Form MO-2NR Fillable Statement of Income Tax Payments for Nonresident Partners or S Corporations Shareholders
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | r Limited Liability Company (Treated as a Partnership) r Limited Liability Company (Treated as a Partnership) 2013 Statement of Income Tax Payments For 2013 Statement of Income Tax Payments For Address Federal Employer I D Number Address Federal Employer I D Number Address Income Subject to Tax Address Income Subject to Tax Attach to Form MO 1NR See instructions for Line 1 of Form MO 1NR City or Town State Zip Code Missouri Income Tax Payment City or Town State Zip Code Missouri Income Tax Payment City or Town State Zip Code Type of Entity: r Partnership r S Corporation City or Town State Zip Code Type of Entity: r Partnership r S Corporation Copy A Copy B Copy C For calendar year 2013 or fiscal year beginning 2013 and Ending 2014 For calendar year 2013 or fiscal year beginning 2013 and Ending 2014 Form MO 2NR (Revised 11 2013) Form MO 2NR (Revised 11 2013) Missouri Department of Revenue Missouri Department of Revenue MO 2NR MO 2NR Name Missouri Tax I D Number Name Missouri Tax I D Number Name Social Security Number Name Social Security Number Nonresident Individual Partners or S Corporation Shareholders Nonresident Individual Partners or S Corporation Shareholders Partner or Partner or Partner or Shareholder Keep this copy for your records Partnership or Partnership or Partnership or S Corporation Keep this copy for your records S Corporation S Corporation Shareholder Shareholder Visit http://dor mo gov/ for additional information Visit http://dor mo gov/ for additional information