Form Mo-1120es - Declaration Of Estimated Tax For Corporation Income Tax Page 10
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12MO-1120es Book.qxd
10/10/2004
12:54 PM
Page 13
NEW FILING FREQUENCY
TAX TYPE
SALES/USE TAX
CORPORATE INCOME TAX
QUARTER-MONTHLY
QUARTERLY
WITHHOLDING TAX
CORPORATE FRANCHISE TAX
ANNUAL
MISSOURI DEPARTMENT OF REVENUE
MONTHLY
ADDRESS CHANGE
CHANGE Business Name/Location
ADD New Location
(Check all that are applicable)
MO TAX I.D. NUMBER
SALES/USE TAX
WITHHOLDING TAX
CORP. INCOME TAX
CORP. FRANCHISE TAX
NAME CHANGE
DATE OPENED
FEDERAL I.D. NUMBER
NEW FEDERAL I.D. NUMBER (FEIN)
ADDRESS CHANGE (Do not use P.O. Box or Rural Route Number)
COUNTY
NEW TELEPHONE NUMBER
CITY, STATE, ZIP CODE
IS BUSINESS IN CITY LIMITS?
YES
NO
CITY:
OWNER/CORPORATE HEADQUARTERS ADDRESS CHANGE:
(Check all that are applicable)
SALES/USE TAX
WITHHOLDING TAX
CORP. INCOME TAX
CORP. FRANCHISE TAX
ADDRESS
COUNTY
CITY, STATE, ZIP CODE
IMPORTANT: If changing ownership, or ownership type, a new registration is required and a Missouri Tax
BUSINESS MAILING ADDRESS CHANGE:
(Check all that are applicable)
Registration Application must be completed. If opening an additional business location, a Registration Change
Request must be completed. If you have questions, contact the Division of Taxation and Collection, P.O. Box
SALES/USE TAX
WITHHOLDING TAX
CORP. INCOME TAX
CORP. FRANCHISE TAX
3300, Jefferson City, MO 65105-3300, or call (573) 751-5860. Speech/hearing impaired TDD (800) 735-2966.
ADDRESS
COUNTY
SIGNATURE
DATE
CITY, STATE, ZIP CODE
TITLE
TELEPHONE NUMBER
(
)
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