Form 4757 - Distributor'S Monthly Tax Report Page 4
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4 A convenience
fee will be charged to your account for processing. If you pay by
check, you authorize the Department to process the check electroni-
cally. Any returned check may be presented again electronically.
Mail the report and schedules to: Missouri Department of Revenue,
Taxation Division, P.O. Box 300, Jefferson City, Missouri 65105-
0300.
If you have questions or need assistance in completing this
form, please call (573) 751-2611 or you can e-mail excise@dor.
mo.gov. You may also access the Department’s web site at
to obtain this
form.
Please ensure that you sign, indicate your title, and date the report.
MOTOR FUEL TAX, AVIATION GASOLINE TAX, INSPECTION
FEE, TRANSPORT LOAD FEE AND POOL BOND ARE FIVE
SEPARATE ACCOUNTS. DO NOT USE A CREDIT ON ONE
ACCOUNT TO PAY FOR ANOTHER ACCOUNT. (EXAMPLE:
MOTOR FUEL TAX CREDIT CANNOT BE USED TO PAY
AVIATION GASOLINE TAX.)
(09-2011)
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