Fillable Printable Form 2823 2016 Credit Institution Tax Return
Fillable Printable Form 2823 2016 Credit Institution Tax Return

Form 2823 2016 Credit Institution Tax Return

1. Federal taxable income (loss) from Federal Forms 1120, Line 28 or 1120S, Line 21 or
Form 1065, Line 22 or Schedule C, Line 31 ............................................................................ 1 
2. Income from state or political subdivision obligations not included in federal income
(explain if different from tax-exempt interest on the federal return) ......................................... 2 
3. Income from federal government securities not included in federal income ............................ 3
4. Charitable contribution claimed on federal return (attach schedule) ........................................ 4
5. Bad debt claimed on federal return ( rReserve method rDirect write-off method 
rOther _____________________) ....................................................................................... 5
6. Net bad debt recoveries ........................................................................................................... 6
7. Missouri Credit Institution tax deducted on federal return ........................................................ 7
8. Taxes deducted on federal return, claimed as credits on this return
 (must be detailed on Schedule A or attachment) .................................................................... 8
9. Other additions (attach detailed schedule)............................................................................... 9
10. Total of Lines 1 through 9 ........................................................................................................ 10 
Form
2823
Missouri Department of Revenue
2016 Credit Institution Tax Return
Part 1 - Additions
A copy of the federal return and supporting schedules must be attached to this return.
During this taxable year, have you been notied of a change in your federal net income or federal income
taxes for any period? (If yes, submit schedule of changes)
 .........................................................................................r Yes r No
Part 2 - Deductions
 | | | | | | | | 
2017 taxable year based on the 2016 calendar year income period Due date April 18, 2017
Name
Address
City State Zip Code
Federal Employer Identification Number (FEIN) County Name County Code
11. Net bad debt charge offs .......................................................................................................... 11
12. Federal income tax deduction (see instructions)...................................................................... 12
13. Other deductions (attach detailed schedule)............................................................................ 13
14. Total of Lines 11, 12, and 13.................................................................................................... 14
15. Total income before charitable contribution deduction (Line 10 less Line 14) ......................... 15
16. Charitable contribution deduction (limit is 5% of Line 15) ........................................................ 16
17. Port Cargo Expansion deduction  ............................................................................................ 17
18. International Trade Facility deduction  ..................................................................................... 18
19. Qualified Trade Activities deduction  ........................................................................................ 19
20. Taxable income (Line 15 less Line 16, 17, 18, and 19) ........................................................... 20
21. Tax at 7% of Line 20 ................................................................................................................ 21 
22. Less credits from Line 8 ........................................................................................................... 22
23. Tax due .................................................................................................................................... 23
24A. Less tentative payment or amount previously paid .................................................................. 24A
24B. Overpayment of previous year’s tax......................................................................................... 24B
24C. Miscellaneous credits (attach schedule and approved authorizations) .................................... 24C
24D. Enterprise Zone Credit (attach certificate of eligibility) ............................................................. 24D
25. Balance due or overpaid .......................................................................................................... 25
26. Interest for delinquent payment after April 18, 2017 (see instructions) ................................... 26
27. Total amount due or overpayment to be refunded (Line 25 plus Line 26) ............................... 27 
Part 3 - Computation of Tax
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Print Form

Mail to:Taxation Division Phone: (573) 751-2326 
P.O. Box 898 Fax: (573) 522-1721
Jefferson City, MO 65105-0898 TTY: (800) 735-2966
E-mail:[email protected]
Visit //dor.mo.gov/business/finance/
for additional information.
Form 2823 (Revised 12-2016)
Description (Do not list tangible personal property tax on leased property) Amount
Schedule A - Taxes Claimed as Credits
1. List all Missouri offices or locations for which this return is made. Indicate the complete address of each office or location. 
Include the percentage of gross income of each office or location to the total income of the company in Missouri. (Attach a 
separate page if additional space is needed.)
2. Is this return made on the basis of actual receipts and disbursements? If not, describe fully what other basis or method 
was used in computing net income. 
3. What is the principal source of income?
4. If the business is a pawnbroker, what percent of the total business is your loan business?
Complete Additional Information
Authorization and Signature
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to 
the best of my knowledge and belief, it is true, complete, and correct. Declaration of preparer (other than taxpayer) is based on 
all information of which he or she has any knowledge.
