and/or Form 1099(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                          32
33. 2007 Missouri estimated tax payments (include overpayment from 2006 applied to 2007) . . . . . . . . . . . . . . . . . . . . . . .                                 33                                        00
34. Missouri tax withheld for nonresident partners or S corporation shareholders — Attach Form MO-2NR. . . . . . . . .                                                 34                                        00
35. Missouri tax withheld for nonresident entertainers — Attach Form MO-2ENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                35                                        00
36. Amount paid with Missouri extension of time to file (Form MO-60) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                       36                                        00
37. Miscellaneous tax credits (from Form MO-TC, Line 13) — Attach Form MO-TC. . . . . . . . . . . . . . . . . . . . MO-TC                       ........               37                                      0 00
38. Property tax credit — Attach Form MO-PTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MO-PTS .
.........                  38                                      0 00
39. Total payments and credits — Add Lines 32 through 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                  39                                      0 00
Skip Lines 40–42 if you are not filing an amended return.
40. Amount paid on original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
41. Overpayment as shown (or adjusted) on original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41                                        00
INDICATE REASON(S) FOR AMENDING.                                                                                                 M M D D Y Y
These fields are locked.
A. Federal audit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Enter date of IRS report.                                                  To unlock them, Click on
B. Net operating loss carryback . . . . . . . . . . . . . . . . . . . . . . . . . .Enter year of loss.                                                        the &quot;amended&quot; check box
on page 1 of this form (top
C. Investment tax credit carryback . . . . . . . . . . . . . . . . . . . . . . .Enter year of credit.
D. Correction other than A, B, or C . . .Enter date of federal amended return, if filed.
42. Amended Return — total payments and credits. Add Line 40 to Line 39 or subtract Line 41 from Line 39. . . . . . . 42                                                                          00
43. If Line 39, or if amended return, Line 42, is larger than Line 31, enter difference
(amount of OVERPAYMENT) here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          43                                  0       00
44. Amount of Line 43 to be applied to your 2008 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44                                                      0       00
Children’s Veterans     Elderly           Missouri              Workers’            Childhood        Missouri                             General   Addl. Trust        Addl. Trust
45. Enter the amount of your                                         Home              National Workers Memorial LEAD Lead                        Military                       General Revenue Fund Code          Fund Code
Revenue         (See Instr.)       (See Instr.)
donation in the trust fund boxes                                 Delivered         Guard                                     Testing          Family
_____|_____        _____|_____
Meals                                                                        Relief Fund
to the right. See instructions
for trust fund codes. . . . . . . . . 45       00       00            00                 00                   00                  00                 00                                00                  00                  00
46. Overpayment to be refunded to you. Subtract Lines 44 and 45 from Line 43 and enter here. Sign below and
mail return to: DEPARTMENT OF REVENUE, PO BOX 500, JEFFERSON CITY, MO 65106-0500.
(*2-D BARCODE ONLY—DOR, PO BOX 3222, JEFFERSON CITY, MO 65105-3222) . . . . . . . . . . . REFUND 46                                                                                                    0 00
47. If Line 31 is larger than Line 39 or Line 42, enter the difference (amount of UNDERPAYMENT) here. . . . . . . . . . . 47                                                                               0 00
48. Underpayment of estimated tax penalty — Attach Form MO-2210. Enter penalty amount here. . . . . . . . . . . . . . . 48                                                                                   00
49. Total amount due — Add Lines 47 and 48 and enter here. Sign below and mail return and payment to:
DEPARTMENT OF REVENUE, PO BOX 329, JEFFERSON CITY, MO 65107-0329.
(*2-D BARCODE ONLY—DOR, PO BOX 3370, JEFFERSON CITY, MO 65105-3370). Please write your
social security number(s) and daytime phone number on your check or money order (U.S. funds only).
Make payable to Missouri Director of Revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AMOUNT YOU OWE 49                                                                          0 00
*If a 2-D barcode (black and white shaded box) appears in the upper right corner of page 1, send form to the 2-D barcode address.)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and complete. Declaration of preparer
(other than taxpayer) is based on all information of which he/she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on any individual who files a frivolous return. I also declare
under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption, credit or abatement if I employ such aliens.
I authorize the Director of Revenue or delegate to discuss my return and attachments E-MAIL ADDRESS                                                                    PREPARER’S TELEPHONE
with the preparer or any member of the preparer’s firm.                           YES          NO
SIGNATURE                                                                  DATE                             PREPARER’S SIGNATURE                                                        FEIN, SSN, OR PTIN
SPOUSE’S SIGNATURE (If filing combined, BOTH must sign)                    DAYTIME TELEPHONE                PREPARER’S ADDRESS AND ZIP CODE                                                           DATE
MO 860-1094 (11-2007)                                                     This form is available upon request in alternative accessible format(s).
Attachment Sequence No. 1040-01
MISSOURI DEPARTMENT OF REVENUE                                                                 2007                                     ATTACH TO FORM MO-1040.
INDIVIDUAL INCOME TAX                                                                              FORM
ATTACH YOUR FEDERAL RETURN. See information
ADJUSTMENTS                                                                                    MO-A                       beginning on page 11 to assist you in completing this form.
LAST NAME                                                                                                 FIRST NAME                                                                     INITIAL        SOCIAL SECURITY NO.
SPOUSE’S LAST NAME                                                                                        FIRST NAME                                                                     INITIAL        SPOUSE’S SOCIAL SECURITY NO.
PART 1 — MISSOURI MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME (SEE THE INSTRUCTIONS.)
