Form Mo-60 - Application For Extension Of Time To File - 2017
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Missouri Department of Revenue
Form
Application for Extension of Time to File
MO-60
Individual Income Tax Filers: If you have an approved federal extension, you may not be required to file this form. Also, you may not
be required to file an extension if you do not expect to owe additional income tax or if you anticipate receiving a refund. The Missouri
extension to file a corporate tax return is a separate form - see Application for Extension of Time to File
(Form
MO-7004).
Last Name, First Name, Middle Initial
Office Use Only (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Spouse’s Last Name, First Name, Middle Initial
Address (Include Apartment Number or Route Number)
City
State
Zip Code
In Care of Name (Attorney, Guardian, Executor, Etc.)
E-mail Address
Telephone Number
-
(
)
___ ___ ___
___ ___ ___
___ ___ ___ ___
Your Social Security Number
Select one box only. Separate request must be made for each return.
r
Individual Income Tax Return,
Form MO-1040
Spouse’s Social Security Number
r
Fiduciary Income Tax Return,
Form MO-1041
Federal Employer Identification Number (FEIN)
r
Composite Income Tax Return, Form MO-1040
Year or Date of Extension (If based on federal extension, attach a copy of your federal form.)
Tax Year Beginning ____________________
Tax Year Ending ____________________
An Extension of Time Until ___ ___ /___ ___ /___ ___ ___ ___
This schedule must be completed. (See Tax Payment Schedule Instructions on back)
1. Tentative amount of the tax for the taxable year ................................................................................ 1
2. Total payments and credits (see instructions) .................................................................................... 2
3. Balance due (Subtract Line 2 from Line 1). Make remittance payable to the Missouri Department
of Revenue. Before Mailing - Write your social security number(s) or FEIN on your check or
money order........................................................................................................................................ 3
=
Office Use Only
r
Select this box to receive notification that your extension was approved. If this extension is denied, you will receive a
denial letter.
If you pay by check, you authorize the Department of Revenue to process the check electronically. Any check returned
unpaid may be presented again electronically.
Form MO-60 (Revised 02-2017)
Mail to:
Taxation Division
Phone: (573) 751-3505
P.O. Box 3400
TTY: (800) 735-2966
Visit
dor.mo.gov/personal/individual/
Jefferson City, MO 65105-3400
E-mail:
income@dor.mo.gov
for additional information.
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