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Missouri Free Printable MO-1040A 2021 Individual Income Tax Return Single/Married (One Income) for 2022 Missouri Single/Married with One Income Tax Return

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Single/Married with One Income Tax Return
MO-1040A 2021 Individual Income Tax Return Single/Married (One Income)

Form 2021 Individual Income Tax Return Single/Married (One Income) MO-1040A Print in BLACK ink only and DO NOT STAPLE. For Privacy Notice, see Instructions. Federal Extension - Select this box if you have an approved federal extension. Attach a copy Federal Extension (Form 4868). Vendor Code Department Use Only Filing Status 0 0 1 Claimed as a Dependent Single Age 65 or Older Select the appropriate boxes that apply. Yourself Married Filing Separately Married Filing Combined Blind Spouse Yourself Head of Household 100% Disabled Spouse Yourself Spouse Qualifying Widow(er) Non-Obligated Spouse Yourself Spouse Deceased Deceased Social Security Number - in 2021 in 2021 Spouse’s Social Security Number - - - Last Name Suffix Spouse’s First Name M.I. Spouse’s Last Name Suffix Name First Name M.I. In Care Of Name (Attorney, Executor, Personal Representative, etc.) Attach form if applicable. Address Present Address (Include Apartment Number or Rural Route) State City, Town, or Post Office ZIP Code _ County of Residence You may contribute to any one or all of the trust funds on Line 15. See instructions for more trust fund information. Children’s Trust Fund Veterans Trust Fund Elderly Home Missouri Delivered Meals National Guard Trust Fund Trust Fund Workers LEAD Workers’ Memorial Fund Childhood Lead Testing Fund General Revenue Missouri Military Family Relief Fund General Revenue Fund *21334010001* 21334010001 Kansas City Regional Law Soldiers Enforcement Memorial Military Organ Donor Memorial Museum in Program Fund Foundation Fund St. Louis Fund Income Deductions Tax Refund 1. Federal adjusted gross income from federal return (see page 6 of the instructions) . . . . . . . . . . . . . . . . . 1 . 00 2. Any state income tax refund included in federal adjusted gross income . . . . . . . . . . . . . . . . . . . . . 2 . 00 3. Total Missouri adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . 00 4a. Tax from federal return. Do not enter federal income tax withheld. 4a . 4b. Federal tax percentage – Enter the percentage based on your Missouri Adjusted Gross Income, Line 3. Use the chart below to find your percentage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b % 00 Missouri Adjusted Gross Income Range, Line 3: Federal Tax Percentage: $25,000 or less......................................................................... 35% $25,001 to $50,000.................................................................. 25% $50,001 to $100,000................................................................15% $100,001 to $125,000............................................................... 5% $125,001 or more...................................................................... 0% 4c. Federal income tax deduction – Multiply Line 4a by the percentage on Line 4b. Enter this amount not to exceed $5,000 for an individual or $10,000 for combined filers . . . . . . . . . . . 4c . 00 5. Missouri standard deduction or itemized deductions. • Single or Married Filing Separate - $12,550 • Head of Household - $18,800 • Married Filing Combined or Qualifying Widow(er) - $25,100 If age 65 or older, blind, or claimed as a dependent, see federal return or page 6. If itemizing, see page 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . 00 6. Long-term care insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . 00 7. Total Deductions - Add Lines 4c through 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . 00 8. Missouri Taxable Income - Subtract Line 7 from Line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 . 00 9. Tax - Use the tax chart on page 10 to figure the tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 . 00 10. Missouri tax withheld from Form(s) W-2 and 1099. Attach copies of Form(s) W-2 and 1099 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 . 00 11. Missouri estimated tax payments made for 2021. Include overpayment from 2020 applied to 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 . 00 12. Total Payments - Add Lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 . 00 13. If Line 12 is more than Line 9, enter the difference. This is your overpayment. If Line 12 is less than Line 9, skip to Line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 . 00 14. Amount from Line 13 that you want applied to your 2022 estimated tax . . . . . . . . . . . . . . . . . . . . 14 . 00 15. Enter the amount of your donation in the trust fund boxes below (see instructions for trust fund codes.) 15a. Children’s Trust Fund . 00 15b. Veterans Trust Fund . 00 15c. Elderly Home Delivered Meals Trust Fund . 00 15d. Missouri National Guard Trust Fund . 00 15e. Workers’ Memorial Fund . 00 15f. Childhood Lead Testing Fund . 00 15g. Missouri Military Family Relief Fund . 00 15h. General Revenue Fund . 00 *21334020001* 21334020001 Refund (continued) 15i. Organ Donor Program Fund 15l. Additional Fund Code . 00 15j. Kansas City Regional Law Enforcement Memorial Foundation Fund Additional Fund Amount . 00 00 15k. Additional Fund 15m. Code Soldiers Memorial Military Museum in St. Louis Fund Additional Fund Amount 00 . 