Quarter-Monthly Sales Tax Payment Voucher Book - 2001-2002 Page 9

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2001-2002 QUARTER-MONTHLY SALES TAX – ADDRESS CHANGE FORM
Page 2
ITEM
TAPE
DESCRIPTION
NUMBER
POSITION
1
MITS Number
2-9
2
Business Name
11-45
3
Owner Name
46-80
4
Street Address
82-106
5
City
108-127
6
State
129-130
7
Zip Code
132-136
Note: “-” will need to be hardcoded to separate
Zip and Zip +4 numbers
See page 4 for File Layout
TAX TYPE
NEW FILING FREQUENCY
SALES/USE TAX
QUARTERLY
QUARTER-MONTHLY
WITHHOLDING TAX
ANNUAL
MONTHLY
MISSOURI DEPARTMENT OF REVENUE
BUSINESS NAME/LOCATION CHANGE:
(Check all that are applicable)
ADDRESS CHANGE
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
PREVIOUS BUSINESS NAME AND MAILING ADDRESS
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 type of ownership, a new registration is required and
BUSINESS MAILING ADDRESS CHANGE:
(Check all that are applicable)
a Missouri Tax Registration Application must be completed. If opening an additional business
location, a Registration Change Request must be completed. If you have questions, contact
the Missouri Department of Revenue, P.O. Box 3300, Jefferson City, MO 65105-3300, or call
SALES/USE TAX
WITHHOLDING TAX
CORP. INCOME TAX
CORP. FRANCHISE TAX
(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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