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1  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 5
        0  0  0 0 4 4 4 4                                                                                                                                                              Department Use Only
        0  0  0 0 5 5 5 5                                                 Form       Missouri Department of Revenue                                                                    (MM/DD/YY)
        0  0  0 0 6 6 6 6                                                            Assessor Certification
                                                948
        0  0  0 0 7 7 7 7 
        0  0  0 0 8 8 8 8                                                                Attach this form to the Property Tax Credit Claim (            Form MO-PTC                        ), Property Tax Credit (Form MO-PTS  ), or 
        0  0  0 0 9 9 9 9                                                                the Public Safety Officer Surviving Spouse Credit (Form MO-SSC).
        1  1  1 1 0  0  0  0  Social Security Number                                                                                              Spouse’s Social Security Number
        1  1  1 1 1 1 1 1 
        1  1  1 1 2 2 2 2                                                           -            -                                                                                         -          -
        1  1  1 1 3 3 3 3     Taxpayer Name                                                                                                       Spouse’s Name
        1  1  1 1 4 4 4 4 
        1  1  1 1 5 5 5 5 
        1  1  1 1 6 6 6 6     Address                                                                                                 City                                                                      State   ZIP Code
        1  1  1 1 7 7 7 7 
        1  1  1 1 8 8 8 8 
        1  1  1 1 9 9 9 9 
        2  2  2 2 0 0 0 0                                                                                                             Claimant
        2  2  2 2 1 1 1 1                       If your real estate tax receipt on your homestead includes tax on your dwelling and surrounding land                                                                    Tax Year
        2  2  2 2 2 2 2 2                       which exceeds five (5) acres, the county assessor must complete this section to determine the 
        2  2  2 2 3 3 3 3                       appropriate percentage you may claim on Form MO-PTC,Form MO-PTS                                                                        , orForm MO-SSC.
        2  2  2 2 4 4 4 4 
        2  2  2 2 5 5 5 5                                                                                                             Assessor
        2  2  2 2 6 6 6 6 
        2  2  2 2 7 7 7 7 
        2  2  2 2 8 8 8 8                       1.  Enter assessed valuation of dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . 
        2  2  2 2 9 9 9 9                       2.  Enter assessed valuation of surrounding land up to five (5) acres used for homestead
                                                 purposes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
        3  3  3 3 0 0 0 0 
        3  3  3 3 1 1 1 1                       Homestead3.  Total valuationTaxesof homestead (Add Lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
        3  3  3 3 2 2 2 2 
        3  3  3 3 3 3 3 3                       4.  Enter total assessed valuation on the single tax receipt or single assessment on a tax receipt . . . . . . . . . . . 
        3  3  3 3 4 4 4 4 
        3  3  3 3 5 5 5 5                       5.  Compute percentage of tax allocated to the homestead (Divide Line 3 by Line 4) (Round to a whole percent.) . . .                                                                  %
        3  3  3 3 6 6 6 6                       6.  Multiply the Total Tax Paid by the percentage on Line 5. Enter the amount here and on                                                  Form MO-PTC, Line 9; 
        3  3  3 3 7 7 7 7                                                 Form MO-PTS, Line 11; or Form MO-SSC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
        3  3  3 3 8 8 8 8 
        3  3  3 3 9 9 9 9 
                                                                                                                                      Claimant
        4  4  4 4 0 0 0 0 
                                                If you own a mobile home and the tax is shown on your personal property tax receipt, the county assessor must complete this 
        4  4  4 4 1 1 1 1 
                                                section to determine the appropriate percentage you may claim on Form MO-PTC,Form MO-PTS                                                                   , or Form MO-SSC.  
        4  4  4 4 2 2 2 2 
        4  4  4 4 3 3 3 3                                                                                                             Assessor
        4  4  4 4 4 4 4 4 
        4  4  4 4 5 5 5 5                       1.  Valuation of mobile home only...................................................................
        4  4  4 4 6 6 6 6 
        4  4  4 4 7 7 7 7                       2.  Total valuation of all personal property ............................................................
        4  4  4 4 8 8 8 8                       3.  Compute percentage of personal property tax allocated to the mobile home (Divide Line 1 by Line 2)
        4  4  4 4 9 9 9 9                       Mobile                    (RoundHometoPercentagea whole percent.) ....................................................................                                                %
        4  4  4 4 0 0 0 0                       4.  Multiply the Total Tax Paid by the percentage on Line 3. Enter the amount here and on                                                  Form MO-PTC, Line 9; 
        5  5  5 5 1 1 1 1                                                 Form MO-PTS, Line 11; or Form MO- SSC  .......................................................
        5  5  5 5 2 2 2 2                                                 Assessor’s Name                                                         Telephone Number
        5  5  5 5 3 3 3 3 
        5  5  5 5 4 4 4 4 
        5  5  5 5 5 5 5 5                                                 Assessor’s Signature                                                    Date (MM/DD/YY)
        5  5  5 5 6 6 6 6            Assessor’s              Certification
        5  5  5 5 7 7 7 7 
        5  5  5 5 8 8 8 8 
                                                                                                                                                                                                                   Form 948  (Revised 02-2018)
        5  5  5 5 9 9 9 9 
        5  5  5 5 0 0 0 0     Mail to:                                         Taxation Division                   Phone:(573) 751-3505                                                      *15318010001* 
        6  6  6 6 1 1 1 1                                                      P.O. Box 2200                       Fax: (573) 751-2195                                                                       15318010001
        6  6  6 6 2 2 2 2                                                      Jefferson City, MO 65105-2200       E-mail for MO-SCC: income@dor.mo.gov 
        6  6  6 6 3 3 3 3                                                                                          E-mail for MO-PTC or MO-PTS: propertytaxcredit@dor.mo.gov
        6  6  6 6 4 4 4 4 
        6  6  6 6 5 5 5 5 
        6 6 666 6 6 6 






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