00 Total Donation - Add amounts from Boxes 15a through 15m and enter here . . . . . . . . . . . . . . . . 15 . 00 16. Amount from Line 13 to be deposited into a Missouri 529 Education Plan (MOST) account. Enter amount from Line E of Form 5632 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 . 00 17. REFUND - Subtract Lines 14, 15, and 16 from Line 13 and enter here . . . . . . . . . . . . . . . . . . . . . 17 . 00 18. AMOUNT DUE - If Line 12 is less than Line 9, enter the difference here . . . . . . . . . . . . . . . . . 18 . 00 Amount Due Reserved If you pay by check, you authorize the Department to process the check electronically. Any returned check may be presented again electronically. 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, correct, and complete. By signing or entering my name in the “Signature” field(s) below, I am providing the Department of Revenue with my signature as required under Section 143.561, RSMo. Declaration of preparer (other than taxpayer) is based on all information of which he or she has knowledge. As provided in Chapter 143, RSMo., a penalty of up to $500 shall be imposed on any individual who files a frivolous return. I also declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption, credit, or abatement if I employ such aliens. Signature Date (MM/DD/YY) Spouse’s Signature (If filing combined, BOTH must sign) Date (MM/DD/YY) E-mail Address Daytime Telephone Preparer’s Signature Date (MM/DD/YY) Preparer’s FEIN, SSN, or PTIN Preparer’s Telephone Preparer’s Address State ZIP Code I authorize the Director of Revenue or delegate to discuss my return and attachments with the preparer or any member of the preparer’s firm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Did you pay a tax return preparer to complete your return, but the preparer failed to sign the return or provide an Internal Revenue Service preparer tax identification number? If you marked yes, please insert the preparer’s name, address, and phone number in the applicable sections of the signature block above . . . . . . Yes No Department Use Only A FA E10 DE . F *21334030001* 21334030001 •  Complete this section only if you itemized deductions on your federal return (see the information on pages 6 and 8). •  Attach a copy of your Federal Form 1040 or 1040-SR (pages 1 and 2) and Federal Schedule A. •  If you are subject to “additional Medicare tax”, attach a copy of Federal Form 8959. Missouri Itemized Deductions 1. Total federal itemized deductions (from Federal Form 1040 or 1040-SR, Line 12a) . . . . . . . . . . . 1 . 00 2. 2021 Social security tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 . 00 3. 2021 Railroad retirement tax (Tier I and Tier II) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . 00 4. 2021 Medicare tax (see instructions on page 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . 00 5. 2021 Self-employment tax (see instructions on page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . 00 6 6. Total - Add Lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. State and local income taxes from Federal Schedule A, 7 Line 5a or Enter $0 if completing the worksheet below . . . . . . . . . . . 00 . 00 . 00 . 00 1. Enter the sum of your state and local taxes on Federal Form 1040 or 1040-SR, Schedule A, Line 5d.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . 00 2. State and local income taxes from Federal Form 1040 or 1040-SR, Schedule A, Line 5a. . . . . . . . . 2 . 00 3. Earnings taxes included on Federal Form 1040 or 1040-SR, Schedule A, Line 5a . . . . . . . . . . 3 . 00 4. Subtract Line 3 from Line 2.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . 00 8. Earnings taxes included in Line 7 (see instructions on page 9) . . . . . 8 00 9. Net state income taxes - Subtract Line 8 from Line 7 or enter Line 7 from worksheet below . . . . . 9 10. Missouri Itemized Deductions - Subtract Line 9 from Line 6. Enter here and on Form MO-1040A, 10 Line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Worksheet for Net State Income tax, Line 9 of Missouri Itemized Deductions Note: If Line 10 is less than your federal standard deduction, see information on page 6. Complete this worksheet only if your total state and local taxes included in your federal itemized deductions (Federal Schedule A, Line 5d) exceeds $10,000 (or $5,000 for married filing separate taxpayers). 5. Divide Line 4 by Line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 % 6. Enter $10,000 ($5,000 if married filing separately). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . 00 7. Multiply Line 6 by percentage on Line 5. Enter here and on Missouri Itemized Deductions, Line 9, above. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . 00 *21334040001* 21334040001 Form MO-1040A (Revised 12-2021) Mail to: Balance Due: Refund or No Amount Due: Missouri Department of Revenue Missouri Department of Revenue P.O. Box 329 P.O. Box 500 Jefferson City, MO 65105-0329 Jefferson City, MO 65105-0500 Phone: (573) 751-5860 Phone: (573) 751-3505 Visit dor.mo.gov/taxation/individual/tax-types/income/ for additional information. Fax: (573) 522-1762 Email: [email protected] Ever served on active duty in the United States Armed Forces? If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all eligible military individuals. A list of all state agency resources and benefits can be found at veteranbenefits.mo.gov/state-benefits/.
Extracted from PDF file 2021-missouri-form-mo-1040a.pdf, last modified December 2021

