Form MO-TC Fillable Miscellaneous Income Tax Credits

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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 percentage of ownership including 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 additional MO TC(s) If you are filing a combined return and both you and your spouse have income use Column 1 for yourself and Column 2 for your spouse If you are filing a corporation income tax return use Column 1 If you are filing a corporation franchise tax return use Column 2 If you are filing a fiduciary return use Column 1 If you are filing an individual income tax return and you have only one income use Column 1 Include a copy of your certificate or form from the issuing agency Spouse Yourself (one income) (3 characters) (Alpha Code (3 characters) from back 1 ) (Alpha Code (3 characters) from back 10 ) (Alpha Code (3 characters) from back 2 ) (Alpha Code (3 characters) from back 3 ) (Alpha Code (3 characters) from back 4 ) (Alpha Code (3 characters) from back 5 ) (Alpha Code (3 characters) from back 6 ) (Alpha Code (3 characters) from back 7 ) (Alpha Code (3 characters) from back 8 ) (Alpha Code (3 characters) from back 9 ) (Benefit Number 1 ) (Benefit Number 10 ) (Benefit Number 2 ) (Benefit Number 3 ) (Benefit Number 4 ) (Benefit Number 5 ) (Benefit Number 6 ) (Benefit Number 7 ) (Benefit Number 8 ) (Benefit Number 9 ) (Column 2 00) (Column 2 00) (Column 2 00) (Column 2 00) (Column 2 00) (Column 2 00) (Column 2 Row 1) (Corporation) (Credit Name Each credit will apply in the order they appear below 1 ) (Credit Name Each credit will apply in the order they appear below 10 ) (Credit Name Each credit will apply in the order they appear below 2 ) (Credit Name Each credit will apply in the order they appear below 3 ) (Credit Name Each credit will apply in the order they appear below 4 ) (Credit Name Each credit will apply in the order they appear below 5 ) (Credit Name Each credit will apply in the order they appear below 6 ) (Credit Name Each credit will apply in the order they appear below 7 ) (Credit Name Each credit will apply in the order they appear below 8 ) (Credit Name Each credit will apply in the order they appear below 9 ) (Federal Employer) (Last First) (Last First) (Missouri Tax I D) (Number) (on a combined return) (Print Form) Print Form (Reset Form) Reset Form (Social Security) (undefined) (undefined) * Must be approved by the issuing agency *14000000001* *14306010001* 1 1 00 00 10 10 00 00 11 Subtotals add Lines 1 through 10 11 00 00 12 Enter the amount of the tax liability from Form MO 1040 Line 30Y for yourself and Line 30S for your spouse or 13 Total Credits add amounts from Line 11 Columns 1 and 2 (Enter here and on Form MO 1120 Line 18; Form MO 1120S Line 16; 14000000001 14306010001 2 2 00 00 2014 Miscellaneous Income Tax Credits 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* agencies administering each credit AHC Affordable Housing Assistance (816) 759 6600 Certificate* Alpha Attach to Alpha Attach to Alpha Attach to Alpha Attach to Alpha Code Alpha Code This is the three character code located on the back of the form Each credit is assigned an alpha code to ensure proper processing of the credit claimed APU Agricultural Product Utilization Contributor Certificate* ATC Special Needs Adoption Form ATC and Federal Attach Form MO SCC Attachment Sequence No 1120 04 and 1120S 02 BEC Bond Enhancement Certificate* Benefit Number Credit Name Benefit Number The number is located on your Certificate of Eligibility Schedule (Certificate) BFC New or Expanded Business Facility (573) 526 5417 Schedule 150 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 Charter CIC Children in Crisis Contribution Verification 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 the following Departments Visit http://dor mo gov/taxcredit/ for a description of each credit and more contact information for Corporation CPC Charcoal Producers (573) 751 4817 Certificate* 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* Department Use OnlyMissouri Department of Revenue (MM/DD/YY) 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* exemption 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 EZC Enterprise Zone (573) 526 5417 Schedule 250 FDA Family Development Account (573) 522 2629 Certificate* Fed K 1 8609A Fed K 1 Form 4354 Federal Employer FFC Family Farms Act Certificate* Form 8839 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 00 Form MO 8826 Form MO TC (Revised 12 2014) FPC Film Production (573) 751 9048 Certificate* FPT Food Pantry Tax Form MO FPT franchise tax; or Form MO 1041 Line 18 12 00 00 from back from Form MO 1120 Line 14 plus Line 15 for income or Line 16 for franchise; Form MO 1120S Line 15 for from Issuing Agency HPC Historic Preservation (573) 522 8004 Certificate* http://dor mo gov/ (573) 751 3220 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 D Number 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 IDC Infrastructure Development Certificate* in connection with any contracted services Individuals with speech or hearing impairments may call TDD (800) 735 2966 or fax (573) 526 1881 Instructions ISB Small Business Investment (Capital) (573) 526 5417 Certificate* ITC Innovation Campus Tax Credit (573) 751 4539 Certificate* Jefferson City MO 65105 Jefferson City MO 65109 LHC Missouri Low Income Housing (816) 759 6668 Eligibility Statement MHC Maternity Home Certificate* Miscellaneous tax credits are administered by various agencies For more information forms and approval to claim these credits Missouri Agricultural and Small Missouri Department of Economic Development Missouri Department of Health Missouri Department of Natural Resources Missouri Department of Revenue Missouri Department of Social Services Missouri Development Finance Board Missouri Housing Development Commission Missouri Tax MO 1120s or MO 1041 Attach to Form MO 1040 MO 1120 MO 1120s or MO 1041 Form MO TC (Revised 12 2014) MO TC MQJ Missouri Quality Jobs (573) 751 9048 Certificate* MWC Missouri Works Credit (573) 522 9062 Certificate* NAC Neighborhood Assistance (573) 522 2629 Certificate* 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 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* Security Number Shareholders INT 3 SHC Self Employed Health Insurance Form MO SHC Social Security SPC Sporting Contribution Credit (573) 522 8006 Certificate* Spouse s Name Spouse s Social SSC Public Safety Officer Surviving Spouse Form MO SSC TDC Transportation Development (573) 522 2629 Certificate* Technology (Seed Capital) (573) 526 5417 Original Certificate* the corporation s percentage of ownership if applicable Use this form to claim income or franchise tax credits on Form MO 1040 MO 1120 WEC Processed Wood Energy (573) 751 2254 Certificate* WGC Wine and Grape Production (573) 751 9048 Certificate* With Division of Senior and with respect to the employees working in connection with any contracted services and I do not knowingly employ any person who is an unauthorized alien YOC Youth Opportunities (573) 522 2629 Certificate*

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