2016 Individual Income Tax Return Long Form MO-1040

1 Print Form Reset Calculate Do automatic calculations Don't do any calculations missouri DEPARTMENT OF REVENUE 2016 . FORM MO-1040 (NOTE: For proper form functionality, utilize Internet Explorer browser and Adobe Reader for PDF viewer). Individual Income TAX Return LONG FORM INSTRUCTIONS: FOR CALENDAR YEAR JAN. 1 DEC. 31, 2016 , OR FISCAL YEAR BEGINNING - Enter numbers without decimals (integers). 20 ___ , ENDING 20 ___ - Don't forget to attach all required forms AMENDED Return CHECK HERE SOFTWARE VENDOR CODE 006006 - You can tab from one field to another or use the mouse to click in SOCIAL SECURITY NUMBER SPOUSE'S SOCIAL SECURITY NUMBER the field you want.

2 - Use the print button at the top of page to print form NAME (LAST) (FIRST) JR, SR - Click on the blue boxes to prepopulate an amount. DECEASED. - Click on the gray boxes to view the instructions for that line. IN 2016 . - If a field does not allow a negative number and a negative number SPOUSE'S (LAST) (FIRST) JR, SR. is entered, a zero will be displayed. IN CARE OF NAME (ATTORNEY, EXECUTOR, PERSONAL REPRESENTATIVE, ETC.) COUNTY OF RESIDENCE. SELECT COUNTY. PRESENT ADDRESS (INCLUDE APARTMENT NUMBER OR RURAL ROUTE) CITY, TOWN, OR POST OFFICE STATE ZIP CODE. You may contribute to any one or all of the trust funds Elderly Home missouri Workers' LEAD Childhood missouri Military General General Organ Workers on Line 47.

3 See pages 9 10 for a description of each trust Children's Veterans Delivered Meals National Guard Memorial Lead Testing Family Revenue Revenue Donor fund, as well as trust fund codes to enter on Line 47. Trust Fund Trust Fund Trust Fund Trust Fund Fund Fund Relief Fund Fund Program Fund PLEASE CHECK THE APPROPRIATE BOXES THAT APPLY TO YOURSELF OR YOUR SPOUSE AS OF DECEMBER 31, 2016 . AGE 62 THROUGH 64 AGE 65 OR OLDER BLIND 100% DISABLED NON-OBLIGATED SPOUSE. YOURSELF SPOUSE YOURSELF SPOUSE YOURSELF SPOUSE YOURSELF SPOUSE YOURSELF SPOUSE. Worksheet Yourself Spouse 1. Federal adjusted gross Income from your 2016 federal Return (See worksheet on page 6.)

4 1Y 00 1S 00 Line 1. 2. Total additions (from Form MO A, Part 1, Line 7).. MO-A 2Y 0 00 2S 0 00 Line 2. Income . 3. Total Income Add Lines 1 and 3Y 0 00 3S 0 00. 4. Total subtractions (from Form MO A, Part 1, Line 17).. MO-A 4Y 0 00 4S 0 00 Line 4. 5. missouri adjusted gross Income Subtract Line 4 from Line 5Y 0 00 5S 0 00. 6. Total missouri adjusted gross Income Add columns 5Y and 6 0 00. 7. Income percentages Divide columns 5Y and 5S by total on Line 6. (Must equal 100%).. 7Y 0 % 7S 0 % Line 7. 8. Pension and Social Security/Social Security Disability/Military exemption (from Form MO A, Part 3, Section E.)

5 8 0 00 MO-A Line 8. 9. Mark your filing status box below and enter the appropriate exemption amount on Line 9. A. Single $2,100 (See Box B before checking.) E. Married filing separate (spouse B. Claimed as a dependent on another person's federal NOT filing) $4,200. tax Return $ F. Head of household $3,500. C. Married filing joint federal & combined missouri $4,200 G. Qualifying widow(er) with Line 9. D. Married filing separate $2,100 dependent child $3, 9 00. 10. Tax from federal Return (Do not enter federal Income tax withheld.). Federal Form 1040, Line 56 minus Lines 45, 46, 66a, 68, 69, and any amount from Form 8885 on Line 73.

