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      0 0 0  4 4 4 4 0                                                                                                                     Department Use Only
      0 0 0  5 5 5 5 0                       Form                                                                                          (MM/DD/YY)
      0 0 0  6 6 6 6 0                       MO-TF         Missouri Tax Credit Transfer Form
      0 0 0  7 7 7 7 0 
      0 0 0  8 8 8 8 0 
      0 0 0  9 9 9 9 0 
                           Assignor                                                                                             Assignor 
      1 1 1  0  0  0  0  1 Missouri Tax I.D.                                                                                    Federal Employer 
      1 1 1  1 1 1 1 1     Number                                                                                               I.D. Number
      1 1 1  2 2 2 2 1 
                           Assignor 
      1 1 1  3 3 3 3 1     Social Security 
      1 1 1  4 4 4 4 1     Number
      1 1 1  5 5 5 5 1 
      1 1 1  6 6 6 6 1                       Name
      1 1 1  7 7 7 7 1 
      1 1 1  8 8 8 8 1                       Contact Person                                                                     Title
      1 1 1  9 9 9 9 1 
      2 2 2  0 0 0 0 2                       Address                                                City                                                      State          ZIP Code
      2 2 2  1 1 1 1 2         Assignor
      2 2 2  2 2 2 2 2 
                                             Telephone Number                           Fax Number                                         E-mail
      2 2 2  3 3 3 3 2 
      2 2 2  4 4 4 4 2                       (___ ___ ___) ___ ___ ___- ___ ___ ___ ___ (___ ___ ___) ___ ___ ___-___ ___ ___ ___

      2 2 2  5 5 5 5 2     The Missouri Tax Credit Transfer Form (MO-TF) must be used when transferring any transferable Missouri tax credits listed on page 2.  
      2 2 2  6 6 6 6 2     Submit a separate Form MO-TF for each tax credit transfer.  
      2 2 2  7 7 7 7 2 
      2 2 2  8 8 8 8 2                       Tax Credit Program                                                                 Approved Tax Benefit Number 
      2 2 2  9 9 9 9 2 
      3 3 3  0 0 0 0 3 
      3 3 3  1 1 1 1 3                       Issued For the Calendar Year ____________ or Tax Year Beginning __________________________, Ending __________________________.
      3 3 3  2 2 2 2 3 
                                                      Amount of Tax Credits Sold                                  Discount Rate                                      Sale Price
      3 3 3  3 3 3 3 3 
      3 3 3  4 4 4 4 3         Transfer       $                                                                                                            %  $
      3 3 3  5 5 5 5 3                        $                                                                                                            %  $
      3 3 3  6 6 6 6 3 
      3 3 3  7 7 7 7 3                        $                                                                                                            %  $
      3 3 3  8 8 8 8 3                         Total amount of credits to be transferred.....................................  $
      3 3 3  9 9 9 9 3 
      4 4 4  0 0 0 0 4                       Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I also certify that I am 
      4 4 4  1 1 1 1 4                       an authorized representative of the Assignor and I am authorized to make the statement of affirmation contained herein. 
      4 4 4  2 2 2 2 4                       Assignor Signature                                                                 Title
      4 4 4  3 3 3 3 4 
      4 4 4  4 4 4 4 4         Certification Print Name                                                                         Date (MM/DD/YYYY) 
      4 4 4  5 5 5 5 4                                                                                                          ___ ___ / ___ ___ / ___ ___ ___ ___
      4 4 4  6 6 6 6 4 
      4 4 4  7 7 7 7 4 
      4 4 4  8 8 8 8 4                         Embosser or black ink rubber stamp seal       Subscribed and sworn before me, this
      4 4 4  9 9 9 9 4                                                                                                                             day of                            year
      4 4 4  0 0 0 0 4                                                                       State                              County (or City of St. Louis)  My Commission Expires (MM/DD/YYYY)
      5 5 5  1 1 1 1 5 
                                                                                                                                                               __ __ /__ __ /__ __ __ __
      5 5 5  2 2 2 2 5 
      5 5 5  3 3 3 3 5                                                                       Notary Public Signature                                
      5 5 5  4 4 4 4 5 
      5 5 5  5 5 5 5 5                 Notary Information                                    Notary Public Name (Typed or Printed) 
      5 5 5  6 6 6 6 5 
      5 5 5  7 7 7 7 5 
      5 5 5  8 8 8 8 5 
      5 5 5  9 9 9 9 5 
      5 5 5  0 0 0 0 5 
      6 6 6  1 1 1 1 6 
      6 6 6  2 2 2 2 6                                                                   *14305010001*
      6 6 6  3 3 3 3 6                                                                                        14305010001
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      6 6 6  5 5 5 5 6 
      6 6 666 6 6 6 



