Missouri Department of Revenue                                        Department Use Only
                                   Form        Authorization and Consent of Subsidiary                               (MM/DD/YY)
                                   MO-22       Corporation to be Included in a Missouri 
                                               Consolidated Income Tax Return

                                        Taxable Year Beginning                                                       Ending
                                                     (MM/DD/YY)                                                      (MM/DD/YY)

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

                                   Charter                                                                                       *14109010001*
                                   Number                                                                                                    14109010001

                                   Date Incorporated                          Place 
                                   (MM/DD/YY)                                 Incorporated
                                                                                                                                                     
                                   Kind of 
                                   Business                                                                                                              Active             Inactive 

                                   Name of Common 
                                   Parent Corporation

                                   Address                                          City                                                     State              ZIP

         Common Parent Corporation For the first year a Missouri consolidated income tax return is filed, this form must be attached to Form MO-1120 for each subsidiary. After the first 
                                   year, this form is only required of any additional affiliation to the group. 
                                   Will a federal consolidated return election be in effect for the taxable year of this consent with respect to the group with 
                                   which the subsidiary corporation is affiliated? ................................................................................................................................ Yes No
                                               If the answer is No, the group is not entitled to file a Missouri consolidated income tax return and this form should not be filed.
                                   Has the subsidiary corporation filed Missouri returns in prior years as part of an affiliated group filing a consolidated return? ..... Yes                                          No
                                   Has the subsidiary corporation filed Federal returns in prior years as part of an affiliated group filing a consolidated return? ...... Yes                                          No
                                   If the answer to either question is Yes, attach a schedule of the year(s) in which such returns were filed and name(s) of the parent corporation and 
                                   all affiliated members of the group.

                                   Corporation 
                                   Name

                                   Address                                          City                                                     State              ZIP

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

The subsidiary corporation named above hereby authorizes: (a) the common parent corporation named above to make a Missouri consolidated income 
tax return on its behalf for the taxable year for which this form is filed; and (b) the common parent corporation (or, in the event of its failure, the Director 
of Revenue or his or her delegate) to make a Missouri consolidated income tax return on its behalf for each taxable year thereafter for which a Missouri 
consolidated income tax return is or must be made by the affiliated group under the provisions of the Missouri consolidated return regulations.
The subsidiary corporation, in consideration of the privilege of joining in the making of a consolidated return with the common parent corporation, hereby 
consents to and agrees to be bound by the provisions of the Missouri income tax law and regulations, agrees that the tax shall be computed on the 
Missouri consolidated taxable income of the group and consents and agrees that the liability with respect to such tax shall be joint and several.
                                   Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I also declare that 
                                   the subsidiary named above has authorized me to sign this form on its behalf, and that this form has been examined by me and the information 
                                   contained herein is, to the best of my knowledge and belief, true, correct, and complete.
                                   Signature                                                                    Title
         Signature
                                   Printed                                                                                       Date Signed 
                                   Name                                                                                          (MM/DD/YY)

                                                                                                                                                                Form MO-22  (Revised 12-2016)
                                                                       Balance Due:                                                          Refund or No Amount Due:
Attach to Form MO-1120 and mail to                                     P.O. Box 3365                                                         P.O. Box 700 
the Missouri Department of Revenue.                                    Jefferson City, MO 65105-3365                                         Jefferson City, MO 65105-0700