Form MO-C Fillable Missouri Dividends Deduction Schedule
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(other than debt financed stock) 00 00 70 00 (other than debt financed stock) 00 00 80 00 | | | | | | | | | | | | | | | 1 Dividends from less than 20% owned domestic corporations 10 Dividends from affiliated group members 00 00 100 00 11 Dividends from certain FSCs 00 00 100 00 12 Dividends from foreign corporations not included on 13 Income from controlled foreign corporations under subpart F 00 00 14 Foreign dividend gross up 00 00 15 IC DISC and former DISC dividends not included on Lines 1 2 or 3 00 00 16 Other dividends 00 00 18 Total of Column (B) Lines 1 through 16 00 19 Total of Column (D) Lines 1 through 17 00 2 Dividends from 20% or more owned domestic corporations 22 Multiply Line 20 by Line 21 Enter here and on Form MO 1120 Line 11 00 3 Dividends on debt financed stock of domestic and foreign corporations 00 00 00 4 Dividends on certain preferred stock of less than 20% owned public utilities 00 00 42 00 5 Dividends on certain preferred stock of 20% or more owned public utilities 00 00 48 00 6 Dividends from less than 20% owned foreign corporations and 7 Dividends from 20% or more owned foreign corporations and 8 Dividends from wholly owned foreign subsidiaries 00 00 100 00 9 Dividends from domestic corporations received by a small business investment certain FSCs 00 00 70 00 certain FSCs 00 00 80 00 company operating under the Small Business Investment Act of 1958 00 00 100 00 Jefferson City MO 65105 3365 E mail: corporate@dor mo gov Lines 3 6 7 8 10 or 11 00 00 (B) X (C) 17 Deduction for dividends paid on certain preferred stock of public utilities 00 20 Total Missouri dividends deduction Subtract Line 19 from 18 00 21 Apportionment factor from Schedule MO MS Part 2 Line 7 or Line 7a % Amount of Attachment Sequence No 1120 05 Column A Enter the amount of dividends entered on Federal Schedule C Column B Enter the amount of dividends received from Missouri sources Column D Column (B) times Column (C) Complete this schedule only when using the single factor apportionment or the optional single sales factor apportionment method Complete this schedule when computing the Missouri dividends allowed as a deduction pursuant to Section 143 431 2 RSMo Corporation Name Deductions Dividend Dividends Domicile Federal for additional information Form MO C (Revised 11 2013) Instructions List the source of the Missouri Dividend below Mail To: Taxation Division Phone: (573) 751 4541 Missouri Missouri Department of Revenue Missouri Dividends Deduction Schedule Missouri Tax Identification Number Charter Number Federal Employer Identification Number P O Box 3365 Fax: (573) 522 1721 Payor (Corporation Name) Received See Federal State of Commercial Visit http://dor mo gov/business/corporate/