ADDITIONS                                                                                                                                      Y—YOURSELF       S—SPOUSE
1. Interest on state and local obligations other than Missouri source (reduced by related expenses
if expenses were over $500) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Y            00 1S                                                                        00
2.               Partnership;           Fiduciary;            S corporation;             Net Operating Loss (Carryback/Carryforward);
Other (description)                                                                            ......................                       2Y                                   00       2S                         00
3. Nonqualified distribution received from Missouri Savings for Tuition Program (MOST) and/or Missouri
Higher Education Deposit Program (distribution withdrawn early or distribution not used for
qualified higher education expenses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                      3Y                                 00         3S                     00
4. Food Pantry contributions included on Federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                    4Y                                 00         4S                     00
5. Nonresident Property Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                5Y                                 00         5S                     00
6. TOTAL ADDITIONS — Add Lines 1, 2, 3, 4, and 5. Enter here and on Form MO-1040, Line 2. . .                                                                6Y                               0 00         6S                   0 00
SUBTRACTIONS                                                                                                                                                                        Back to 1040 Page 1
7. Interest from exempt federal obligations included in federal adjusted gross income (reduced by
related expenses if expenses were over $500). Attach a detailed list or all Federal Form 1099(s). 7Y                                                                                           00       7S                         00
8. Any state income tax refund included in federal adjusted gross income . . . . . . . . . . . . . . . . . . . . . 8Y                                                                             00       8S                         00
9.      Partnership;        Fiduciary;        S corporation;
Railroad retirement benefits;         Net Operating Loss;
Military (nonresident)                Combat pay included in federal adjusted gross income;
Other (description)                                       Attach supporting documentation. 9Y                                                                                             00       9S                         00
10. Exempt contributions made to the Missouri Savings for Tuition Program (MOST) and/or Missouri
Higher Education Deposit Program (maximum subtraction is $8,000 per individual) . . . . . . . . . . . .                                                  10Y                                   00       10S                        00
11. Qualified Health Insurance Premiums. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                       11Y                                   00       11S                        00
12. Missouri depreciation adjustment (Section 143.121, RSMo)
Sold or disposed property previously taken as addition modification . . . . . . . . . . . . . . . . . . . . 12Y   00 12S              00
13. TOTAL SUBTRACTIONS — Add Lines 7, 8, 9, 10, 11 and 12. Enter here and on Form MO-1040, Line 4. . . 13Y              0 00 13S            0 00
PART 2 — MISSOURI ITEMIZED DEDUCTIONS — Complete this section only if you itemize deductions on your federal
return. Attach a copy of your Federal Form 1040 (pages 1 and 2) and Federal Schedule A.                                 Back to 1040 Page 1
1. Total federal itemized deductions from Federal Form 1040, Line 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1                                          00
2. 2007 (FICA) — yourself — Social security $                                                           + Medicare $                                                       ... 2                      0 00
3. 2007 (FICA) — spouse — Social security $                                                             + Medicare $                                                       ... 3                      0 00
4. 2007 Railroad retirement tax — yourself (Tier I and Tier II) $                                                   + Medicare $                                              .. 4                    0 00
5. 2007 Railroad retirement tax — spouse (Tier I and Tier II) $                                                     + Medicare $                                              .. 5                    0 00
6. 2007 Self-employment tax — Amount from Federal Form 1040, Line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6                                            00
7. TOTAL — Add Lines 1 through 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7                   0 00
8. State and local income taxes — See instructions on Page 33. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8                                                      00
9. Earnings taxes included in Line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9                                00
10. Net state income taxes — Subtract Line 9 from Line 8 or enter Line 8 from the worksheet below. . . . . . . . . . . . . . . . . . . . . . . 10                                                      0 00
11. MISSOURI ITEMIZED DEDUCTIONS — Subtract Line 10 from Line 7. Enter here and on Form MO-1040, Line 14. . . . . . . 11                                                                               0 00
NOTE: IF LINE 11 IS LESS THAN YOUR FEDERAL STANDARD DEDUCTION, SEE THE INSTRUCTIONS.                                                                                              Carry amount to 1040 Line 14
Complete this worksheet only if your federal adjusted gross income from Federal Form 1040, Line 37 is more than $156,400 ($78,200 if married filing
separate). If your federal adjusted gross income is less than or equal to these amounts, do not complete this worksheet. Attach a copy of your Federal
WORKSHEET FOR PART 2 —
Itemized Deduction Worksheet (Page A-10 of Federal Schedule A instructions).               Reset Worksheet                 Use data from worksheet
INCOME TAXES, LINE 10
(See page A-10 of Federal Schedule A instructions.) If $0 or less, enter “0”. . . . . . . . . . . . . . . . . . . . . . . . . . . .                                     1                          00
2.   Enter amount from Federal Itemized Deduction Worksheet, Line 11 (See Federal Schedule A instructions.) . . .                                                          2                          00
3.   State and local income taxes from Federal Form 1040, Schedule A, Line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                       3                          00
4.   Earnings taxes included on Federal Form 1040, Schedule A, Line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                  4                          00
5.   Subtract Line 4 from Line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        5                        0 00
6.   Divide Line 5 by Line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    6                              %
7.   Multiply Line 2 by Line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    7                        0 00
8.   Subtract Line 7 from Line 5. Enter here and on Form MO-A, Part 2, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . .                                      8                        0 00
MO 860-1881 (11-2007)                                                                       For Privacy Notice, see the instructions.
Back to 1040 Page 1
PUBLIC PENSION CALCULATION
1. Enter your Missouri Adjusted Gross Income from Form MO-1040, Line 6, less taxable social security benefits from Federal
Form 1040A, Line 14b or Federal Form 1040, Line 20b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                          1                                         00
2. Select the appropriate filing status and enter amount on Line 2. Married filing combined — $100,000; Single, Head of
Household, Married Filing Separate, and Qualifying Widower — $85,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                    2                               85,000 00
3. Subtract Line 2 from Line 1 and enter on Line 3. If Line 2 is greater than Line 1, enter $0. . . . . . . . . . . . . . . . . . . . . . . . . . .                                         3                                     0   00
Y—YOURSELF              S—SPOUSE
4. Enter your total social security benefits from Federal Form 1040A, Line 14a or Federal Form 1040, Line 20a . . . . . . . . . . . .                                                      4Y                  00 4S                 00
5. Enter your taxable social security benefits from Federal Form 1040A, Line 14b or Federal Form 1040, Line 20b . . . . . . . . .                                                          5Y                  00 5S                 00
6. Non taxable social security benefits, subtract Line 5 from Line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              6Y             0 00 6S                0 00
7. Enter taxable pension for each spouse from public sources
(public pensions and pensions from other than private sources) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                            7Y                  00 7S                 00
8. Multiply Line 7 by 20%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   8Y             0 00 8S                0 00
9. If amount on Line 8 is greater than $25,392 (maximum social security benefit), enter $25,392. If amount on Line 8
is less than $25,392, enter amount from Line 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                9Y             0 00 9S                0 00
10. Subtract Line 6 from Line 9. If Line 6 is greater than Line 9, enter $0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Y                                       0    00 10S            0   00
11. Enter pension amount from Line 7 or $6,000, whichever is less. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Y                                        0    00 11S            0   00
12. Enter Line 10 or Line 11, whichever is greater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Y                            0    00 12S            0   00
13. Add amounts on Lines 12Y and 12S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                13                                    0 00
14. Total public pension, subtract Line 3 from Line 13. If Line 3 is greater than Line 13, enter $0 . . . . . . . . . . . . . . . . . . . . . . .                                            14                                    0 00
PRIVATE PENSION CALCULATION
1. Enter your Missouri Adjusted Gross Income from Form MO-1040, Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                      1                                     0 00
2. Enter your taxable social security benefits from Federal Form 1040A, Line 14b or Federal Form 1040, Line 20b . . . . . . . . .                                                           2                                         00
3. Subtract Line 2 from Line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       3                                     0   00
4. Select the appropriate filing status and enter the amount on Line 4: Married filing combined: $32,000; Single, Head of
Household and Qualifiying Widower: $25,000; Married Filing Separate: $16,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                           4                                25,000   00
5. Subtract Line 4 from Line 3. If Line 4 is greater than Line 3, enter $0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                            5                                     0 00
Y — YOURSELF            S — SPOUSE
6. Enter taxable pension for each spouse from private sources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              6Y                  00 6S                 00
7. Enter the amounts from Lines 6Y and 6S or $6,000, whichever is less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                  7Y             0    00 7S             0   00
8. Add Lines 7Y and 7S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    8                                     0   00
9. Total private pension, subtract Line 5 from Line 8. If Line 5 is greater than Line 8, enter $0 . . . . . . . . . . . . . . . . . . . . . . . .                                           9                                     0   00
SOCIAL SECURITY OR SOCIAL SECURITY DISABILITY CALCULATION — To be eligible for social security deduction you must be 62 years of
age by December 31 and have marked the 62 and older box on page 1 of Form MO-1040. Age limit does not apply to social security disability deduction.
