Form MO-TF "Missouri Tax Credit Transfer Form" - Missouri

What Is Form MO-TF?

This is a legal form that was released by the Missouri Department of Revenue - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2014;
  • The latest edition provided by the Missouri Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MO-TF by clicking the link below or browse more documents and templates provided by the Missouri Department of Revenue.

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Download Form MO-TF "Missouri Tax Credit Transfer Form" - Missouri

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Department Use Only
Missouri Department of Revenue
(MM/DD/YY)
Form
Missouri Tax Credit Transfer Form
MO-TF
Assignor
Assignor
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Assignor
Social Security
Number
Name
Contact Person
Title
Address
City
State
ZIP Code
Telephone Number
Fax Number
E-mail
(___ ___ ___)___ ___ ___-___ ___ ___ ___
(___ ___ ___)___ ___ ___-___ ___ ___ ___
The Missouri Tax Credit Transfer Form (MO-TF) must be used when transferring any transferable Missouri tax credits listed on page 2.
Submit a separate Form MO-TF for each tax credit transfer.
Tax Credit Program
Approved Tax Benefit Number
Issued For the Calendar Year ____________ or Tax Year Beginning __________________________, Ending __________________________.
Amount of Tax Credits Sold
Discount Rate
Sale Price
$
%
$
$
%
$
$
%
$
Total amount of credits to be transferred.....................................
$
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I also certify that I am
an authorized representative of the Assignor and I am authorized to make the statement of affirmation contained herein.
Assignor Signature
Title
Print Name
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Subscribed and sworn before me, this
Embosser or black ink rubber stamp seal
day of
year
State
County (or City of St. Louis)
My Commission Expires (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Notary Public Signature
Notary Public Name (Typed or Printed)
*14305010001*
14305010001
Reset Form
Print Form
Department Use Only
Missouri Department of Revenue
(MM/DD/YY)
Form
Missouri Tax Credit Transfer Form
MO-TF
Assignor
Assignor
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Assignor
Social Security
Number
Name
Contact Person
Title
Address
City
State
ZIP Code
Telephone Number
Fax Number
E-mail
(___ ___ ___)___ ___ ___-___ ___ ___ ___
(___ ___ ___)___ ___ ___-___ ___ ___ ___
The Missouri Tax Credit Transfer Form (MO-TF) must be used when transferring any transferable Missouri tax credits listed on page 2.
Submit a separate Form MO-TF for each tax credit transfer.
Tax Credit Program
Approved Tax Benefit Number
Issued For the Calendar Year ____________ or Tax Year Beginning __________________________, Ending __________________________.
Amount of Tax Credits Sold
Discount Rate
Sale Price
$
%
$
$
%
$
$
%
$
Total amount of credits to be transferred.....................................
$
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I also certify that I am
an authorized representative of the Assignor and I am authorized to make the statement of affirmation contained herein.
Assignor Signature
Title
Print Name
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Subscribed and sworn before me, this
Embosser or black ink rubber stamp seal
day of
year
State
County (or City of St. Louis)
My Commission Expires (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Notary Public Signature
Notary Public Name (Typed or Printed)
*14305010001*
14305010001
Name
Federal Employer I.D. Number (FEIN)
Missouri Tax I.D. Number
Social Security Number
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Contact Person
Title
Address
City
State
ZIP Code
Telephone Number
Fax Number
E-mail
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(___ ___ ___)___ ___ ___-___ ___ ___ ___
Select One
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C Corporation
Financial Institution
Individual
Individual Filing a Joint Return
Limited Liability Company (LLC)
r
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S Corporation
Partnership
Sole Proprietor
Other __________________________________________________
If the taxpayer is an individual filing a joint return, list the primary and secondary names and social security numbers below.
If the taxpayer is a Partnership, S Corporation, or other entity with a flow through tax treatment, identify the names, social
security numbers, and proportionate share of ownership of each beneficiary, partner, or shareholder on the last day of the tax
period. Aggregate proportionate shares or percent of total ownership must be less than 100%. Attach a separate sheet if necessary.
Federal Employer I.D. Number, Missouri Tax
Name(s)
% Ownership Year End
I.D. Number, or Social Security Number
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Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I certify that I am an
authorized representative of the Assignee and as such am authorized to make the statement of affirmation contained herein.
Assignee Signature
Title
Print Name
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Subscribed and sworn before me, this
Embosser or black ink rubber stamp seal
day of
year
State
County (or City of St. Louis)
My Commission Expires (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Notary Public Signature
Notary Public Name (Typed or Printed)
*14305020001*
14305020001
Mailing and Contact Information
Mail Form MO-TF to the appropriate address below with regards to the program for which tax credits were originally issued.
Missouri Department of Revenue
301 W High Street, Room 102
Attention: Personal Tax
Jefferson City, MO 65105
Phone: (573) 751-3220
E-mail:
taxcredit@dor.mo.gov
• Alternative Fuel Infrastructure
• Missouri Works Tax Credit
• Brownfield Remediation Tax Credit
• Neighborhood Preservation Act
• Business Facility Tax Credit
• New Enterprise Creation Act or Prolog Ventures
• Certified Capital Companies (CAPCO) Tax Credit
• Rebuilding Communities Tax Credit
• Champion for Children Tax Credit
• Seed Capital Tax Credit
• Charcoal Producers Tax Credit
• Small Business Incubator Tax Credit*
• Community Bank or Community Development Tax Credit
• Small Business Investment Capital Tax Credit
• Development Tax Credit
• Special Needs Adoption Tax Credit*
• Distressed Area Land Assemblage Tax Credit
• Sporting Event Tax Credit
• Dry Fire Hydrant Tax Credit
• Sporting Event Contribution Tax Credit
• Enhanced Enterprise Zone Tax Credit*
• Transportation Development Tax Credit
• Historic Preservation Tax Credit - Issued after 08/28/1998
• Wood Energy Tax Credit
• Missouri Quality Jobs
* Must be sold for at least 75% of transferred credit value
Form MO-TF (Revised 12-2014)
Missouri Housing Development Commission
Attn: Gus Metz
Visit
http://dor.mo.gov/taxcredit/
for additional information.
920 Main Street, Suite 1400
Kansas City, MO 64105
Phone: (816) 759-6878
• Affordable Housing Assistance (AHAP)
*14000000001*
14000000001
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