PDF document
- 1 -
                                                                                             Department Use Only
                        Form       2022  MOST  -  Missouri’s  529  Education  Plan           (MM/DD/YY)
                                   Direct Deposit Form - Individual Income Tax
5632

                        Social Security Number                                      Spouse’s Social Security Number

                                   -               -                                                   -           -
                        First Name                                   M.I. Last Name                                                   Suffix

           Taxpayer
                        Spouse’s First Name                          M.I. Spouse’s Last Name                                          Suffix

                        If you want to deposit your refund as a contribution to one or more Missouri MOST 529 Education Plan accounts:
                          •  You must have an open Missouri MOST 529 Education Plan account that is administered by the Missouri Education Program.  
                            See the contact information below.
                          •  Your total deposit must be at least $25.
                          •  If your overpayment is adjusted and the amount you requested to deposit exceeds your available refund, the Department will  
           Requirements     cancel your deposit and issue a refund to you.
                          •  If your refund is offset to pay another debt, the Department will cancel your deposit.

                        Enter the 11-digit MOST 529 account number and the amount you want contributed to each account. (You may contribute to a 
                        maximum of four accounts.) 

                        A) Account Number                                                                          A) Amount

                                                                                    -                                                                             . 00
                        B) Account Number                                                                          B) Amount

                                                                                    -                                                                             . 00
                        C) Account Number                                                                          C) Amount
           529 Account
                                                                                    -                                                                             . 00
                        D) Account Number                                                                          D) Amount

                                                                                    -                                                                             . 00
                                                                                                                   Total Deposit
                        Add the amounts from Line A through Line D and enter the total deposit amount here 
                        and on Form MO-1040, Line 51 or Form MO-1040A, Line 17.......................                                                             . 00

                                                                          Contact Information
MOST-Missouri’s 529 Education Plan                                   Ever served on active duty in the United States Armed Forces?  
missourimost.org                                                     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 
Telephone:  (888) 414-6678                                                                                 .
                                                                     veteranbenefits.mo.gov/state-benefits/
E-mail:  most529@missourimost.org
If you wish to deposit all or a portion of your refund into a Missouri MOST 529 Education Plan, you must include this form with your
Missouri Individual Income Tax Return.
                                                                                                                                Form 5632 (Revised 12-2022)
Taxation Division
                                                              *22348010001*
                                                                          22348010001






PDF file checksum: 1803450868

(Plugin #1/9.12/13.0)