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                                                                                                                                                                                           r  Amended Return - Select if filing an amended return.
                                                                                                                                 Form         2025 Farmers’ Cooperative Credit Associations
                                                                                                                                INT-5         Intangible Property Tax Return               r  Federal Extension - Select this box if you have an  
                                                                                                                                                                                            approved federal extension.  
                                                                                                                                                                                            
2025 Taxable year based on the 2024 calendar year income period                                                                                                                                                                                                                               Due date April 15, 2025
Name

Address

City                                                                                                                                                                         State                                                                                                            ZIP Code

Federal Employer Identification Number (FEIN)                                                                                                    County Name                                                                                                                                  County Code
      |        |        |        |        |        |        |        |        

                                                                                                                                  1.  Gross income derived from all sources during 2024 ..............................................................................   1
                                                                                                                                  2.  Gross income derived from notes and mortgages .................................................................................   2

                                                                                                                                  3.  Ratio of Line 2 to Line 1 .........................................................................................................................   3            %
                                                                                                                                  4.  Total dividends declared and credited (whether paid or not) to share accounts of members in 2024 ...   4
                                                                                                                                  5.  Taxable portion of dividends (______________ % Line 3 multiplied by Line 4) ....................................   5
                                                                                                                                  6.  Amount of tax (2% of Line 5) ..................................................................................................................   6
                                                                                                                                   6A. Miscellaneous credits (attach schedule) ..........................................................................................   6A
                                                                                                                                   6B. Enterprise Zone Credit .....................................................................................................................   6B
                                                                Part 1 - Computation of Tax
                                                                                                                                   6C. Missouri tax - Line 6 less Lines 6A and 6B ......................................................................................   6C
                                                                                                                                  7.  Interest for delinquent payment after April 15, 2025 ..............................................................................   7
                                                                                                                                  8.  Total Amount Due ..................................................................................................................................   8

                                                                                                                                 This must be completed — Information is shown on your Real or Personal Property Tax Receipt
                                                                                                                                 Subdivisions                                      Name or Number
                                                                                                                                 County

                                                                                                                                 City or Town

                                                                                                                                 Road District

                                                                                                                                 School District

                                                                                                                                 Library District

                                                                                                                                 Water District

                                                                                                                                 Sewer District

                                                                                                                                 Fire District

                                                                                                                                 Other Districts

                                                                Part 2 - Political Subdivisions Taxing The Reporting Association

                                                                                                                                                                                                                                                                                              Form-INT-5  (Revised 12-2024)

                             This return is to be filed by all Farmers’ Cooperative Credit Associations authorized to do business in Missouri.
                             State of Missouri

                                                             ss

                             County Of ____________________________

                             We, the undersigned ____________________________________________________________________, as President, and

 Part 3 - Attestation        _______________________________________________ , as Secretary of _______________________________________
                             Association, a corporation organized under an Act of Congress known as the Farm Credit Act of 1933 with its principal office 
                             at ______________, Missouri, attest the statements made in the 2024 Farmers’ Cooperative Credit Associations Intangible 
                             Property Tax Return are true; that the principal business of said Association during 2024 was the extension of agricultural credit 
                             to its members; that said Association, by authority of a resolution of its Board of Directors, has elected to absorb and pay these 
                             taxes without charging the same to the accounts of its individual members.

                             Signature of President

                             Signature of Secretary

                             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 ........................................................ r  Yes    r No
                             Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.  
                             Declaration of preparer (other than taxpayer) is based on all information of which he or she has any knowledge.
                             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)
                                                                                 (___ ___ ___)___ ___ ___ ___-               ___ ___ ___ __ __ /__ __ /__ __ __ __
 Authorization and Signature Email Address

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.  

                                                                                                                                            Form INT-5 (Revised 12-2024)
Mail to:  Taxation Division                                        E-mail: fit@dor.mo.gov
                             P.O. Box 898                           
                             Jefferson City, MO 65105-0898         Visit dor.mo.gov/taxation/business/tax-types/finance/ for additional information.
                                                                   Ever served on active duty in the United States Armed Forces?  
Phone: (573) 751-2326                                              If yes, visit dor.mo.gov/military/ to see the services and benefits DOR offers to all eligible military  
Fax: (573) 522-1720                                                individuals, or complete the survey at mvc.dps.mo.gov/MoVeteransInformation/Survey/DOR to  
TTY: (800) 735-2966                                                receive information from the Missouri Veterans Commission. A list of all state agency resources 
                                                                   and benefits can be found at veteranbenefits.mo.gov/state-benefits/.