&I
-
-, ENDING
-, l9-
b
$
$
$
.
$
$
b
b
MO
MISSOURI SCHEDULE
MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT
NEW/EXPANDED BUSINESS FACILITY AND ENTERPRISE ZONE:
APPORTIONMENT OF MISSOURI TAXABLE BUSINESS INCOME
READ PAGES 11-12 OF INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORM
FOR CALENDAR YEAR 19 - OR TAX YEAR BEGINNING
19
FACILITY FEDERAL I.D. NO.
NAME OF FACILITY
AND
TAXPAYER FEDERAL I.D. NO.
THIS SCHEDULE MUST BE FILED EACH YEAR TAX BENEFITS ARE CLAIMED.
ATTACH THIS SCHEDULE TO FORM 135 OR 135-A, WHICHEVER IS APPLICABLE.
AND
FACILITY MISSOURI TAX I.D. NO.
(MITS)
ALL TAXPAYERS MUST COMPLETE ITEMS 2-5.
IF A MISSOURI CONSOLIDATED RETURN IS FILED, ITEMS 1,2 AND 5 MUST INCLUDE THE CONSOLIDATED AMOUNTS
143
If known, enter that portion of the taxpayer’ s TOTAL MISSOURI taxable income (or loss) attributed
1.
to
THIS Missouri BUSINESS DURING THIS TOTAL TAX PERIOD. INCLUDE CONSOLIDATED INCOMES.
(See instructions, page 11)
S-corporations and partnerships filing a MO 112OS, enter ordinary income minus Section 179 from IRS
Schedule K-l. Sole proprietors filing a MO 112OS, enter net income after expenses from IRS Schedule
C. Corporations filing a MO 1120, enter Missouri taxable income, Missouri sources. INCLUDE ALL
148
CONSOLIDATED INCOMES.
Taxpayers subject to financial institution tax (Chapter 148) must also enter net income, direct premiums,
or dividends, whichever is applicable. INCLUDE ALL CONSOLIDATED AMOUNTS.
NOTE: THIS INCOME WILL BE CERTIFIED TO THE DEPARTMENT OF REVENUE. DO NOT ESTIMATE.
YOU MAY ENTER “UNKNOWN.”
Enter the amount of compensation paid to all persons employed by this BUSINESS in Missouri DURING
2.
THIS TOTAL TAX PERIOD. INCLUDE ALL CONSOLIDATED FACILITIES. (See instructions, page 11)
Enter the amount of compensation paid to all persons employed by this BUSINESS in the enterprise
zone where this facility is located DURING THIS TAX PERIOD if applicable. INCLUDE COMPENSATION
$
3.
OF ALL FACILITIES/BUSINESSES WITHIN THIS ZONE WHICH FILE A SINGLE TAX RETURN. (See
instructions, page 11)
Enter the amount of compensation paid DURING THIS TAX PERIOD to ALL PERSONS employed at
4.
THIS FACILITY CNLY. (See instructions, page 11)
Enter the AVERAGE VALUE of ALL REAL and DEPRECIABLE TANGIBLE PERSONAL PROPERTY,
5.
Including 8 times net ANNUAL rental rates, USED by this BUSINESS in Missouri DURING THIS TOTAL
TAX PERIOD. INCLUDE ALL CONSOLIDATED PROPERTY VALUES. (See instructions, pages 11-12)
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS SCHEDULE, AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT AND COMPLETE.
DATE
PREPARER’ S SIGNATURE
DATE
TAXPAYER’ S OR DESIGNEE’ S SIGNATURE
THIS SCHEDULE MUST ACCOMPANY FORM 135 OR 135-A, WHICHEVER IS APPLICABLE.
OF
MAIL TO: TAX BENEFIT PROGRAMS, MISSOURI DEPARTMENT
ECONOMIC DEVELOPMENT, P.O. BOX 118,
JEFFERSON CITY, MISSOURI 65102.
419-1524 (12-95)