Missouri Department of Revenue
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Statement of Income Tax Payments for
Form
MO-2ENT
Nonresident Entertainers
Calendar Year (YYYY)
3. Tax Period (MM/YYYY)
___ ___ ___ ___
___ ___ / ___ ___ ___ ___
1. Name of Entertainer
4. Entertainer’s Missouri Tax I.D. Number
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5. Entertainer’s Federal Employer I.D. Number or Social Security Number
2. Address
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City
State
Zip Code
Office
Use Only
6. Income Subject to Tax
7. Missouri Income Tax Payment
00
00
8. Entertainer’s Type of Entity
9. Venue Name
10. Venue City
r
r
C Corporation
S Corporation
r
r
Limited Liability Company
Partnership
11. Date(s) of Performance (MM/DD/YYYY)
r
Sole Proprietorship
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
Form MO-2ENT (Revised 10-2013)
Missouri Department of Revenue
Statement of Income Tax Payments for
Form
MO-2ENT
Nonresident Entertainers
Calendar Year (YYYY)
3. Tax Period (MM/YYYY)
___ ___ ___ ___
___ ___ / ___ ___ ___ ___
1. Name of Entertainer
4. Entertainer’s Missouri Tax I.D. Number
|
|
|
|
|
|
|
5. Entertainer’s Federal Employer I.D. Number or Social Security Number
2. Address
|
|
|
|
|
|
|
|
City
State
Zip Code
Office
Use Only
6. Income Subject to Tax
7. Missouri Income Tax Payment
00
00
8. Entertainer’s Type of Entity
9. Venue Name
10. Venue City
r
r
C Corporation
S Corporation
r
r
Limited Liability Company
Partnership
11. Date(s) of Performance (MM/DD/YYYY)
r
Sole Proprietorship
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
Form MO-2ENT (Revised 10-2013)
Missouri Department of Revenue
Statement of Income Tax Payments for
Form
MO-2ENT
Nonresident Entertainers
Calendar Year (YYYY)
3. Tax Period (MM/YYYY)
___ ___ ___ ___
___ ___ / ___ ___ ___ ___
1. Name of Entertainer
4. Entertainer’s Missouri Tax I.D. Number
|
|
|
|
|
|
|
5. Entertainer’s Federal Employer I.D. Number or Social Security Number
2. Address
|
|
|
|
|
|
|
|
City
State
Zip Code
Office
Use Only
6. Income Subject to Tax
7. Missouri Income Tax Payment
00
00
8. Entertainer’s Type of Entity
9. Venue Name
10. Venue City
r
r
C Corporation
S Corporation
r
r
Limited Liability Company
Partnership
11. Date(s) of Performance (MM/DD/YYYY)
r
Sole Proprietorship
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
__ __ /__ __ /__ __ __ __
Form MO-2ENT (Revised 10-2013)