2. Select the appropriate filing status and enter the amount on Line 2. Married filing combined — $100,000
Single, Head of Household, Married Filing Separate, and Qualifying Widower — $85,000 . . . . . . . . . . . . . . . . . . . . . . . . . . .                                               2                                85,000   00
3. Subtract Line 2 from Line 1 and enter on Line 3. If Line 2 is greater than Line 1, enter $0 . . . . . . . . . . . . . . . . . . . . . . . . . . .                                        3                                     0   00
Y — YOURSELF             S — SPOUSE
Note: To fill in lines 4Y or 4S, you must first check
4. Enter taxable social security benefits for each spouse . . . .the. 62. thru .64 .box .or. the. 65. or .older. box. on. Page. 1.. .
.. .. .... .. ... . ... .. .. .... ... .. ..... .                                                                         4Y                  00 4S                 00
5. Enter taxable social security disability benefits for each spouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                         5Y                  00 5S                 00
6. Add Lines 4 and 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   6Y             0 00 6S                0   00
7. Multiply Line 6 by 20% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     7Y             0 00 7S                0   00
8. Add Lines 7Y and 7S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     8                                     0   00
9. Total social security/social security disability, subtract Line 3 from Line 8. If Line 3 is greater than Line 8, enter $0. . . .                                                         9                                     0 00
TOTAL PENSION AND SOCIAL SECURITY / SOCIAL SECURITY DISABILITY EXEMPTION
Total Pension Exemption and Social Security / Social Security Disability Exemption. Add Line 14 (Public Pension Calculation),                                                                        TOTAL
Line 9 (Private Pension Calculation), and Line 9 (Social Security Exemption) and enter here and on Form MO-1040, Line 8 . . . .                                                                    EXEMPTION                       0 00
Back to MO-1040, page 1
Attachment Sequence No. 1040-03
MISSOURI DEPARTMENT OF REVENUE                                                                         2007
CREDIT FOR INCOME TAXES PAID TO                                                                          FORM
OTHER STATES OR POLITICAL SUBDIVISIONS                                                             MO-CR
Complete this form for you and your spouse, if you and/or your                                                     • Attach a copy of all income tax returns for each state or
spouse have income from another state or political subdivision.                                                      political subdivision.
If you had multiple credits, complete a separate form for each
• Attach Form MO-CR to Form MO-1040.
YOUR NAME                                                         YOUR SOCIAL SECURITY NO.                      YOUR SPOUSE’S NAME                                   SPOUSE’S SOCIAL SECURITY NO.
1. Claimant’s total adjusted gross income                                                                                                      YOURSELF                     SPOUSE
(Form MO-1040, Line 5Y and/or Line 5S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                            0   00   1                     0   00
2. Claimant’s Missouri income tax
(Form MO-1040, Line 25Y and/or Line 25S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              0 00     2                     0 00
USE TWO LETTER ABBREVIATION FOR STATE OR
STATE OF:                     STATE OF:
NAME OF POLITICAL SUBDIVISION. See table on back.
3.   Wages and commissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                        00   3                         00
4.   Other (describe nature)                                                                ......................                                            00   4                         00
5.   Total — Add Lines 3 and 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                   0   00   5                     0   00
6.   Less: related adjustments (from Federal Form 1040A, Line 20, OR Federal Form 1040, Line 36). .                                                           00   6                         00
7.   Net amounts — Subtract Line 6 from Line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                             0   00   7                     0   00
8.   Percentage of your income taxed — Divide Line 7 by Line 1. . . . . . . . . . . . . . . . . . . . . . . . . . .                                       0   %    8                     0   %
9.   Maximum credit — Multiply Line 2 by percentage on Line 8. . . . . . . . . . . . . . . . . . . . . . . . . . . .                                      0   00   9                     0   00
10. Income tax you paid to another state or political subdivision. This is not tax withheld.
The income tax is reduced by all credits, except withholding and estimated tax. . . . . . . . . . . . . . .                                                 00   10                        00
11. Credit — Enter the smaller amount of Line 9 or Line 10 here and on Form MO-1040,
Line 26Y or Line 26S. (If you have multiple credits, add the amounts
on Line 11 from each Form MO-CR before entering on Form MO-1040 . . . . . . . . . . . . . . . . . .                                                  0 00 11                          0   00
MO 860-1095 (11-2007)                                                              For Privacy Notice, see the instructions.                            Back to MO-1040, page 2
(Form MO-1040, Line 5Y and/or Line 5S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                            0 00     1                     0 00
(Form MO-1040, Line 25Y and/or Line 25S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              0   00   2                     0   00
MISSOURI DEPARTMENT OF REVENUE                                                                    2007                Attachment Sequence No. 1040-04
MISSOURI INCOME                                                                                   FORM                      Attach Federal Return. See
PERCENTAGE                                                                                  MO-NRI                     Instructions and Diagram on page 2.
PART A — RESIDENT/NONRESIDENT STATUS — Check your status in the appropriate box below.
NAME (YOURSELF)                                                                                                   NAME (SPOUSE)
ADDRESS                                                                                                           ADDRESS
CITY, STATE, ZIP CODE                                                         SOCIAL SECURITY NUMBER              CITY, STATE, ZIP CODE                                                       SOCIAL SECURITY NUMBER
1. NONRESIDENT OF MISSOURI What was your state of residence during 2007?                                        1. NONRESIDENT OF MISSOURI What was your state of residence during 2007?
