Form 53-1 - Sales Tax Return - Missouri Department Of Revenue Page 2
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Missouri Tax I.D. Number
Reporting Period
Page
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Owner Name
Business Name
Adjustments
Gross
Business Location
Code
Taxable Sales
Amount of Tax
Rate (%)
Receipts
(Indicate + or -)
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Page _______ Totals
Form 53-1 (Revised 06-2014)
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