Form Mo 860-1725 - Sales/use Tax Protest Payment Affidavit-Missouri Department Of Revenue Taxation Bureau

Download a blank fillable Form Mo 860-1725 - Sales/use Tax Protest Payment Affidavit-Missouri Department Of Revenue Taxation Bureau in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Mo 860-1725 - Sales/use Tax Protest Payment Affidavit-Missouri Department Of Revenue Taxation Bureau with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Reset Form

Print Form

MISSOURI DEPARTMENT OF REVENUE

TAXATION BUREAU

P.O. BOX 3350

JEFFERSON CITY, MO 65105-3350

(573) 526-9938

TDD 1-800-735-2966

SALES/USE TAX PROTEST PAYMENT AFFIDAVIT

THIS FORM IS TO BE USED FOR FILING A SALES OR USE TAX PROTEST PAYMENT IN ACCORDANCE WITH SALES TAX REGULATION 12 CSR 10-3.552 OR SECTION

144.700, RSMo, RETURN TWO COMPLETED COPIES TO TAXATION BUREAU, P.O. BOX 3350, JEFFERSON CITY, MO 65105-3350.

A PROTEST CLAIM IS BEING PRESENTED BY:

FIRM NAME

MAILING ADDRESS

CITY, STATE, ZIP CODE

MISSOURI TAX I.D. NUMBER

TOTAL SUM

PERIOD

DOLLARS ($

)

THE AMOUNT HAS BEEN DETERMINED TO BE:

(NOTE: A COMPLETE BREAKDOWN OF EACH SPECIFIC TAX MUST BE MADE.)

TAX TYPE

TAX RATE

AMOUNT

STATE

CONSERVATION

1/8%

EDUCATION

PARKS/SOIL

1/10%

TOTAL

PROTESTED FOR THE FOLLOWING REASONS:

If you pay by check, you authorize the Department of Revenue to process the check electronically. Any check returned unpaid may be presented again electronically.

I SWEAR OR AFFIRM THAT THE INFORMATION REPORTED IN THIS FORM AND ANY ATTACHED SUPPLEMENTS IS TRUE AND CORRECT AS TO EVERY MATERIAL MATTER.

SIGNATURE OF TAXPAYER OR AGENT

TITLE

DATE

NOTE:

SALES TAX REGULATION 12 CSR 10-3.552 OR SECTION 144.700.3, RSMo, MUST BE COMPLIED WITH OR THE PROTEST PAYMENT WILL BE DEPOSITED TO

GENERAL REVENUE.

NOTARY PUBLIC EMBOSSER SEAL

STATE

COUNTY (OR CITY OF ST. LOUIS)

USE RUBBER STAMP IN CLEAR AREA BELOW.

SUBSCRIBED AND SWORN BEFORE ME, THIS