2. PART-YEAR MISSOURI RESIDENT                                                                                     2. PART-YEAR MISSOURI RESIDENT
a. Indicate the date you were a Missouri resident in 2007.                Date From:        Date To:              a. Indicate the date you were a Missouri resident in 2007.          Date From:   Date To:
b. Indicate other state of residence and date you resided there. Date From:                 Date To:              b. Indicate other state of residence and date you resided there.    Date From:   Date To:
3. MILITARY/NONRESIDENT TAX STATUS — Indicate your tax status                                                      3. MILITARY/NONRESIDENT TAX STATUS — Indicate your tax status
below and complete Part C—Missouri Income Percentage.                                                              below and complete Part C—Missouri Income Percentage.
a. Missouri Home of Record                                                                                         a. Missouri Home of Record
I did not at any time during the 2007 tax year maintain a permanent place of                                       I did not at any time during the 2007 tax year maintain a permanent place of
abode in Missouri nor did I spend more than 30 days in Missouri during the                                         abode in Missouri nor did I spend more than 30 days in Missouri during the
year. I did maintain a permanent place of abode in the state of                                                    year. I did maintain a permanent place of abode in the state of
___________________________________________________________.                                                       ___________________________________________________________.
b. Non-Missouri Home of Record                                                                                     b. Non-Missouri Home of Record
I resided in Missouri during 2007 solely because I was stationed at                                                I resided in Missouri during 2007 solely because I was stationed at
___________________________________ on military orders, my home of                                                 ___________________________________ on military orders, my home of
record is in the state of _________________________________________.                                               record is in the state of _________________________________________.
PART B — WORKSHEET FOR MISSOURI SOURCE INCOME                                                                             Use worksheet values in NRI, Part C, Line 1                                      Reset
FEDERAL FEDERAL                YOURSELF OR                                       SPOUSE (ON A
ADJUSTED GROSS INCOME                                                     FORM    FORM
1040A    1040               ONE INCOME FILER                                  COMBINED RETURN)
COMPUTATIONS                                                           LINE    LINE
NO.     NO.                 MISSOURI SOURCES                                   MISSOURI SOURCES
A.    Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7          7    A                                        00         A                                      00
B.    Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             8a         8a    B                                        00         B                                      00
C.    Dividend income . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .     9a          9a    C                                        00         C                                      00
D.    State and local income tax refunds . . . . . . . . . . . . . . . . . . . .                  none        10     D                                        00         D                                      00
E.    Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      none         11    E                                        00         E                                      00
F.    Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . .           none         12    F                                        00         F                                      00
G.    Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        10         13    G                                        00         G                                      00
H.    Other gains or (losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         none         14    H                                        00         H                                      00
I.   Taxable IRA distributions . . . . . . . . . . . . . . . . . . . . . . . . . . . .            11b        15b    I                                        00         I                                      00
J.    Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . .                 12b        16b    J                                        00         J                                      00
K.    Rents, royalties, partnerships, S corporations, trusts, etc. . . .                          none         17    K                                        00         K                                      00
L.    Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         none         18    L                                        00         L                                      00
M.    Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . .                  13         19     M                                        00         M                                      00
N.    Taxable social security benefits . . . . . . . . . . . . . . . . . . . . . . .               14b        20b    N                                        00         N                                      00
O.    Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      none         21    O                                        00         O                                      00
P.    Total — Add Lines A through O. . . . . . . . . . . . . . . . . . . . . . . .                  15         22    P                                      0 00         P                                    0 00
Q.    Less: federal adjustments to income . . . . . . . . . . . . . . . . . . .                    20          36    Q                                        00         Q                                      00
R. SUBTOTAL (Line P – Line Q) If no modifications to income,
STOP and ENTER this amount on reverse side, Part C, Line 1. .        21             37                         R                                      0    00      R                                   0       00
S. Missouri modifications — additions to federal adjusted gross income
(Missouri source from Form MO-1040, Line 2) . . . . . . . . . . . . . . . . . . . . . . . . .                     S                                           00       S                                          00
T. Missouri modifications — subtractions from federal adjusted gross income
(Missouri source from Form MO-1040, Line 4) . . . . . . . . . . . . . . . . . . . . . . . . .                    T                                           00       T                                          00
U. MISSOURI INCOME (Missouri sources). Line R plus Line S,
minus Line T. Enter this amount on reverse side, Part C, Line 1. . . . . . . . .                                  U                                      0 00 U                                           0 00
MO 860-1096 (11-2007)                                                                 For Privacy Notice, see the instructions.
2007 FORM MO-NRI                                                                                                                                                                                      PAGE 2
PART C — MISSOURI INCOME PERCENTAGE
MO-NRI Worksheet                                                                              Yourself or One Income Filer            Spouse (on a Combined Return)
1. Missouri income — Enter wages, salaries, etc. from Missouri. (You must file a
Missouri return if the amount on this line is more than $600.) . . . . . . . . . . . . . . . . . . . . . . . . . . .                                   00      1                                        00
2. Taxpayer’s total adjusted gross income (from Form MO-1040, Lines 5Y and 5S
or from your federal form if you are a military nonresident
and you are not required to file a Missouri return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                        0    00      2                                    0   00
Check boxes to carry amount to MO-1040 with values below
3. MISSOURI INCOME PERCENTAGE (divide Line 1 by Line 2). If greater than 100%, enter
100%. (Round to a whole percent such as 91% instead of 90.5% and 90% instead of 90.4%.                                          CHECK to fill Line 27Y                    CHECK to fill Line 27S
However, if percentage is less than 0.5%, use the exact percentage.) Enter percentage here
and on Form MO-1040, Lines 27Y and 27S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                         0% 3                                                 0 %
INSTRUCTIONS                                     Back to MO-1040, page 2
PART A, LINE 1: NONRESIDENTS OF MISSOURI — If you are a Missouri nonresident and had Missouri source income, complete Part A, Line 1, Part B, and Part
C. Attach a copy of your federal return and this form to your Missouri return.
PART A, LINE 2: PART-YEAR RESIDENT — If you were a Missouri part-year resident with Missouri source income and income from another state; you may use
Form MO-NRI or Form MO-CR, whichever is to your benefit. When using Form MO-NRI, complete Part A, Line 2, Part B, and Part C. Missouri source income includes
any income (pensions, annuities, etc.) that you received while living in Missouri.
PART A, LINE 3: MILITARY NONRESIDENT TAX STATUS —
MISSOURI HOME OF RECORD — If you have a Missouri home of record and you and/or your spouse:
a) Did not have any Missouri income other than military income, were not in Missouri for more than 30 days, did not maintain a home in Missouri during the year,
but did maintain living quarters elsewhere, you qualify as a nonresident for tax purposes. Complete Part A, Line 3 and enter &quot;0&quot; on Part C, Line 1.
b) Did have Missouri income other than military income, were in Missouri for more than 30 days and/or maintained a home in Missouri during the year you cannot
use this form. You must file Form MO-1040 because 100% of your income is taxable, including your military income. Do not complete this form.
c) Did not have Missouri income other than military income but spent more than 30 days in Missouri and/or maintained a home in Missouri during the year you
must file Form MO-1040 because 100% of your income is taxable, including your military income. Do not complete this form.