Total (Enter on Lines 8 and 22, Page 1)
I authorize the Director of Revenue or delegate to discuss my return and attachments with the preparer or any 
member of his or her firm, or if internally prepared, any member of the internal staff
 ............................................rYesrNo
Signature of Officer (Required) Title of Officer Phone Number Date (MM/DD/YYYY) 
(___ ___ ___)___ ___ ___-___ ___ ___ ___ __ __ /__ __ /__ __ __ __
Preparer’s Signature (Including Internal Preparer) Preparer’s FEIN, SSN, or PTIN Phone Number Date (MM/DD/YYYY)
 (___ ___ ___)___ ___ ___-___ ___ ___ ___ __ __ /__ __ /__ __ __ __
Make check or money order payable to “Missouri Department of Revenue”. Mail completed form and attachments to the address below. 
If you pay by check, you authorize the Department of Revenue to process the check electronically. Any returned check may be presented 
again electronically. 

Section 148.120 – 148.230, RSMo
This information is for guidance only and does not state the complete law.
The Form 2823 must be completed and filed by April 18, 2017 
(tax becomes delinquent after this date and is subject to interest).
An extension of time to file this return may be obtained from 
the Department of Revenue upon written request. Such
request should indicate the extension period requested,
the reason for the request and must be accompanied by a
tentative return and payment for the estimated tax due.
An extension of time to file the return does not extend the
time for payment of the tax. An extension of time may
not exceed 180 days from the due date (April 18) pursuant to
Regulation 12 CSR 10-10.090.
Filing Requirement — Every person, firm, partnership, or
corporation engaged principally in the consumer credit or loan
business in the making of loans of money, credit, goods,
or things in action, or in the buying, selling or discounting of,
or investing in, negotiable or non-negotiable instruments given 
as security for or in payment of the purchase price of consumer 
goods exercising such franchise within the state of Missouri, 
but shall not include real estate mortgage loan companies,
banks, trust companies, credit unions, insurance companies, 
mutual savings and loans associations and savings and loan 
associations.
Credit Institution Tax Return — If any taxpayer shall operate 
more than one office in Missouri, the taxpayer shall file one 
return giving the address of each such office and allocating to 
each office its share of the net income of the taxpayer in the 
ratio that the gross receipts of that office bears to the total gross 
receipts of the taxpayer. 
County Code — Enter your three digit county code of the
principal place of your institution from the list provided at the end 
of these instructions. 
Part 1
Line 1Taxpayers that are members of an afliated group ling 
a consolidated federal income tax return shall compute federal 
taxable income as if a separate federal tax return had been 
led.A pro forma federal return or appropriate schedules should
then be attached together with a copy of pages 1 through 4 of the 
consolidated federal income tax return.
Line 2
Enter all income received on state or political subdivision 
obligations excluded from the federal return. This income is 
taxable on this return. Explain if different from tax-exempt interest 
shown on the federal return.
Line 3
Enter all income received on federal securities excluded 
from the federal return (e.g., non-taxable portion Federal Reserve 
Bank dividends). This income is taxable on this return.
Line 4
Enter the charitable contribution deduction claimed on the 
federal return.
Line 5
Enter the bad debt claimed on the federal return or any
additions to a bad debt reserve claimed as a de duc tion on the 
federal return. (The reserve method is not a permissible method 
on this return.) In the appropriate box, indicate the bad debt 
method used on the federal return.
Line 6
Enter the excess, if any, of recoveries of bad debts 
previously charged off over current year charge offs. Attach
schedule of bad debt computation.
Line 7
Enter any Missouri Credit Institution tax deducted on the 
federal return. This is not an allowable deduction on this return.
Line 8
Enter here and on Line 22 taxes to be claimed as credits 
on this return. All taxes paid directly to the state of Missouri or 
any political subdivision thereof are eligible except taxes on real 
estate, unemployment taxes, credit institution tax, and taxes on 
tangible personal property owned by the taxpayer and held for 
lease or rental to others. Show detail on Schedule A.
Attach schedule of taxes deducted on federal Form 1120, Line 
17 or Form 1120S, Line 12 or Form 1065, Line 14 or Form 1040, 
Schedule C, Line 23 for verication purposes.
An accrual basis taxpayer that is a member of an afliated group 
ling a consolidated Missouri income tax return shall allocate a 
portion of the consolidated Missouri income tax liability for the 
year by multiplying such liability by a fraction, the numerator of 
which is the separate Missouri taxable in come of such member, 
and the denominator of which is the sum of the separate Missouri 
taxable incomes of all members having Missouri taxable income 
for the year.
