Form Rd-107 - Convention & Tourism Tax - Food Establishment - City Of Kansas City - Missouri Page 2

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RD-107A (Rev. 09/09)
Worksheet and Instructions for completing Food Establishment Return (RD-107A)
WORKSHEET MUST BE COMPLETED AND ATTACHED TO RETURN
Line 1
If this is a final return under this ownership, enter date business closed.
Line 2
Place an "X" if this amends a previously submitted return for the same period.
Line 3
Enter total gross receipts - Food Sales.
Line 4
Enter total gross receipts - Liquor Sales.
Line 5
Enter gross receipts (line 3 plus line 4).
Line 6a
List any increase to gross receipts not included in Line 5; if none enter zero.
Itemized Adjustments
$
$
Total Adjustment (enter on line 6a of RD-107)
$
Line 6b
List any decrease to gross receipts not included in Line 5; if none enter zero.
Itemized Adjustments
Less -
$
Less -
$
Total Adjustment (enter on line 6b of RD-107)
$
Line 7
Enter taxable sales (line 5 plus or minus line 6).
Line 8
Enter total tax due (2% of line 7).
Line 9
If return is filed and paid prior to due date, enter discount amount (2% of line 8).
Line 10
Enter tax due (line 8 minus line 9).
If return is delinquent, enter amount of interest due (0.25% of line 10 per month).
Line 11
Line 12
If return is delinquent, enter amount of penalty due (5% of line 10 per month, not to
exceed 25%).
Line 13
Enter amount of overpayment on previous returns.
Line 14
Enter amount due (line 10, 11, and 12 minus line 13).
Line 15
Enter amount paid.
MAKE CHECK PAYABLE TO: CITY TREASURER
MAIL TO: REVENUE DIVISION, P. O. BOX 804107, KANSAS CITY, MO 64180-4107
(Retain copies of your convention & tourism tax filings for at least three years from original date due).
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