MILITARY NONRESIDENT STATIONED IN MISSOURI — If you are a military nonresident, stationed in Missouri and you and/or your spouse:
a) Earned non-military income while in Missouri, you must file Form MO-1040. Complete Part A, Line 3, Part B and Part C. The nonresident military pay
should be subtracted from your federal adjusted gross income using Form MO-A, Part 1, Line 9, as a “Military (nonresident) Subtraction”.
b) Did not earn non-military income while in Missouri, complete Part A, Line 3, enter “0&quot; on Part C, Line 1, and your federal adjusted gross income on Part
C, Line 2. You are not required to file a Missouri return. Sign this form below and send with your Leave and Earnings Statement (and all Form W-2s) to: Missouri
Department of Revenue, P.O. Box 3900, Jefferson City, MO 65105-3900.
NOTE: IF YOU FILE A JOINT FEDERAL RETURN, YOU MUST FILE A COMBINED MISSOURI RETURN (REGARDLESS OF WHOM EARNED THE INCOME).
COMPLETE EACH COLUMN OF PART B AND PART C OF THIS FORM. DO NOT COMBINE INCOMES FOR YOU AND YOUR SPOUSE.
Use this diagram to determine if you or your spouse are a                                                             RESIDENT OR NONRESIDENT
Are you domiciled* in Missouri?
1. Did you maintain a permanent
place of residency in Missouri?                                                                                                               1. Did you maintain a permanent
place of residency in Missouri?
2. Did you spend more than 30
days in Missouri?                                                                                                                             2. Did you spend more than 183
days in Missouri?
to              to                                                                                                                 YES
either           both                                                                                                                 to
You are a                                               Did you maintain a permanent place of
Resident.                                               residency elsewhere?                                                                               both
You are a                                       You are a
Resident.                                      Nonresident
(for tax
*Domicile (Home of Record) — The place an individual intends to be his/her permanent home; a place that he/she intends to return whenever absent. A domicile, once estab-
lished, continues until the individual moves to a new location with the true intention of making his/her permanent home there. An individual can only have one domicile at a time.
Under penalties of perjury, I declare that I have examined this form and to the best of my knowledge and belief it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all
information of which he/she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on any individual who files a frivolous return.
SIGNATURE                                                                     DATE                          SPOUSE’S SIGNATURE                                              DATE
MO 860-1096 (11-2007)                                            This form is available upon request in alternative accessible format(s).
Use this worksheet to help you determine the correct amount to be entered on Form MO-1040, Lines 1Y and 1S.
Click the button on the worksheet to prepopulate the amounts on Form MO-1040, Lines 1Y and 1S.
WORKSHEET FOR LINE 1
Missouri law requires a combined return for spouses filing together. A com-                             2006 refund. Taxable social security benefits must be allocated by each
bined return means taxpayers are required to split their total federal adjusted                         spouse&#39;s share of the benefits received for the year.
gross income (including other state income) between spouses when beginning                              The worksheet below lists income that is included on your federal return, along
the Missouri return.                                                                                    with federal line references. Find the lines that apply to your federal return, split
Splitting the income can be as easy as adding up your separate Form W-2s and                            the income between you and your spouse, and enter the amounts on the work-
1099s. Or it may require more calculating by allocating to each spouse the per-                         sheet. When you have completed the worksheet, transfer the amounts from
centage of ownership in jointly held property, such as businesses, farm opera-                          Line 18 to Form MO-1040, Lines 1Y and 1S.
tions, dividends, interest, rent, and capital gains or losses. State refunds should                     Note: Remember, the incomes listed separately on Line 18 of this worksheet
be split based on each spouse&#39;s 2006 Missouri tax withheld, less each                                   must equal your total federal adjusted gross income when added together.
spouse&#39;s 2006 tax liability. The result should be each spouse&#39;s portion of the
Adjusted Gross Income Worksheet                                             Federal     Federal     Federal
Form 1040EZ Form 1040A Form 1040         Y — Yourself                        S — Spouse
for Combined Return                                                Line Number Line Number Line Number
1.         Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . .         1            7          7                              00       1                        00
2.         Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . .            2          8a         8a                              00       2                        00
3.         Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      none          9a         9a                             00        3                       00
4.         State and local income tax refunds . . . . . . . . . . . . . . . . .                 none        none         10                             00        4                       00
5.         Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     none        none        11                              00       5                        00
6.         Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . .            none        none         12                             00        6                       00
7.         Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     none          10         13                             00        7                       00
8.         Other gains or (losses) . . . . . . . . . . . . . . . . . . . . . . . . . . .        none        none         14                             00        8                       00
9.         Taxable IRA distributions . . . . . . . . . . . . . . . . . . . . . . . . .          none         11b        15b                             00       9                        00
10.         Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . .               none         12b        16b                             00       10                       00
11.         Rents, royalties, partnerships, S corporations, trusts, etc.                         none        none         17                             00       11                       00
12.         Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . .        none        none         18                             00       12                       00
13.         Unemployment compensation . . . . . . . . . . . . . . . . . . . . .                    3           13         19                             00       13                       00
14.         Taxable social security benefits . . . . . . . . . . . . . . . . . . . .             none         14b        20b                             00       14                       00
15.         Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     none        none         21                             00       15                       00
16.         Total (add Lines 1 through 15) . . . . . . . . . . . . . . . . . . . . .               4           15         22                           0 00       16                     0 00
17.         Less: federal adjustments to income . . . . . . . . . . . . . . . .                  none          20         36                             00       17                       00
18. Federal adjusted gross income (Line 16 less Line 17)
Enter amounts here and on Lines 1Y and 1S, Form MO-1040                                         4         21          37                           0 00       18                     0 00
