Form MO-TC Fillable Miscellaneous Income Tax Credits
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Corporation Franchise Corporation Income Each credit will apply against your tax liability in the order they appear on the form Fiduciary If you are a shareholder or partner and claiming a credit you must attach a copy of the shareholder listing specifying your If you are claiming a tax credit for both taxpayers on a combined return both names must be on the certificate If you are claiming more than 10 credits attach an additional sheet Include a copy of your certificate or form from the issuing agency SPOUSE YOURSELF (3 Characters) (on a combined return) (one income) (Print Form) Print Form (Reset Form) Reset Form (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 0 (text) 0 * Must be approved by the issuing agency 1 1 00 00 10 10 00 00 11 SUBTOTALS add Lines 1 through 10 11 00 00 1120S 02 12 Enter the amount of the tax liability from Form MO 1040 Line 30Y for yourself and Line 30S 13 Total Credits add amounts from Line 11 Columns 1 and 2 (Enter here and on Form MO 1120 Line 18; 2 2 00 00 2823 INT 2 Fed K 1 3 3 00 00 3435 BROADWAY KANSAS CITY MO 64111 4 4 00 00 5 5 00 00 6 6 00 00 7 7 00 00 8 8 00 00 8609 (first year) 9 9 00 00 AFI Alternative Fuel Infrastructure (573) 751 2254 Certificate* AHC Affordable Housing Assistance (816) 759 6600 Certificate* Alpha ALPHA Alpha Attach to Alpha Attach to Alpha Attach to Alpha Attach to Alpha Code: amount on Line 12 unless the credit is refundable 13 00 APU Agricultural Product Utilization Contributor Certificate* ATC Special Needs Adoption Form ATC and Federal Attach Form MO SCC Attach to Attachment Sequence No 1040 02 1120 04 BEC Bond Enhancement Certificate* BENEFIT BFC New or Expanded Business Facility (573) 526 5417 Schedule 150 Fed K 1 BFT Bank Franchise Tax Form INT 2 INT 2 1 BJI Brownfield Jobs and Investment (573) 522 8004 Certificate* BTC Bank Tax Credit for S Corporation Form BTC and Form BUC Missouri Business Use Incentives for Large Certificate* BUSINESS DEVELOPMENT AUTHORITY CBC Community Bank Investment (573) 522 8004 Certificate* CFC Champion for Children Contribution Verification CIC Children in Crisis Contribution Verification Code Name of Credit Code Name of Credit and Phone Number Form MO TC Code Name of Credit and Phone Number Form MO TC Code Name of Credit Form MO TC Code Name of Credit Form MO TC Column 1 Column 2 contact information for agencies administering each credit contracted services CORPORATION NAME MO TAX I D NUMBER CHARTER NUMBER CPC Charcoal Producers (573) 751 4817 Certificate* CREDIT NAME credit or abatement if I employ such aliens I also declare that if I am a business entity I participate in a federal work authorization program with respect to the credits contact the following Departments Visit http://dor mo gov/taxcredit/ DAC Disabled Access Federal Form 8826 and DAL Distressed Area Land Assemblage (573) 522 8004 Certificate* DAT Residential Dwelling Accessibility Form MO DAT DDC Developmental Disability Care Provider Certificate* DFH Dry Fire Hydrant (573) 751 9048 Certificate* Disability Services DIVISION OF SENIOR SERVICES DPC Development Tax Credit (573) 526 3285 Certificate* DRC Development Reserve Certificate* DVC Shelter for Victims of Domestic Violence Certificate* EACH CREDIT WILL APPLY IN THE ORDER THEY APPEAR BELOW EFC Export Finance Certificate* employees working in connection with any contracted services and I do not knowingly employ any person who is an unauthorized alien in connection with any EZC Enterprise Zone (573) 526 5417 Schedule 250 Fed K 1 FDA Family Development Account (573) 522 2629 Certificate* Fed K 1 8609A FFC Family Farms Act Certificate* filing a corporation franchise tax return use Column 2 for a description of each credit and more For Privacy Notice see the instructions for your spouse or from Form MO 1120 Line 14 plus Line 15 for income or Line 16 for Form 4354 Form 8839 Form MO 1120S Line 16; Form MO 1040 Line 37; or Form MO 1041 Line 19 ) Line 13 cannot exceed the Form MO 8826 Form MO TC FPC Film Production (573) 751 9048 