Missouri Tax Form MO-8453 - Declaration For Electronic Filing Instructions

General Informations

NAME, ADDRESS, AND SOCIAL SECURITY NUMBER

If the taxpayer received an Income Tax Instruction Book, check to see that the information on the label is correct. If all information is correct, use the label on the Form MO8453. The address must match the address shown on the electronically filed Form MO1040.

PART 1 — TAX RETURN INFORMATION

Line 1 — Enter the federal adjusted gross income from Form MO1040, Line 1.

Line 2 — Enter the Missouri tax from Form MO1040, Line 31.

Line 3 — Enter the amount of refund, if any, from Form MO1040, Line 46.

Line 4 — Enter the amount you owe, if any, from Form MO1040, Line 49.

PAYMENT OF BALANCE DUE

Payment of tax due must be made by April 15, 2009, in order to avoid additions to tax and interest. The taxpayer must submit Form MO1040V with payment. You may pay online at www.dor.mo.gov or by calling (888) 9290513 to pay with a major credit card.

PART 2 — DECLARATION OF TAXPAYER

Please check appropriate Direct Deposit box. The Form MO8453 must be signed by the taxpayer(s).

PART 3 — DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER

The Form MO8453 must be signed by the ERO. A paid preparer must sign in the space provided for “Paid Preparer Use Only”, unless the paid preparer is also the ERO, then only the “ERO Use Only” space should be completed and the paid preparer box checked.

Form MO8453 and supporting documentation (Form W2s, other state’s returns, etc.) must be retained by the ERO or by the taxpayer if filed over the Internet. DO NOT MAIL!