2007 TAX TABLE                        Carry amounts to MO-1040, Line 1Y and 1S.
If Missouri taxable income from Form MO-1040, Line 24, is less than $9,000, use the table to figure tax; Back to MO-1040, page 1
if more than $9,000, use worksheet below or use the online tax calculator at www.dor.mo.gov/tax
If Line 24 is              If Line 24 is                     If Line 24 is               If Line 24 is              If Line 24 is             If Line 24 is
But                         But                              But                         But                        But                       But
At      less    Your       At       less      Your           At      less      Your      At      less     Your      At      less    Your      At      less     Your
least     than   tax is    least      than     tax is        least     than     tax is   least     than    tax is   least     than   tax is   least     than    tax is
0       100 $ 0       1,500       1,600 $ 26            3,000      3,100 $ 62       4,500      4,600 $109      6,000      6,100 $167     7,500      7,600 $238
100        200     2     1,600       1,700       28        3,100      3,200      65    4,600      4,700    113    6,100      6,200   172    7,600      7,700    243
200        300     4     1,700       1,800       30        3,200      3,300      68    4,700      4,800    116    6,200      6,300   176    7,700      7,800    248
300        400     5     1,800       1,900       32        3,300      3,400      71    4,800      4,900    120    6,300      6,400   181    7,800      7,900    253
400        500     7     1,900       2,000       34        3,400      3,500      74    4,900      5,000    123    6,400      6,500   185    7,900      8,000    258
500        600     8     2,000       2,100       36        3,500      3,600      77    5,000      5,100    127    6,500      6,600   190    8,000      8,100    263
600        700    10     2,100       2,200       39        3,600      3,700      80    5,100      5,200    131    6,600      6,700   194    8,100      8,200    268
700        800    11     2,200       2,300       41        3,700      3,800      83    5,200      5,300    135    6,700      6,800   199    8,200      8,300    274
800        900    13     2,300       2,400       44        3,800      3,900      86    5,300      5,400    139    6,800      6,900   203    8,300      8,400    279
900      1,000    14     2,400       2,500       46        3,900      4,000      89    5,400      5,500    143    6,900      7,000   208    8,400      8,500    285
1,000      1,100    16     2,500       2,600       49        4,000      4,100      92    5,500      5,600    147    7,000      7,100   213    8,500      8,600    290
1,100      1,200    18     2,600       2,700       51        4,100      4,200      95    5,600      5,700    151    7,100      7,200   218    8,600      8,700    296
1,200      1,300    20     2,700       2,800       54        4,200      4,300      99    5,700      5,800    155    7,200      7,300   223    8,700      8,800    301
1,300      1,400    22     2,800       2,900       56        4,300      4,400     102    5,800      5,900    159    7,300      7,400   228    8,800      8,900    307
1,400      1,500    24     2,900       3,000       59        4,400      4,500     106    5,900      6,000    163    7,400      7,500   233    8,900      9,000    312
Yourself                      Spouse                 Example        9,000               315
Missouri taxable income (Line 24) . . . . .               $ _______________             $ _______________             $ 12,000       tax is $315 PLUS 6% of
Subtract $9,000 . . . . . . . . . . . . . . . . . . – $             9,000            – $         9,000            – $ 9,000             excess over $9,000.
Difference . . . . . . . . . . . . . . . . . . . . . . .      = $ _______________ = $ _______________ = $                                 3,000         dollar and enter on Form
Multiply by 6% . . . . . . . . . . . . . . . . . . .          x         6%        x         6%         x                                     6%          1040, Page 2, Line 25.
Tax on income over $9,000 . . . . . . . . .                   = $ _______________ = $ _______________ = $                                    180
Add $315 (tax on first $9,000) . . . . . . .                  + $      315        + $      315        + $                                    315
TOTAL MISSOURI TAX . . . . . . . . . . . .              = $ _______________ = $ _______________ = $                                          495
A separate tax must be computed for you and your spouse.                                                Reset Worksheet
Attachment Sequence No. 1040-02, 1120-04,
2007                 1120S-02, 1120A-01
MISSOURI DEPARTMENT OF REVENUE                                                       FORM
TAX CREDITS                                                                      MO-TC
NAME (LAST, FIRST)                                                                                                            SOCIAL SECURITY NUMBER/FEIN
SPOUSE’S NAME (LAST, FIRST)                                                                                                   SPOUSE’S SOCIAL SECURITY NUMBER/FEIN
CORPORATION NAME                                                        MITS/MO I.D. NUMBER                             CHARTER NUMBER
• Each credit will apply against your tax liability in the order they appear on the form.
• If you are claiming more than 10 credits, attach an additional sheet.
• If you are filing a combined return, both names must be on the certificate/form from the issuing agency.
USE THIS FORM TO CLAIM INCOME TAX CREDITS ON FORM MO-1040, MO-1120, MO-1120A, MO-1120S, OR MO-1041. ATTACH TO FORM MO-1040, MO-1120,
MO-1120A, MO-1120S, OR MO-1041.
•   YOURSELF               • SPOUSE on a
BENEFIT             ALPHA                                                                                                              combined return
•   one income                                       DOR
NUMBER              CODE                                  CREDIT NAME                                     •   corporation income                               USE
(Assigned by      (3 Characters)                                                                            •   fiduciary                                        ONLY
DED only)         from back                                                                                      Column 1                 Column 2
1.                                                                                                           1                         00                        00
2.                                                                                                           2                         00                        00
3.                                                                                                           3                         00                        00
4.                                                                                                           4                         00                        00
5.                                                                                                           5                         00                        00
6.                                                                                                           6                         00                        00
7.                                                                                                           7                         00                        00
8.                                                                                                           8                         00                        00
9.                                                                                                           9                         00                        00
10.                                                                                                          10                         00                        00
11. SUBTOTALS — add Lines 1 through 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11         0 00                   0   00
12. Enter the amount of the tax liability from Form MO-1040, Line 30Y for yourself and Line 30S
for your spouse, or from Form MO-1120, Line 13 plus Line 14 for income or Line 15 for
franchise; Form MO-1120A, Line 6 for income or Line 10c for franchise; Form MO-1120S,
Line 15 for franchise tax; or Form MO-1041, Line 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12      0 00                   0   00
13. Total Credits — add amounts from Line 11, Columns 1 and 2. (Enter here and on Form MO-1120,
Line 17; Form MO-1120A, Line 12; Form MO-1120S, Line 16; Form MO-1040, Line 37; or Form MO-1041,
Line 19.) Line 13 cannot exceed the amount on Line 12, unless the credit is refundable. . . . . . . . . . . . . . . . . . . . . 13                        0 00
MO 860-2274 (11-2007)                             For Privacy Notice, see page 44 of the Form MO-1040 instructions.                Back to MO-1040, page 2
Instructions                                                 • If you are a shareholder or partner and claiming a credit, you must attach a
copy of the shareholder listing, specifying your percentage of ownership.
• If you are filing an individual income tax return and you have only one                    Benefit Number:
income, use Column 1.                                                                      Only the credits issued by the Department of Economic Development (DED)
• If you are filing a combined return and both you and your spouse have                      will have a benefit number. The number is located on your Certificate of
income, use Column 1 for yourself and Column 2 for your spouse.                            Eligibility Schedule (Certificate).
• If you are filing a fiduciary return, use Column 1.                                        Alpha Code:
• If you are filing a corporation income tax return, use Column 1. If you are                This is the three character code located on the back of the form. Each credit
filing a corporation franchise tax return, use Column 2.                                   is assigned an alpha code to ensure proper processing of the credit claimed.
I declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption,
credit or abatement if I employ such aliens.
