Form Mo-1ent - Income Tax Payments For Nonresident Entertainers - 2015

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Tax Year
Missouri Department of Revenue
_____________________
1. Number of Forms
Form
r
Income Tax Payments for
MO-2ENT
......................
1st Q (Jan- Mar)
MO-1ENT
Nonresident Entertainers
r
2nd Q (Apr - Jun)
$
0 0
2. Total Missouri Income
r
Tax Payments ...............
3rd Q (Jul - Sept)
Venue’s Missouri Tax Identification Number
r
4th Q (Oct - Dec)
$
0 0
3. Additions to Tax
Venue’s Federal Employer Identification Number
Authorized Person’s Phone Number
(see Instructions) ...........
(__ __ __) __ __ __ - __ __ __ __
$
0 0
4. Interest
Name Of Venue
(see Instructions) ...........
0 0
5. Total Amount Due
$
Address
•
(U.S. funds only) ............
City
State
Zip Code
.
*
Department
Use Only
I have direct control, supervision, or responsibility for filing this return and payment of the
*
tax due. Under penalties of perjury, I declare it is a true, accurate, and complete return.
Authorized Signature
Date (MM/DD/YYYY)
Attach a copy of each Form MO-2ENT issued.
__ __ /__ __ /__ __ __ __
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any returned check may be presented again electronically.
See reverse side for mailing instructions.
Form MO-1ENT (Revised 01-2015)
Tax Year
Missouri Department of Revenue
_____________________
1. Number of Forms
Form
r
Income Tax Payments for
MO-2ENT
......................
1st Q (Jan- Mar)
MO-1ENT
Nonresident Entertainers
r
2nd Q (Apr - Jun)
$
0 0
2. Total Missouri Income
r
3rd Q (Jul - Sept)
Tax Payments ...............
Venue’s Missouri Tax Identification Number
r
4th Q (Oct - Dec)
$
0 0
3. Additions to Tax
Venue’s Federal Employer Identification Number
Authorized Person’s Phone Number
(see Instructions) ...........
(__ __ __) __ __ __ - __ __ __ __
$
0 0
4. Interest
Name Of Venue
(see Instructions) ...........
0 0
5. Total Amount Due
$
Address
•
(U.S. funds only) ............
.
City
State
Zip Code
*
Department
Use Only
I have direct control, supervision, or responsibility for filing this return and payment of the
*
tax due. Under penalties of perjury, I declare it is a true, accurate, and complete return.
Authorized Signature
Date (MM/DD/YYYY)
Attach a copy of each Form MO-2ENT issued.
__ __ /__ __ /__ __ __ __
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any returned check may be presented again electronically.
See reverse side for mailing instructions.
Form MO-1ENT (Revised 01-2015)
Tax Year
Missouri Department of Revenue
_____________________
1. Number of Forms
Form
r
Income Tax Payments for
MO-2ENT
......................
1st Q (Jan- Mar)
MO-1ENT
Nonresident Entertainers
r
2nd Q (Apr - Jun)
$
0 0
2. Total Missouri Income
r
Tax Payments ...............
3rd Q (Jul - Sept)
Venue’s Missouri Tax Identification Number
r
4th Q (Oct - Dec)
$
0 0
3. Additions to Tax
Venue’s Federal Employer Identification Number
Authorized Person’s Phone Number
(see Instructions) ...........
(__ __ __) __ __ __ - __ __ __ __
$
0 0
4. Interest
Name Of Venue
(see Instructions) ...........
0 0
5. Total Amount Due
$
Address
•
(U.S. funds only) ............
City
State
Zip Code
.
*
Department
Use Only
I have direct control, supervision, or responsibility for filing this return and payment of the
*
tax due. Under penalties of perjury, I declare it is a true, accurate, and complete return.
Authorized Signature
Date (MM/DD/YYYY)
Attach a copy of each Form MO-2ENT issued.
__ __ /__ __ /__ __ __ __
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any returned check may be presented again electronically.
See reverse side for mailing instructions.
Form MO-1ENT (Revised 01-2015)

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