Restaurant Tourism Tax Return Form - City Of St. Charles, Missouri

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CITY OF ST. CHARLES, MISSOURI
RESTAURANT TOURISM TAX RETURN
FOR THE MONTH ENDED: ___________________
TAXPAYER INFORMATION
RESTAURANT NAME: _________________________________________________
BUSINESS LOCATION: _________________________________________________
SALES TAX ID #: _______________________________________________________
TAX CALCULATION
1.
GROSS RECEIPTS FROM FOOD SALES
____________________________
2.
GROSS RECEIPTS FROM LIQUOR SALES
____________________________
3.
GROSS RECEIPTS FROM OTHER SALES
____________________________
4.
TOTAL RETAIL SALES (LINE 1 + 2 + 3)
____________________________
5.
GROSS SALES TAX RECEIPTS (LINE 4 x 0.07400)
____________________________
6.
TOTAL GROSS RECEIPTS (LINE 4+5)
____________________________
7.
TOURISM TAX DUE (LINE 6 x 0.0100)
____________________________
ST
8.
PENALTY
(10% 1
MONTH, 2% EACH ADD’L, MAX 30%)
_______________________________
9.
GROSS AMOUNT DUE (LINE 7 + LINE 8)
____________________________
TAX PREPARER: ______________________________________________DATE:__________________
ADDRESS: ____________________________________________________________________________
PHONE NUMBER (DAYTIME): _________________________________
MAKE CHECK PAYABLE TO CITY OF ST. CHARLES
TH
REMIT “GROSS AMOUNT DUE” BY THE 20
OF THE MONTH FOLLOWING TAX MONTH TO:
CITY OF ST. CHARLES COLLECTIONS
TOURISM TAX SECTION
ND
200 NORTH 2
STREET
ST. CHARLES, MO 63301
DIRECT ALL INQUIRIES TO (636) 949-3212
vb:Macintosh HD:Users:dorothygerstenkorn:Desktop:collections forms:TourismReturn-Restaurant.doc
Rev 06/04

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