Missouri Affiliations Schedule

Affiliations Schedule
MO-851 Affiliations Schedule
Reset Form

Form

MO-851

Common Parent Corporation

Department Use Only
(MM/DD/YY)

Missouri Department of Revenue
Affiliations Schedule

Taxable Year

Print Form

Beginning

Ending

(MM/DD/YY)

(MM/DD/YY)

Missouri Tax I.D.

Federal Employer

Number

I.D. Number

Charter
Number

Name
Number and Street

City

State

ZIP Code

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
Missouri consolidated tax return for the group.
Payments
No.

Name and Address of Corporation

Missouri Tax
Identification Number

Portion of Estimated
Portion of Form
Tax Payments
MO-7004 Tax Payment

Common Parent Corporation ...............................................................................................
Subsidiary Corporations:
1
2
3

Payments

4
5
6
7
8
9
10
11
12
13
14

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Additional forms may be used, if necessary.

Mail to:	 Taxation Division	
	
P.O. Box 3365	
	
Jefferson City, MO 65105-3365	
		

Form MO-851 (Revised 12-2016)

Phone: (573) 751-4541 				
Visit http://www.dor.mo.gov/business/corporate/
Fax: (573) 522-1721
for additional information.
E-mail: [email protected]

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