Form Mo-2ent - Statement Of Income Tax Payments For Nonresident Entertainers
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1
2MISSOURI DEPARTMENT OF REVENUE
DLN
FORM
STATEMENT OF INCOME TAX PAYMENTS FOR
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MO-2ENT
NONRESIDENT ENTERTAINERS
FOR CALENDAR YEAR _________
3. ENTERTAINER’S MISSOURI TAX I.D. NUMBER
1. NAME OF ENTERTAINER
4. TAX PERIOD
2. ADDRESS
CITY OR TOWN
STATE
ZIP CODE
DOR
USE ONLY
5. INCOME SUBJECT TO TAX
6. MISSOURI INCOME TAX PAYMENT
00
00
Partnership
7. ENTERTAINER’S TYPE OF ENTITY
8. VENUE NAME
9. VENUE CITY
Limited Liability Company
S Corporation
C Corporation
Sole Proprietorship
10. ENTERTAINER’S FEDERAL I.D. NUMBER/SOCIAL SECURITY NUMBER
11. DATE(S) OF PERFORMANCE (MM-DD-YYYY FORMAT)
MO-2ENT (06-2012)
MISSOURI DEPARTMENT OF REVENUE
DLN
FORM
STATEMENT OF INCOME TAX PAYMENTS FOR
MO-2ENT
NONRESIDENT ENTERTAINERS
FOR CALENDAR YEAR _________
3. ENTERTAINER’S MISSOURI TAX I.D. NUMBER
1. NAME OF ENTERTAINER
4. TAX PERIOD
2. ADDRESS
CITY OR TOWN
STATE
ZIP CODE
DOR
USE ONLY
5. INCOME SUBJECT TO TAX
6. MISSOURI INCOME TAX PAYMENT
00
00
Partnership
9. VENUE CITY
7. ENTERTAINER’S TYPE OF ENTITY
8. VENUE NAME
Limited Liability Company
S Corporation
C Corporation
Sole Proprietorship
10. ENTERTAINER’S FEDERAL I.D. NUMBER/SOCIAL SECURITY NUMBER
11. DATE(S) OF PERFORMANCE (MM-DD-YYYY FORMAT)
MO-2ENT (06-2012)
MISSOURI DEPARTMENT OF REVENUE
DLN
FORM
STATEMENT OF INCOME TAX PAYMENTS FOR
MO-2ENT
NONRESIDENT ENTERTAINERS
FOR CALENDAR YEAR _________
3. ENTERTAINER’S MISSOURI TAX I.D. NUMBER
1. NAME OF ENTERTAINER
4. TAX PERIOD
2. ADDRESS
CITY OR TOWN
STATE
ZIP CODE
DOR
USE ONLY
5. INCOME SUBJECT TO TAX
6. MISSOURI INCOME TAX PAYMENT
00
00
Partnership
9. VENUE CITY
7. ENTERTAINER’S TYPE OF ENTITY
8. VENUE NAME
Limited Liability Company
S Corporation
C Corporation
Sole Proprietorship
10. ENTERTAINER’S FEDERAL I.D. NUMBER/SOCIAL SECURITY NUMBER
11. DATE(S) OF PERFORMANCE (MM-DD-YYYY FORMAT)
MO 2-ENT (06-2012)
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