Form St-80 - Kansas County Treasurer Sales Tax Return
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1
2ST-80
FOR OFFICE USE ONLY
Kansas County Treasurer
Sales Tax Return
(Rev. 1/02)
County Name
Tax Account Number
FEIN
Mailing Address
Due Date
Tax Period
MM
DD
YY
City
State
Zip Code
Period Beginning Date
Period Ending Date
Mark "X" in box if Amended Return
Mark "X" in box if Additional Return
Part l
1. Total Tax Collected (from Part ll) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
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2. Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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2
3. Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
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4
4. TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Part II
Taxing Jurisdiction
(Column 1)
(Column 2)
(Column 3)
(Column 4)
(Column 5)
(Column 6)
Name of
Combined
Tax
Total
Code
Net Purchase
Net Tax
City/County
Price
Tax Rate
Collected
Adjustment
Tax Collected
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7. Total Tax Collected (Sum of column 6).
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Total number of supplement pages included with this return.
8. Sum of additional supplemental pages.
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9. Total Tax (Add lines 7 and 8.) Enter result here and on line 1, Part l.
Do Not Detach This Voucher
Kansas County Treasurer
ST-80V
FOR OFFICE USE ONLY
Sales Tax Voucher
(Rev. 1/02)
County Name
Tax Account Number
FEIN
Mailing Address
Due Date
Tax Period
MM
DD
YY
City
State
Zip Code
Period Beginning Date
Period Ending Date
.
,
,
$
Payment
Amount
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