Miscellaneous tax credits are administered by various agencies. For more information, forms, and approval to claim these credits,
contact the following departments. Visit http://www.dor.mo.gov/tax/taxcredit for a description of each credit and more contact infor-
mation for agencies administering each credit. *Approved by the Issuing Agency
BTC    Bank Tax Credit for S Corporation                  Form BTC, and/or Form
Shareholders                                          INT-3, 2823, INT-2,
P.O. BOX 118, JEFFERSON CITY, MO 65102-0118                                                                                                   Fed. K-1
http://www.ded.missouri.gov                                            CIC    Children In Crisis                                 Contribution Verification
Alpha                                               Attach to                                                                                            from Issuing Agency
Code Name of Credit and Phone Number              Form MO-TC                                DAC    Disabled Access                                    Federal Form 8826 and
BEC     Bond Enhancement — (573) 522-9062                      Certificate*                                                                             Form MO-8826
BFC     New or Expanded Business Facility — (573) 522-2790     Schedule 150, Fed. K-1,     FPT    Food Pantry Tax                                    Form MO-FPT
Form 4354                SHC    Self-Employed Health Insurance                     Form MO-SHC
BJI      Brownfield “Jobs and Investment” — (573) 522-8004      Certificate*
CBC      Community Bank Investment — (573) 522-8004             Certificate*                                 MISSOURI AGRICULTURAL AND SMALL
DFH      Dry Fire Hydrant — (573) 751-9748                      Certificate*                                 BUSINESS DEVELOPMENT AUTHORITY
DPC      Development Tax Credit — (573) 526-3285                Certificate*
P.O. BOX 630, JEFFERSON CITY, MO 65102-0630
DTC      Demolition — (573) 522-8004                            Certificate*
EZC      Enterprise Zone — (573) 751-4539                       Schedule 250, Fed. K-1,                  http://www.mda.mo.gov • (573) 751-2129
Form 4354               Alpha                                                Attach to
FDA      Family Development Account — (573) 526-5417            Certificate*               Code Name of Credit                                Form MO-TC
FPC      Film Production — (573) 751-9048                       Certificate*                APU    Agricultural Product Utilization Contributor       Certificate*
HPC      Historic Preservation — (573) 522-8004                 Certificate*                FFC    Family Farms Act                                   Certificate*
ISB      Small Business Investment (Capital) — (573) 522-2790   Certificate*                NGC    New Generation Cooperative Incentive               Certificate*
MQJ      Missouri Quality Jobs — (573) 751-4539                 Certificate*
NAC      Neighborhood Assistance — (573) 751-4539               Certificate*                        MISSOURI DEPARTMENT OF NATURAL RESOURCES
NEC      New Enterprise Creation — (573) 522-2790               Certificate*                                            JEFFERSON CITY, MO 65105
NEZ      New Enhanced Enterprise Zone — (573) 751-4539          Certificate*                                            http://www.dnr.missouri.gov
NMC      New Market Tax Credit — (573) 522-8004                 Certificate*               Alpha                                                         Attach to
RCC      Rebuilding Communities — (573) 526-3285                Certificate*               Code Name of Credit and Phone Number                         Form MO-TC
RCN      Rebuilding Communities and Neighborhood
Preservation Act — (573) 522-8004                   Certificate*                CPC    Charcoal Producers — (573) 751-4817                Certificate*
REC      Qualified Research Expense — (573) 526-0124            Certificate*                WEC    Processed Wood Energy — (573) 526-1723             Certificate*
RTC      Remediation — (573) 522-8004                           Certificate*
SBG      Small Business Guaranty Fees — (573) 751-9048          Certificate*                           MISSOURI DEPARTMENT OF SOCIAL SERVICES
SBI      Small Business Incubator — (573) 526-6708              Certificate*                            3515 AMAZONAS DR., JEFFERSON CITY, MO 65109
SCC      Missouri Business Modernization and                                                     http://www.dss.mo.gov/dbf/taxcredit/index.htm • (573) 751-8934
Technology (Seed Capital) — (573) 522-2790          Original Certificate*      Alpha                                                     Attach to
TDC      Transportation Development — (573) 522-2629            Certificate*               Code Name of Credit                                     Form MO-TC
WGC      Wine and Grape Production — (573) 751-9048             Certificate*
YOC      Youth Opportunities — (573) 526-5417                   Certificate*                DVC    Shelter for Victims of Domestic Violence           Certificate*
MHC    Maternity Home                                     Certificate*
PRC    Pregnancy Resource                                 Certificate*
RTA    Residential Treatment Agency                       Certificate*
P.O. BOX 567, JEFFERSON CITY, MO 65102-0567
http://www.mdfb.org • (573) 751-8479
Alpha                                                 Attach to
Code Name of Credit                                  Form MO-TC
BUC      Missouri Business Use Incentives for Large             Certificate*
Scale Development (BUILD)
http://www.dese.mo.gov • (573) 751-4192
DRC      Development Reserve                                    Certificate*               Alpha                                                 Attach to
EFC      Export Finance                                         Certificate*               Code Name of Credit                                 Form MO-TC
IDC      Infrastructure Development                             Certificate*                SMC    Sponsorship and Mentoring Program                  Certificate*
MISSOURI DEVELOPMENT HOUSING COMMISSION
3435 BROADWAY, KANSAS CITY, MO 64111                                                               DIVISION OF SENIOR SERVICES
Alpha                                            Attach to
http://www.dhss.missouri.gov • (800) 235-5503
Code Name of Credit and Phone Number           Form MO-TC
AHC      Affordable Housing Assistance — (816) 759-6662         Certificate*               Code Name of Credit                                 Form MO-TC
LHC      Missouri Low Income Housing — (816) 759-6668           Eligibility Statement,
Fed. K-1, 8609A,        HCC    Health Care Access                                 Certificate *
8609 (first year)       SCT    Shared Care                                        Must Register Each
Year With Division of
Aging—Attach
MISSOURI DEPARTMENT OF REVENUE                                                                                                        Form MO-SCC
P.O. BOX 2200, JEFFERSON CITY, MO 65105-2200
http://www.dor.mo.gov/tax • (573) 526-8733 or (573) 751-4541
Alpha                                                    Attach to
Code Name of Credit                                    Form MO-TC
ATC     Special Needs Adoption                                 Form ATC
BFT     Bank Franchise Tax                                     Form INT-2, INT-2-1
MO 860-2274 (11-2007)                    Individuals with speech/hearing impairments may call TDD (800) 735-2966 or fax (573) 526-1881.
Attachment Sequence No. 1040-07 and 1040P-01
MISSOURI DEPARTMENT OF REVENUE                                                                          FORM
PROPERTY TAX CREDIT                                                                              MO-PTS
THIS FORM MUST BE ATTACHED TO FORM MO-1040 OR FORM MO-1040P.
LAST NAME                                                      FIRST NAME                                          INITIAL BIRTHDATE                                SOCIAL SECURITY NO.
Month        Day         Year
SPOUSE’S LAST NAME                                             FIRST NAME                                          INITIAL BIRTHDATE                                SPOUSE’S SOCIAL SECURITY NO.
Month        Day        Year
You must check a qualification to be eligible for a credit. Check only one. Copies of letters, forms, etc., must be included with claim.
A. 65 years of age or older (Attach a copy of                                                      C. 100% Disabled (Attach a copy of the letter from Social
Form SSA-1099.)                                                                                    Security Administration or Form SSA-1099.)
