Form 2038 - Nonprotested Use Tax Payment Report
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3DOR USE ONLY
MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
2038
P.O. BOX 3350, JEFFERSON CITY, MO 65105-3350
(573) 526-9938 FAX (573) 751-9409
TDD (800) 735-2966
(REV. 03-2012)
NONPROTESTED USE TAX PAYMENT REPORT
MITS NUMBER
REPORTING PERIOD
___ ___ ___ ___ ___ ___ ___ ___
OWNER’S NAME
BUSINESS NAME
MAILING ADDRESS
PHONE NUMBER
(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
CITY
STATE
ZIP CODE
___ ___ ___ ___ ___
NPRE
(DO NOT WRITE IN SHADED AREAS)
This form is to be used in conjunction with the Use Tax Protest Payment Affidavit (DOR‑2041). Any nonprotested use tax payments in a reporting period for which you filed
a Protest Payment Affidavit must be reported on this form. Return completed form to Taxation Division, P.O. Box 3350, Jefferson City, MO 65105‑3350.
VENDOR’S USE TAX
TAX TYPE
GROSS RECEIPTS
ADJUSTMENTS
TAXABLE SALES
TAX RATE
AMOUNT OF TAX
STATE USE
3%
BUSINESS LOCATION
CONSERVATION
1/8%
EDUCATION
1%
PARKS/SOIL
1/10%
1.
VENDOR’S TOTALS
ENTER TOTAL AMOUNT OF VENDOR’S USE TAX FROM ALL PAGES
2.
SUBTRACT 2% TIMELY PAYMENT
–
ALLOWANCE (If Applicable)
3.
VENDOR’S USE TAX DUE
=
(Line 1 minus Line 2)
CONSUMER’S USE TAX
TAX TYPE
TAXABLE PURCHASES
TAX RATE
AMOUNT OF TAX
STATE USE
3%
BUSINESS LOCATION
CONSERVATION
1/8%
EDUCATION
1%
PARKS/SOIL
1/10%
4.
CONSUMER’S TOTALS
ENTER TOTAL AMOUNT OF CONSUMER’S USE TAX FROM ALL PAGES
5.
FINAL RETURN: If this is your final return, enter the close date below and check the reason for closing
TOTAL USE TAX DUE:
=
your account. The Use Tax law requires any person selling or discontinuing business to make a final use
(Add Lines 3 and 4)
. . . . . . . . . . . .
6.
tax return within fifteen (15) days of the purchase or closing.
ADD: Interest for late payment
+
(See Instructions) . . . . . . . . . . . . . . .
Date Business Closed:
7.
ADD: Additions to Tax (5% per month
Out of Business
Sold Business
Leased Business
+
late of Line 5, maximum 25%) . . . . . .
8.
SUBTRACT: Approved credit
SIGN AND DATE RETURN: This must be signed and dated by the taxpayer or by the taxpayer’s autho‑
–
(Attach credit memorandum) . . . . . . .
rized agent. Mail to: Missouri Department of Revenue, P.O. Box 3350, Jefferson City, MO 65105‑3350.
9.
REMIT SINGLE CHECK
=
FOR THIS AMOUNT: . . . . . . . . . . . .
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
I have direct control, supervision or responsibility for filing this return and payment of the tax
TAX PERIOD
due. Under the penalties of perjury, I declare that this is a true, accurate, and complete return.
MO
DAY
YY
YY
MO
DAY
YY
YY
RETURN MUST BE SIGNED AND DATED.
THRU
SIGNATURE OF TAXPAYER OR AGENT
TITLE
DATE
__ __ / __ __ / __ __ __ __
DOR-2038 (03-2012)
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