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Select the semesters above that you want  \nto apply the credit to. If more than one semester is selected, credit will be split between all checked.  \n\n|  |  |  |\n| --- | --- | --- |\n| Student's Last Name | First Name | Middle Initial |\n\n\n|  |  |\n| --- | --- |\n| Student's SS\\# (without dashes) | Student's ID\\# |\n\n\n|  |  |  |  |\n| --- | --- | --- | --- |\n| Taxpayer's Last Name (if different) | First Name | Middle Initial | SS\\# (without dashes) |\n\nTaxpayer's Contact Information:  \nMailing Address   \nHome Phone Number (   ) Work Phone Number (  ) (without dashes) (without dashes)  \nE-mail Address (if applicable)   \nTHE ORIGINAL FORM IS TO BE RETURNED TO THE CASHIERS OFFICE AT THIS MAILING ADDRESS: University of Missouri-Columbia Telephone: 573-882-3097  \nCashiers Office  \n15 Jesse Hall  \nColumbia, MO 65211  \nThe following conditions must be met before any tax credit can be applied:  \n1. The student must be listed by name as a dependent of the taxpayer.  \n2. The taxpayer must accrue a personal income tax liability the calendar year prior to the school year in question.  \n3. Tax Offset Credit form must be completed, signed and notarized with appropriate supporting documentation each academic year.  \nThe following documents must be received before any tax credit can be applied:  \n1. Missouri State income tax returns (1040) for the calendar year prior to the school year in question, including the Nonresident Income Schedule (NRI) . Student's name must be listed as a dependent. (If the student is not listed in the MO state tax forms, the front page of the taxpayer's 1040 Federal Income tax form can be used in conjunction with the MO state tax documents to prove status as a dependent.)  \n2. ALL W2's, 1099's, or Schedules to indicate source of Missouri income for the calendar year prior to the school year in question.  \n3. Copy, front and back, of the cancelled check to Missouri Department of Revenue (if applicable) .  \n}OVER{  \nAll statements concerning requirements and conditions of this Credit are for informational purposes only and are subject to change without notice. This application should not be regarded as a contract. The University understands that this information is private and it will be held in confidence.  \nI AUTHORIZE THE MISSOURI DEPARTMENT OF REVENUE TO VERIFY AND/OR RELEASE MY TAX DOCUMENTS FOR VERIFICATION OF THE INFORMATION SUBMITTED FOR THE NONRESIDENT TAX OFFSET CREDIT.  \nSignature of taxpayer  \nSTATE OF   \nCOUNTY OF   \nSubscribed and sworn to before me on this   day of   ,(year)   .  \nNotary Public Commission Expires  \nReset Form  \nRevised 6/8/2015","cbCairssdJlaZWlN","https://ap.wps.com/l/cbCairssdJlaZWlN","pdf",79652,"English","# Semester selection\n## Student and taxpayer information\n## Taxpayer contact and mailing address\n## Eligibility conditions\n## Required supporting documents\n## Authorization and notarization","[{\"question\":\"Which semesters can the tax offset credit be applied to?\",\"answer\":\"The form allows selection of Summer, Fall, and/or Spring. The credit may be used for one academic year only (Summer–Spring semesters), and if multiple semesters are selected the credit is split among them.\"},{\"question\":\"What conditions must be met before the tax credit can be applied?\",\"answer\":\"The student must be listed by name as a dependent of the taxpayer, the taxpayer must have accrued a personal income tax liability in the calendar year prior to the school year, and the Tax Offset Credit form must be completed, signed, and notarized with supporting documentation each academic year.\"},{\"question\":\"What documents are required before any tax credit can be applied?\",\"answer\":\"You must provide Missouri state income tax returns (1040) for the prior calendar year including the Nonresident Income Schedule (NRI), with the student listed as a dependent. Also required are all W-2s, 1099s, or schedules showing the source of Missouri income for that prior year, plus a copy of the cancelled check to the Missouri Department of Revenue if applicable.\"}]","PROD_Nonresident-tax-offset-application - Application for Non-Resident Tax Offset Credit - For Missouri Taxpayers | PDF",1789813823]