0 0 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80
1 1 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 51
0 0 0 4 4 4 4 0 Department Use Only
0 0 0 5 5 5 5 0 Form Missouri Department of Revenue (MM/DD/YY)
0 0 0 6 6 6 6 0 MO-851 Affiliations Schedule
0 0 0 7 7 7 7 0
0 0 0 8 8 8 8 0
0 0 0 9 9 9 9 0 Taxable Year Beginning Ending
1 1 1 0 0 0 0 1 (MM/DD/YY) (MM/DD/YY)
1 1 1 1 1 1 1 1
1 1 1 2 2 2 2 1 Missouri Tax I.D. Federal Employer
1 1 1 3 3 3 3 1 Number I.D. Number
1 1 1 4 4 4 4 1
1 1 1 5 5 5 5 1 Charter
1 1 1 6 6 6 6 1 Number
1 1 1 7 7 7 7 1
1 1 1 8 8 8 8 1 Name
1 1 1 9 9 9 9 1
2 2 2 0 0 0 0 2 Number and Street City State ZIP Code
2 2 2 1 1 1 1 2 Common Parent Corporation
2 2 2 2 2 2 2 2 This form must be completed by the parent corporation for itself and for corporations in the affiliated group. File Form MO-851 by attaching it to the
2 2 2 3 3 3 3 2 Missouri consolidated tax return for the group.
2 2 2 4 4 4 4 2 Payments
Missouri Tax
2 2 2 5 5 5 5 2 No. Name and Address of Corporation Identification Number Portion of Form Portion of Estimated
2 2 2 6 6 6 6 2 MO-7004 Tax Payment Tax Payments
2 2 2 7 7 7 7 2
2 2 2 8 8 8 8 2 Common Parent Corporation ...............................................................................................
2 2 2 9 9 9 9 2 Subsidiary Corporations:
3 3 3 0 0 0 0 3
3 3 3 1 1 1 1 3 1
3 3 3 2 2 2 2 3 | | | | | | |
3 3 3 3 3 3 3 3 2
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3 3 3 4 4 4 4 3
3 3 3 5 5 5 5 3 3
| | | | | | |
3 3 3 6 6 6 6 3
3 3 3 7 7 7 7 3 4
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3 3 3 8 8 8 8 3
5
3 3 3 9 9 9 9 3 | | | | | | |
4 4 4 0 0 0 0 4
6
4 4 4 1 1 1 1 4 Payments | | | | | | |
4 4 4 2 2 2 2 4 7
4 4 4 3 3 3 3 4 | | | | | | |
4 4 4 4 4 4 4 4 8
4 4 4 5 5 5 5 4 | | | | | | |
4 4 4 6 6 6 6 4 9
4 4 4 7 7 7 7 4 | | | | | | |
4 4 4 8 8 8 8 4 10
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4 4 4 9 9 9 9 4
4 4 4 0 0 0 0 4 11
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5 5 5 1 1 1 1 5
5 5 5 2 2 2 2 5 12
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5 5 5 3 3 3 3 5
5 5 5 4 4 4 4 5 13
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5 5 5 5 5 5 5 5
14
5 5 5 6 6 6 6 5 | | | | | | |
5 5 5 7 7 7 7 5 Additional forms may be used, if necessary.
5 5 5 8 8 8 8 5 Form MO-851 (Revised 12-2016)
5 5 5 9 9 9 9 5 Mail to: Taxation Division Phone:(573) 751-4541 Visit http://www.dor.mo.gov/business/corporate/
5 5 5 0 0 0 0 5 P.O. Box 3365 Fax: (573) 522-1721 for additional information.
Jefferson City, MO 65105-3365 E-mail: corporate@dor.mo.gov
6 6 6 1 1 1 1 6
6 6 6 2 2 2 2 6 *14110001001*
6 6 6 3 3 3 3 6 14110010001
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