Form 1312 - Monthly County Collection Report

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Missouri Department of Revenue
Form
1312
Monthly County Collection Report
County of Office of Collector
Collector
Report Month and Year (MM/YYYY)
Current Year
___ ___ / ___ ___ ___ ___
___ ___ ___ ___
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 2013, Plus Interest
$
Delinquent Taxes for 2012, Plus Interest
$
Delinquent Taxes for 2011, Plus Interest
$
Delinquent Taxes for 2010, Plus Interest
$
Delinquent Taxes for 2009, Plus Interest
$
Delinquent Taxes for 2008, Plus Interest
$
Total Remittance on Delinquent Tax
$
$
Grand Total Remittance
$
Distribution: White — Department of Revenue, Yellow — County Collector
Form 1312 (Revised 11-2013)
Mail to:
Taxation Division
Phone: (573) 751-5858
P.O. Box 453
TDD: (800) 735-2966
Visit
Jefferson City, MO 65105-0453
Fax: (573) 522-1160
for additional information.

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