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                                                                                                          Department Use Only
                         Form                                                                             (MM/DD/YY)
                        MO-BTC        Bank Tax Credit for S Corporation Shareholders
                                                                                                                         Reporting Period
                                                                                                                         (MM/YY)
                         Missouri 
                         Tax I.D.                                                              Federal Employer
                         Number                                                                I.D. Number
                         Social
                         Security
                         Number

             Shareholder Shareholder’s
                         Name

                                                                                                                                                                  ZIP
                         Address                                                              City                                 State                          Code

                         Missouri Tax                                                        Federal Employer
                         I.D. Number                                                         I.D. Number

                         Corporation’s
                         Name
             Corporation
                                                                                                                                                                  ZIP
                         Address                                                              City                                 State                          Code
Bank Tax Credit: Shareholders of S corporations that are banks or bank holding companies, savings & loan associations, and credit institutions are 
allowed to take a tax credit that is equal to their pro rata share of the financial institution tax paid by the S corporation.
If you are filing a joint Missouri Individual Income Tax Return, the Bank Tax Credit will only be applied against the tax liability of the taxpayer listed as a 
shareholder of the S corporation.
 1.  Enter the tax amount from one of the following returns:
                         Bank Franchise Tax Amount (from Form INT-2, Line 21 less Line 22)
                         Savings & Loan Association Tax Amount (from Form INT-3, Line 21)
                         Credit Institution Tax Amount (from Form 2823, Line 23) ..................................................................             1                00

 2.  Enter Ownership Percentage  ............................................................................................................                   2 .
                                                                                                                                                                                 %

 3.  Bank Tax Credit - Multiply Line 1 by Line 2. Enter on the Form MO-TC.
                         If this credit amount exceeds the Missouri income tax liability, the remaining
                         credit may be carried forward 5 years  ............................................................................................... 3                00

                         I am aware of any applicable reporting requirements of Section 135.805 RSMo and the penalty provisions of Section 135.810 RSMo. Pursuant to 
                         Section 105.1500, RSMo, the Department of Revenue is prohibited from requiring any entity exempt from federal income tax under Section 501(c) of the 
                         Internal Revenue Code, or any individual, to provide the Department with any list, record, register, registry, roll, roster, or other compilation of data of any 
                         kind that directly or indirectly identifies a person as a member, supporter, volunteer of, or donor of financial or nonfinancial support to, any entity exempt 
                         from federal income tax under Section 501(c) of the Internal Revenue Code. Nothing in this form should be read or understood as a requirement that you 
                         provide any such information. Notwithstanding any publication, webpage, form, instruction, regulation, or statement shared by the Department, you are 
  Signature              not required to include such information on this form. If you encounter any technical difficulty in submitting this form without including information that you 
                         believe is protected by Section 105.1500, RSMo, feel free to contact the Department by email at corporate@dor.mo.gov or by phone at 573-751-4541.
                         Taxpayer’s Signature                                   Printed Name                                                                    Date (MM/DD/YYYY)
                                                                                                                                                                __ __ / __ __ / __ __ __ __
Attach your completed Form MO-BTC with your Missouri Income Tax Return.  Also enclose Form MO-TC, copies of Federal Schedule K-1, and a copy 
of one of the following returns: Missouri Bank Franchise Tax Return, Savings & Loan Association Tax Return, or Credit Institutions Tax Return.
                                                                                                                                                                Form MO-BTC  (Revised 12-2023)
Mail to:   Taxation Division                                                    E-mail: taxcredit@dor.mo.gov
                           P.O. Box 27                                          Visit dor.mo.gov/tax-credits/btc.html for additional information.
                           Jefferson City, MO 65105-0027
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