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Department Use Only
Form Missouri Department of Revenue (MM/DD/YY)
MO-NBI Nonbusiness Income Schedule
Attachment Sequence No. 1120-02
Taxable Year Beginning Ending
(MM/DD/YY) (MM/DD/YY)
Missouri Tax I.D. Federal Employer
Number I.D. Number
Charter
Number
Corporation
Name
Complete this schedule only if you apportion income to Missouri (using Method 1) and to other states and you have income classified
as non business income. See Page 2 for explanations of Business and Nonbusiness income or 12 CSR 10-2.075 for further explanation.
Note: All income is presumed to be business income unless you can clearly show the income to be nonbusiness income. If this
schedule is not attached to your Corporation Income Tax Return, your nonbusiness income will not be considered.
Describe in detail your regular trade or business operations including your product or service description.
Business Description
Detailed description and explanation of why income is nonbusiness, Gross Income Related Expenses
including the characteristics that make the item outside of the realm
and scope of your regular business operations. 1. Everywhere 2. Missouri 3. Everywhere 4. Missouri
Income and Expenses
Total each column 1. 2. 3. 4.
Nonbusiness income — all sources — Column 1 less Column 3. Enter on Form MO-MS, Part 1, Line 9.
Nonbusiness income — Missouri sources — Column 2 less Column 4. Enter on Form MO-MS, Part 1, Line 12.
Form MO-NBI (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
*14106010001*
14106010001
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