A cash basis taxpayer that is a member of an afliated group 
ling a consolidated Missouri income tax return shall allocate 
each component of the consolidated Missouri income tax paid 
(or refunded) during the year by multiplying each component 
by a fraction, the numerator of which is the separate Missouri 
taxable income of such member for the applicable year, and the 
denominator of which is the sum of the separate Missouri taxable 
incomes of all members having Missouri taxable income for the 
applicable year.
In the computation of separate Missouri taxable income, each 
member of a group ling a consolidated Missouri income tax 
return shall start with its separate federal taxable income as 
computed pursuant to the method applicable to the group under 
Treasury Regulation 1.1552-1. The amount of the federal income 
tax deduction of each member under Section 143.171.1, RSMo, 
shall be that portion of the actual federal consolidated income tax 
liability of the group as is required to be allocated to such member 
under Internal Revenue Code Section 1552 without regard to any 
additional allocations under Treasury Regulation 1.1502-33(d).
Line 9 Enter deductions claimed on the federal return which 
are not allowable on this return and income not included on the 
federal return which is required to be included on this return (attach 
schedule). Include all income shown on federal Form 1120S, 
Schedule K, Lines 2-10. The environmental tax under Section 59A 
of the Internal Revenue Code must be added back to income.
Line 10
 Enter the total of Lines 1 through 9.
Missouri Department of Revenue
General Instructions - 2016 Credit Institution Tax Return
Instructions

Part 2
Line 11Enter the excess, if any, of bad debt charge offs over 
current year recoveries. Attach schedule of bad debt computation.
Line 12 Enter the current year deduction for federal income tax 
related to the Credit Institution tax. The current year deduction will 
be the amount actually accrued (if an accrual basis taxpayer) or 
paid (if a cash basis taxpayer) during the year. Attach a schedule 
of the computation.
Accrual basis taxpayers that are members of an afliated group 
ling a consolidated federal income tax return shall allocate a 
portion of the consolidated federal tax liability for the year by using 
the same method used by the group under Internal Revenue 
Code Section 1552 without regard to any additional allocations 
under Treasury Regulation 1.1502-33(d).
Cash basis taxpayers that are members of an afliated group 
ling a consolidated federal income tax return shall allocate each 
component of the consolidated federal tax paid (or refunded) 
during the year by using the same method used by the group 
under Internal Revenue Code Section 1552 for the applicable 
year without regard to any additional allocations under Treasury 
Regulation 1.1502-33(d).
Line 13 Enter the total amount of any deduction claimed on this 
return and not included on the federal return. These deductions 
must be itemized on a schedule attached to this return.
Line 14 Enter the total of Lines 11 through 13.
Line 15 Subtract Line 14 from Line 10 and enter amount. If “loss”, 
indicate by brackets “( )” and enter “none” on Line 21.
Line 16 Enter the charitable contribution claimed on this return. 
The contribution deduction is limited to 5% of taxable income 
before the contribution deduction. Only current year contributions 
are allowed. Attach a schedule.
Line 17 Enter the amount of the Port Cargo Expansion deduction 
approved by the Missouri Department of Economic Development. 
Attach a copy of the certicate authorizing the deduction.
Line 18 Enter the amount of the International Trade Facility 
deduction approved by the Missouri Department of Economic 
Development. Attach a copy of the certicate authorizing the 
deduction.
Line 19Enter the amount of the Qualied Trade Activities 
deduction approved by the Missouri Department of Economic 
Development. Attach a copy of the certicate authorizing the 
deduction. The amount of the deduction cannot exceed fty 
percent (50%) of Line 10. 
Line 20 Subtract Line 16, 17, 18 and 19 from Line 15 and enter 
amount.
Part 3
Line 21 Multiply the taxable income amount on Line 20 by 7% 
and enter the amount.
Line 22 Enter the amount from Line 8.
Line 23 Subtract Line 22 from Line 21 and enter amount. If 
amount on Line 22 exceeds amount on Line 21, enter “none”.
Line 24A Enter the amount of tentative payment, if applicable.
Line 24B Enter overpayment of previous year’s tax. 
