Form 1312 - Monthly County Collection Report
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REPORT MONTH AND YEAR
MISSOURI DEPARTMENT OF REVENUE
TAXATION DIVISION
FORM
___ ___ / ___ ___ ___ ___
P.O. BOX 453
1312
JEFFERSON CITY, MISSOURI 65105-0453
CURRENT YEAR
(573) 751-5858
TDD 1-800-735-2966
(REV. 09-2010)
MONTHLY COUNTY COLLECTION REPORT
___ ___ ___ ___
COUNTY OF OFFICE OF COLLECTOR
REPORT NET COLLECTIONS
CURRENT LAND AND PERSONAL TAXES
$
CURRENT UTILITY TAXES
$
CURRENT RAILROAD TAXES
$
SUR TAX
$
PAYMENT IN LIEU OF TAXES
PROTESTED
$
$
$
$
TOTAL REMITTANCE ON CURRENT TAXES
$
LICENSE OF ALL KINDS — SPECIFY KIND:
$
$
DELINQUENT TAXES FOR 2010, PLUS INTEREST
$
DELINQUENT TAXES FOR 2009, PLUS INTEREST
$
DELINQUENT TAXES FOR 2008, PLUS INTEREST
$
DELINQUENT TAXES FOR 2007, PLUS INTEREST
$
DELINQUENT TAXES FOR 2006, PLUS INTEREST
$
DELINQUENT TAXES FOR 2005, PLUS INTEREST
$
$
TOTAL REMITTANCE ON DELINQUENT TAX
$
GRAND TOTAL REMITTANCE
$
COLLECTOR
SEND TO: MISSOURI DEPARTMENT OF REVENUE, TAXATION DIVISION, P.O. BOX 453, JEFFERSON CITY, MISSOURI 65105-0453.
DISTRIBUTION: WHITE — DEPARTMENT OF REVENUE, YELLOW — COUNTY COLLECTOR
MO 860-1215 (09-2010)
This publication is available upon request in alternative accessible format(s).
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