6 Federal Form 1040A, Line 37, minus Lines 29, 42a, 44, 45, and any alternative minimum tax included on Line 28. Federal Form 1040EZ, Line 10 minus Line 10 00 Line 10. EXEMPTIONS AND DEDUCTIONS. 11. Other tax from federal Return Attach copy of your federal Return (pages 1 and 2).. 11 00 Line 11. 12. Total tax from federal Return Add Lines 10 and 12 00 0. 13. Federal tax deduction Enter amount from Line 12 not to exceed $5,000 for Individual filer;. $10,000 for combined 13 0 00 Line 13. 14. missouri standard deduction or itemized deductions. Single or Married Filing Separate $6,300; Itemized Deductions Worksheet Head of Household $9,300; Married Filing a Combined Return or Qualifying Widow(er) $12,600.

7 If you are age 65 or older, blind, or claimed as a dependent, see your federal Return or page 7. If you are itemizing, see Form MO-A, Part 2.. 14 00 0 Line 14. 15. Number of dependents from Federal Form 1040 OR 1040A, Line 6c Line 15. x x Do not Check box if claiming a stillborn child, see instructions on Page x $1,200 =.. 15 0 00 include yourself 16. Number of dependents on Line 15 who are 65 years of age or older and do not or Line 16. receive Medicaid or state funding (DO NOT INCLUDE YOURSELF OR SPOUSE.).. x $1,000 =.. 16 0 00 spouse. Line 17. 17. Long-term care insurance 17 Long-term Care Worksheet 0 00.

8 18. Health care sharing ministry deduction .. 18 00 Line 18. 19. Military Income 19 00 Line 19. 20. Bring jobs home 20 00 Line 20. 21. Total deductions Add Lines 8, 9, 13, 14, 15, 16, 17, 18, 19, and 21 0 00. 22. Subtotal Subtract Line 21 from Line 22 0 00 Line 22. 23. Multiply Line 22 by appropriate percentages (%) on Lines 7Y and 23Y 0 00 23S 0 00. 24. Enterprise zone or rural empowerment zone Income 24Y 00 24S 00 Line 24. 25. Subtract Line 24 from Line 23. Enter here and on Line 25Y 0 00 25S 0 00. For Privacy Notice CLICK HERE MO-1040 2-D (Revised 12- 2016 ). Yourself Spouse 26. Taxable Income amount from Lines 25Y and 26Y 0 00 26S 0 00.

9 27. Tax. (See tax chart on page 25 of the instructions.).. 27Y 0 00 27S 0 00 Line 27. 28. Resident credit Attach Form MO CR and other states ' Income tax Return (s).. MO-CR 28Y 0 00 28S 0 00 Line 28. 29. missouri Income percentage Enter 100% unless you are completing Form MO-NRI. MO-NRI. Attach Form MO-NRI and a copy of your federal Return if less than 100%.. 29Y 100 % 29S 100 % Line 29. TAX. 30. Balance Subtract Line 28 from Line 27; OR. Multiply Line 27 by percentage on Line 30Y 0 00 30S 0 00. 31. Other taxes (Check box and attach federal form indicated.). Lump sum distribution (Form 4972). Recapture of low Income housing credit (Form 8611).

10 31Y 00 31S 00 Line 31. 32. Subtotal Add Lines 30 and 31 .. 32Y 0 00 32S 0 00. 33. Total Tax Add Lines 32Y and 33 0 00. 34. missouri tax withheld Attach Forms W 2 and 34 00 Line 34. PAYMENTS / CREDITS. Line 35. 35. 2016 missouri estimated tax payments (include overpayment from 2015 applied to 2016 ).. 35 00. Line 36. 36. missouri tax payments for nonresident partners or S corporation shareholders Attach Forms MO-2NR and 36 00. Line 37. 37. missouri tax payments for nonresident entertainers Attach Form 37 00. Line 38. 38. Amount paid with missouri extension of time to file (Form MO-60).. 38 00. Line 39. 39. Miscellaneous tax credits (from Form MO-TC, Line 13) Attach Form MO-TC 39 0 00.