Quarter-Monthly Sales Tax Payment Voucher Book - 2001-2002 Page 4

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2001-2002 QUARTER-MONTHLY SALES TAX – FORM 2414
Page 3
ITEM
TAPE
ITEM
TAPE
DESCRIPTION
DESCRIPTION
NUMBER
POSITION
NUMBER
POSITION
1
MITS Number
2-9
10
Zip Code
132-136
Note: “-” will need to be hardcoded to separate
2
Period Covered
*Vendor
Zip and Zip +4 numbers
3
Year
**Vendor
11
RPS Sort Pattern
***Vendor
4
Date Due
*Vendor
12
MITS Number
2-9
5
Business Name
11-45
13
File Period
*Vendor
†
6
Owner Name
46-80
See page 4 for File Layout
*Vendor – see page 5 for required vendor programming – Period Covered, Due Date, File Period
7
Street Address
82-106
**Vendor – Year – 2001-2002
***Vendor – RPS Sort Pattern – 090
8
City
108-127
SCANLINE LOCATION: The scanline should be located 2” from right edge of the form and
†
9
State
129-130
the baseline should be 3/16” from the bottom edge of the form.
3
4
MISSOURI DEPARTMENT OF REVENUE
2001-2002
FORM
QUARTER-MONTHLY
2414
SALES TAX PAYMENT VOUCHER
DOR USE ONLY
(REV. 4-2001)
MISSOURI SALES TAX I.D. NUMBER
1
12345678
1. Check Box if Reporting
Actual Figures . . . . . . . . . . .
PERIOD COVERED
DATE DUE
2
JUL 11, 2001
JUL 01-07, 2001
5
BUSINESS NAME
OWNER NAME
6
STREET ADDRESS
2. PAY THIS AMOUNT
$
7
(U.S. Funds Only) . . . . . . . . .
CITY
STATE
ZIP CODE
•
8
*
DOR USE ONLY . . . . . . . . . .
9
•
MO 860-1742 (4-2001)
I have direct control, supervision, or responsibility for filing this voucher and payment of the tax due. Under
10
*
penalties of perjury, I declare that this is a true, accurate, and complete voucher.
DOR USE ONLY . . . . . . . . . .
AUTHORIZED SIGNATURE
DATE
Return this voucher with check or money order payable to:
MISSOURI DEPARTMENT OF REVENUE, P.O. Box 155, Jefferson City, Missouri 65105-0155
11
13
090
12345678
2001071
12

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