More about the Missouri Form MO-1040A Individual Income Tax Tax Return TY 2021

We last updated the Single/Married with One Income Tax Return in January 2022, so this is the latest version of Form MO-1040A, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form MO-1040A directly from TaxFormFinder. You can print other Missouri tax forms here.

Related Missouri Individual Income Tax Forms:

TaxFormFinder has an additional 61 Missouri income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Missouri Form MO-1040A.

Form Code Form Name
Form MO-1040A_INS Information and forms to Complete MO-1040A

Download all MO tax forms View all 62 Missouri Income Tax Forms


Form Sources:

Missouri usually releases forms for the current tax year between January and April. We last updated Missouri Form MO-1040A from the Department of Revenue in January 2022.

Show Sources >

Form MO-1040A is a Missouri Individual Income Tax form. Like the Federal Form 1040, states each provide a core tax return form on which most high-level income and tax calculations are performed. While some taxpayers with simple returns can complete their entire tax return on this single form, in most cases various other additional schedules and forms must be completed, depending on the taxpayer's individual situation, to create a complete income tax return package.

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Missouri Form MO-1040A

We have a total of ten past-year versions of Form MO-1040A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form MO-1040A

MO-1040A 2021 Individual Income Tax Return Single/Married (One Income)

2020 Form MO-1040A

MO-1040A 2020 Individual Income Tax Return Single/Married (One Income)

2019 Form MO-1040A

2019 Individual Income Tax Return Single/Married (One Income)

2018 Form MO-1040A

2018 Individual Income Tax Return Single/Married (One Income)

2017 Form MO-1040A

2017 Individual Income Tax Return Single/Married (Form MO-1040A)

2016 Form MO-1040A

2016 Individual Income Tax Return Short Form MO-1040A

2015 Form MO-1040A

MO-1040A Single/Married (Income from one spouse) short form

2012 Form MO-1040A

MO-1040A Fillable Calculating


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