Line 24C Enter the amount of tax credits claimed from the list 
below. Attach a schedule listing the amounts for each tax credit. A 
copy of the approved authorization must be attached to the return. 
Line 24D Enter the approved Enterprise Zone Credit claimed.
To be eligible for this credit, you must use the percentage from the 
second paragraph of the Department of Economic Development 
(DED) certication letter and attach this to the return. Compute 
the allowable Enterprise Zone Credit using the greater of the 
following two methods.
1. Line 20 (taxable income) x DED percentage of income x 7% 
 or
2. Line 21 (tax liability) x DED percentage of tax
Line 25 Subtract Lines 24A through 24D from Line 23.
Line 26 Calculate interest for period which tax payment is 
delinquent. Interest should be calculated from the due date of 
April 18 through date of payment at the annual rate. The annual 
interest rate can be obtained from the Department’s website at: 
//dor.mo.gov/intrates.php.
Line 27 Enter the total of Lines 25 and 26. If a balance due, submit
this amount. 

Form 2823 Instructions (Revised 12-2016)
Taxation Division Phone: (573) 751-2326 
P.O. Box 898 TTY: (800) 735-2966
Jefferson City, MO 65105-0898 Fax: (573) 522-1721
E-mail:[email protected]
Visit //dor.mo.gov/business/finance/
for additional information.
Affordable Housing Assistance 
Agricultural Products Utilization 
Alternative Fuel Infrastructure
Bond Enhancement
Brownfield “Jobs and Investment” 
Business Use Incentives for
 Large-scale Development (BUILD)
Demolition 
Development Reserve
Developmental Disability Care Provider
Distressed Areas Land Assemblage
Export Finance 
Family Development Account 
Family Farms Act
Film Production
Historic Preservation 
Infrastructure Development
Innovation Campus 
Maternity Home
Missouri Low Income Housing
Missouri Quality Jobs
Missouri Works
Neighborhood Assistance
New Enhanced Enterprise Zone
New Enterprise Creation
New Generation Cooperative 
New Market
Pregnancy Resource 
Rebuilding Communities
Rebuilding Communities and
Neighborhood Preservation Act 
Remediation 
Residential Treatment Agency
Shelter for Victims of Domestic 
 Violence 
Small Business Incubator 
Small Business Investment
Special Needs Adoption 
Sporting Contribution
Sporting Event
Youth Opportunities 
Available Tax Credits
Code County Code County Code County Code County Code County
001 Adair 047 Clay 093 Iron 139 Montgomery 185 St Clair
003 Andrew 049 Clinton 095 Jackson 141 Morgan 187 St Francois
005 Atchison 051 Cole 097 Jasper 143 New Madrid 189 St Louis County
007 Audrain 053 Cooper 099 Jefferson 145 Newton 193 Ste Genevieve
009 Barry 055 Crawford 101 Johnson 147 Nodaway 195 Saline 
011 Barton 057 Dade 103 Knox 149 Oregon 197 Schuyler
013 Bates 059 Dallas 105 Laclede 151 Osage 199 Scotland
015 Benton 061 Daviess 107 Lafayette 153 Ozark 201 Scott
017 Bollinger 063 Dekalb 109 Lawrence 155 Pemiscot 203 Shannon
019 Boone 065 Dent 111 Lewis 157 Perry 205 Shelby
021 Buchanan 067 Douglas 113 Lincoln 159 Pettis 207 Stoddard
023 Butler 069 Dunklin 115 Linn 161 Phelps 209 Stone
025 Caldwell 071 Franklin 117 Livingston 163 Pike 211 Sullivan
027 Callaway 073 Gasconade 119 McDonald 165 Platte 213 Taney
029 Camden 075 Gentry 121 Macon 167 Polk 215 Texas
031 Cape Girardeau 077 Greene 123 Madison 169 Pulaski 217 Vernon
033 Carroll 079 Grundy 125 Maries 171 Putnam 219 Warren
035 Carter 081 Harrison 127 Marion 173 Ralls 221 Washington
037 Cass 083 Henry 129 Mercer 175 Randolph 223 Wayne
039 Cedar 085 Hickory 131 Miller 177 Ray 225 Webster
041 Chariton 087 Holt 133 Mississippi 179 Reynolds 227 Worth
043 Christian 089 Howard 135 Moniteau 181 Ripley 229 Wright
045 Clark 091 Howell 137 Monroe 183 St Charles 510 St Louis City
County Codes