B. 100% Disabled Veteran as a result of military service                                           D. 60 years of age or older and received surviving spouse
(Attach a copy of the letter from Department of                                                    benefits (Attach a copy of Form SSA-1099.)
Veterans Affairs.)
FILING STATUS                         Single             Married — Filing Combined                         Married — Living Separate for Entire Year                            you must report both incomes.
Failure to provide the attachments listed below
(rent receipt(s), tax receipt(s), 1099(s), W-2(s), etc.) will result in denial or delay of your claim.
1. Enter the amount of income from Form MO-1040, Line 6, OR Form MO-1040P, Line 4. . . . . . . . . . . . . . . . . . . . . . . .                                          1                       0 00
2. Enter the amount of nontaxable social security benefits received by you and/or your minor children
before any deductions and/or the amount of social security equivalent railroad retirement benefits.
Attach a copy of Form SSA-1099 and/or RRB-1099. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                        2                           00
3. Enter the total amount of pensions, annuities, dividends, rental income, or interest income not included in Line 1.
Include tax exempt interest from Form MO-A, Part 1, Line 7 (if filing Form MO-1040). Attach
Forms W-2(s), 1099(s), 1099-R(s), 1099-DIV, 1099-INT, 1099-MISC, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                              3                           00
4. Enter the amount of railroad retirement benefits (not included in Line 2) before any deductions.
Attach Form RRB/1099-R (Tier II). If filing Form MO-1040, refer to Form MO-A, Part 1, Line 9. . . . . . . . . . . . . . . .                                            4                           00
5. Enter the amount of veteran’s payments or benefits before any deductions.
Attach letter from Veterans Affairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     5                           00
6. Enter the total amount received by you and/or your minor children from: public assistance, SSI, child support,
or Temporary Assistance payments (TA and/or TANF). Attach a copy of Form SSA-1099(s), a letter from the
Social Security Administration and/or Social Services that includes the total amount of assistance received
and Employment Security 1099, if applicable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6                                              00
7. Enter the amount of nonbusiness loss(es). You must include nonbusiness losses in your household income
(as a positive amount) here. (Include capital loss from Federal Form 1040, Line 13.) . . . . . . . . . . . . . . . . . . . . . . 7                                                                        00
8. TOTAL household income — Add Lines 1 through 7.
Enter total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8                     0 00
9. Enter $2,000 if you are married and filing a combined claim with your spouse.
Otherwise, enter “0”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9   -                 0 00
10. Net household income — Subtract Line 9 from Line 8. If the total is over $25,000,
no credit is allowed. Do not file this claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10                                        0 00
11. If you owned your home, enter the total amount of real estate tax that you paid for your home less special
assessments. Attach a copy of PAID real estate tax receipt(s). If your home is on
more than five acres or you own a mobile home, attach Form 948, Assessor’s Certification. . . . . . . . . . . . . . . 11                                                                                  00
12. If you rented your home, enter the amount from Form MO-CRP(s), Line 8 in the box below. (If total yearly rent is more
than Line 8, attach rent payment explanation.) Attach rent receipt(s) for each rent payment or a summary              Go to MO-CRP
for the entire year; a statement from your landlord, or copies of
cancelled checks (front and back) along with Form MO-CRP.           12a.                     0 00 x 20% = . . . . . . 12b                                                                             0   00
13. Total tax and/or rent — Add Lines 11 and 12b and enter the total or $750, whichever is less. . . . . . . . . . . . . . . . . . . . 13                                                                 0   00
14. Apply Lines 10 and 13 to the chart in the instructions to figure your Property Tax Credit.
You must use the chart to see how much credit you are allowed. Enter this amount on
Form MO-1040, Line 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14                             0   00
MO 860-2993 (11-2007)
Back to MO-1040, page 2
For Privacy Notice, see the instructions.
2007              • Read instructions. • Print or type.
MISSOURI DEPARTMENT OF REVENUE                                                                  FORM              Failure to provide landlord information will
CERTIFICATION OF RENT PAID FOR 2007                                                         MO-CRP                result in denial or delay of your claim.
1. SOCIAL SECURITY NUMBER                                  SPOUSE’S SOCIAL SECURITY NUMBER                            ARE YOU RELATED TO YOUR LANDLORD?            YES   NO
2. NAME                                                                                            3. LANDLORD’S NAME, LAST FOUR DIGITS OF SSN, OR FEIN (MUST BE COMPLETED)
ADDRESS OF RENTAL UNIT (DO NOT LIST P.O. BOX)                                                      LANDLORD’S ADDRESS, CITY, STATE, AND ZIP CODE (MUST BE COMPLETED)
CITY, STATE, AND ZIP CODE                                                                         4. LANDLORD’S PHONE NUMBER (MUST BE COMPLETED)
5. RENTAL PERIOD              FROM:       MONTH       DAY      YEAR                                                TO:          MONTH       DAY     YEAR
6. Enter your gross rent paid. Attach rent receipt(s) for each rent payment or the entire year, a statement from your landlord,
or copies of cancelled checks (front and back). If receiving housing assistance, enter the amount of rent YOU paid. . . .      6                                              00
Additional persons sharing rent/percentage to be entered:            1 (50%)          2 (33%)       3 (25%) . . . . . 7                                              %
8. Net rent paid — Multiply Line 6 by the percentage on Line 7. ENTER HERE AND IN THE BOX ON
FORM MO-PTS, LINE 12a OR FORM MO-PTC, LINE 10a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     8                 0   00
MO 860-1089 (11-2007)                                                For Privacy Notice, see the instructions.                                                  Back to MO-PTS
or copies of cancelled checks (front and back). If receiving housing assistance, enter the amount of rent YOU paid. . . .      6                                          00
Additional persons sharing rent/percentage to be entered:            1 (50%)          2 (33%)       3 (25%) . . . . . 7                                           %
FORM MO-PTS, LINE 12a OR FORM MO-PTC, LINE 10a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     8                0 00
Worksheet for Long-Term Care Insurance Deduction
A. Enter the amount paid for qualified long-term care insurance. . . . . . . . . . . . . . . . . . . . . . . . A) $_____________
If you itemized on your federal return and your federal itemized deductions
included medical expenses, go to Line B. If not, skip to Line G.
B. Enter the amount from Federal Schedule A, Line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B) $_____________
C. Enter the amount from Federal Schedule A, Line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C) $_____________
D. Enter the amount of qualified long-term care included on Line C. . . . . . . . . . . . . . . . . . . . . . D) $_____________
E. Subtract Line D from Line C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E) $_____________
F. Subtract Line E from Line B. If amount is less than zero, enter “0”. . . . . . . . . . . . . . . . . . F) $_____________                      0
G. Subtract Line F from Line A. Enter Line G on Form MO-1040P, Line 11 . . . . . . . . . . . . . . . G) $_____________                           0
Attach a copy of your Federal Form 1040 (pages 1 and 2) and Federal Schedule A (if you itemized your deductions).
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