Form 2038 - Nonprotested Use Tax Payment Report - 2014

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Department Use Only
Missouri Department of Revenue
Form
(MM/DD/YY)
2038
Nonprotested Use Tax Payment Report
Reporting Period
(MM/YY)
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Type of Tax Protested
NPRE
r
r
Department Use Only
Consumer’s Use Tax
Vendor’s Use Tax
Owner’s Name
Business Name
Mailing Address
City
State
Zip Code
E-mail Address
Phone Number
(__ __ __) __ __ __ - __ __ __ __
This form is to be used in conjunction with the Use Tax Protest Payment Affidavit
(Form
2041). Any nonprotested use tax
payments in a reporting period for which you filed a Protest Payment Affidavit must be reported on this form.
Vendor’s Use Tax
Amount of Tax
Tax Type
Gross Receipts
Adjustments
Taxable Sales
Tax Rate
-
Business Location (Enter below)
State Use
3%
-
Conservation
1/8%
-
Education
1%
-
Parks and Soil
1/10%
-
Reset This Section Only
-
Vendor’s Use Totals
Enter total amount of vendor’s use tax from all pages
1.
Subtract 2% timely payment
2.
allowance (If applicable)
Vendor’s use tax due
3.
(Line 1 minus Line 2)
=
Consumer’s Use Tax
Tax Type
Taxable Purchases
Tax Rate
Amount of Tax
State Use
3%
Business Location (Enter below)
Conservation
1/8%
Education
1%
Parks and Soil
1/10%
Reset This Section Only
Consumer’s Use Totals
Enter total amount of consumer’s use tax from all pages
4.
5.
Final Return: If this is your final return, enter the close date below and check the reason
Total use tax due:
=
(add Lines 3 and 4).............................
for closing your account. Missouri law requires any person selling or discontinuing
Add: interest for late payment
6.
business to make a final use tax return within 15 days of the purchase or closing.
(see instructions) ................................
+
Add: additions to tax (5% per month
7.
__ __ /__ __ /__ __ __ __
Date Business Closed (MM/DD/YYYY)
late of Line 5, maximum 25%) ...........
+
Subtract: approved credit
8.
(attach credit memorandum) ..............
r
r
r
Out of Business
Sold Business
Leased Business
Remit single check
9.
for this amount: ...................................
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.
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature
Title
Printed Name
Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Form 2038 (Revised 12-2014)
Mail to:
Taxation Division
Phone: (573) 526-9938
Visit
P.O. Box 3350
TTY: (800) 735-2966
for additional information.
Jefferson City, MO 65105-3350
Fax: (573) 751-9409
E-mail:
salesuse@dor.mo.gov
*14018010001*
14018010001

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