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                                   Name

                                   Federal Employer I.D. Number (FEIN)                                    Missouri Tax I.D. Number               Social Security Number
                                        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |              |        |        |        |        |        |        |        |      
                                   Contact Person                                                                                Title

        Assignee
                                   Address                                                                 City                                                                        State              ZIP Code

                                   Telephone Number                           Fax Number                                              E-mail
                                   (___ ___ ___) ___ ___ ___- ___ ___ ___ ___ (___ ___ ___) ___ ___ ___-___ ___ ___ ___

                                   Select One
                                   r C Corporation       r Financial Institution                         r Individual  r Individual Filing a Joint Return  r Limited Liability Company (LLC)   
                                   r S Corporation       r Partnership   r Sole Proprietor  r Other __________________________________________________
                                   If the taxpayer is an individual filing a joint return, list the primary and secondary names and social security numbers below. 
                                   If  the  taxpayer  is  a  Partnership,  S  Corporation,  or  other  entity  with  a  flow  through  tax  treatment,  identify  the  names,  social 
                                   security numbers, and proportionate share of ownership of each beneficiary, partner, or shareholder on the last day of the tax 
                                   period. Aggregate proportionate shares or percent of total ownership must be less than 100%. Attach a separate sheet if necessary.
        Assignee                            Type     Name(s)                                              Federal Employer I.D. Number, Missouri Tax                                          % Ownership Year End
                                                                                                          I.D. Number, or Social Security Number
                                                                                                               |        |        |        |        |        |        |        |                                                                            %
                                                                                                               |        |        |        |        |        |        |        |                                                                            %
                                                                                                               |        |        |        |        |        |        |        |                                                                            %

                                   Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I certify that I am an 
                                   authorized representative of the Assignee and as such am authorized to make the statement of affirmation contained herein.
                                   Assignee Signature                                                                            Title

        Certification              Print Name                                                                                    Date (MM/DD/YYYY) 
                                                                                                                                 ___ ___ / ___ ___ / ___ ___ ___ ___

                                    Embosser or black ink rubber stamp seal                              Subscribed and sworn before me, this
                                                                                                                                        day of                                                                 year
                                                                                                         State         County (or City of St. Louis)                                   My Commission Expires (MM/DD/YYYY)
                                                                                                                                                                                       __ __ /__ __ /__ __ __ __
                                                                                                         Notary Public Signature         

                Notary Information                                                                       Notary Public Name (Typed or Printed) 

                                                                               *14305020001*
                                                                                                                   14305020001



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                                         Mailing and Contact Information
       Mail Form MO-TF to the address below or email to taxcredit@dor.mo.gov
                                         Missouri Department of Revenue 
                                                 P.O. Box 27 
                                         Attention: Income Tax 
                                         Jefferson City, MO 65105 
                                         Phone: (573) 751-3220 
                                         E-mail: taxcredit@dor.mo.gov
 • Adoption Tax Credit*                                              • Neighborhood Preservation Act 
 • Brownfield Remediation Tax Credit                                 • Rebuilding Communities Tax Credit
 • Business Facility Tax Credit                                      • Remediation Tax Credit 
 • Capitol Complex Tax Credit                                        • Small Business Incubator Tax Credit* 
 • Enhanced Enterprise Zone Tax Credit*                              • Sporting Event Tax Credit 
 • Historic Preservation Tax Credit - Issued after 08/28/1998        • Sporting Event Contribution Tax Credit 
 • Missouri Quality Jobs                                             • Wood Energy Tax Credit
 • Missouri Works Tax Credit 

                                * Must be sold for at least 75% of transferred credit value
                                                                                                     Form MO-TF (Revised 10-2022)
 Missouri Housing Development Commission 
 Attn: Gus Metz                                                Visit http://dor.mo.gov/taxcredit/ for additional information.
 920 Main Street, Suite 1400 
 Kansas City, MO 64105 
 Phone: (816) 759-6878
   • Affordable Housing Assistance (AHAP)

                                *14000000001*
                                                 14000000001






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