Certificate* FPT Food Pantry Tax Form MO FPT franchise; Form MO 1120S Line 15 for franchise tax; or Form MO 1041 Line 18 12 00 00 from back from Issuing Agency HPC Historic Preservation (573) 522 8004 Certificate* http://dor mo gov/ (573) 526 8733 or (573) 751 4541 http://www ded mo gov http://www dhss mo gov http://www dnr mo gov http://www dss mo gov/dfas/taxcredit/index htm (573) 751 7533 http://www mda mo gov (573) 751 2129 http://www mdfb org (573) 751 8479 http://www mhdc com 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 IDC Infrastructure Development Certificate* If you are filing a combined return and both you and your spouse have If you are filing a corporation income tax return use Column 1 If you are If you are filing a fiduciary return use Column 1 If you are filing an individual income tax return and you have only one Benefit Number: income use Column 1 for yourself and Column 2 for your spouse income use Column 1 The number is located on your Certificate of Eligibility Schedule (Certificate) Individuals with speech/hearing impairments may call TDD (800) 735 2966 or fax (573) 526 1881 Instructions is assigned an alpha code to ensure proper processing of the credit claimed ISB Small Business Investment (Capital) (573) 526 5417 Certificate* JEFFERSON CITY MO 65105 JEFFERSON CITY MO 65109 LHC Missouri Low Income Housing (816) 759 6668 Eligibility Statement MHC Maternity Home Certificate* MISCELLANEOUS INCOME Miscellaneous tax credits are administered by various agencies For more information forms and approval to claim these MISSOURI AGRICULTURAL AND SMALL MISSOURI DEPARTMENT OF HEALTH MISSOURI DEPARTMENT OF NATURAL RESOURCES MISSOURI DEPARTMENT OF REVENUE MISSOURI DEPARTMENT OF REVENUEMISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT MISSOURI DEPARTMENT OF SOCIAL SERVICES MISSOURI DEVELOPMENT FINANCE BOARD MISSOURI HOUSING DEVELOPMENT COMMISSION MO 1120 MO 1120S OR MO 1041 MO TC MO TC (12 2013) MO TC (Revised 12 2013) MQJ Missouri Quality Jobs (573) 751 9048 Certificate* MWC Missouri Works Credit (573) 522 9062 Certificate* NAC Neighborhood Assistance (573) 522 2629 Certificate* NAME (LAST FIRST) SOCIAL SECURITY NUMBER/FEDERAL I D NUMBER NEC New Enterprise Creation (573) 751 4539 Certificate* NEZ New Enhanced Enterprise Zone (573) 522 4216 Certificate* NGC New Generation Cooperative Incentive Certificate* NMC New Market Tax Credit (573) 522 8004 Certificate* NUMBER P O BOX 118 JEFFERSON CITY MO 65102 0118 P O BOX 2200 JEFFERSON CITY MO 65105 2200 P O BOX 567 JEFFERSON CITY MO 65102 0567 P O BOX 570 JEFFERSON CITY MO 65102 0570 P O BOX 630 JEFFERSON CITY MO 65102 0630 percentage of ownership including the corporation s percentage of ownership if applicable PRC Pregnancy Resource Certificate* Preservation Act (573) 522 8004 Certificate* QBC Qualified Beef Certificate* RCC Rebuilding Communities (573) 526 3285 Certificate* RCN Rebuilding Communities and Neighborhood REC Qualified Research Expense (573) 526 0124 Certificate* RTA Residential Treatment Agency Certificate* RTC Remediation (573) 522 8004 Certificate* SBG Small Business Guaranty Fees (573) 751 9048 Certificate* SBI Small Business Incubator (573) 526 6708 Certificate* Scale Development (BUILD) SCC Missouri Business Modernization and SCT Shared Care (573) 751 4842 Must Register Each Year SEC Sporting Event Credit (573) 522 8006 Certificate* Shareholders INT 3 SHC Self Employed Health Insurance Form MO SHC SPC Sporting Contribution Credit (573) 522 8006 Certificate* SPOUSE S NAME (LAST FIRST) SPOUSE S SOCIAL SECURITY NUMBER SSC Public Safety Officer Surviving Spouse Form MO SSC TAX CREDITS TDC Transportation Development (573) 522 2629 Certificate* Technology (Seed Capital) (573) 526 5417 Original Certificate* This is the three character code located on the back of the form Each credit USE THIS FORM TO CLAIM INCOME TAX CREDITS ON FORM MO 1040 MO 1120 MO 1120S OR MO 1041 ATTACH TO FORM MO 1040 WEC Processed Wood Energy (573) 751 2254 Certificate* WGC Wine and Grape Production (573) 751 9048 Certificate* With Division of Senior and YOC Youth Opportunities (573) 522 2629 Certificate*