Missouri Department of Revenue
Form
1309
Land and Personal Tax Aggregate Abstract
County
Tax Book Year
Include surtax of taxable property except from railroads and
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utilities, as set out in the Land and Personal Tax Book.
Report each object of taxation under its appropriate header together with the valuation as fixed by the State and County
Board of Equalization, and the amount of tax on the same.
Tax Rate Applied
Valuation
Object Taxed
Per $100.00
Subclass 1
Subclass 2
Subclass 3
Total Real Estate,
Total Personal,
Total Valuation,
Rate Applied
Personal
Total Tax
Real Estate
Per $100.00
State Tax
$
$
$
County Revenue Tax
Township Tax
County Road and Bridge Tax
Special Road and Bridge Tax
School Tax
County Subclass 3 Surtax
Total taxes for all purposes
$
$
$
I do hereby certify that the foregoing is a true, complete and aggregate abstract of the Tax Books of said county, as the same remains of record in
my office. In witness whereof, I have hereunto set my hand and affixed the seal of the County Court.
Signature of Clerk of the County Court
Printed Name
County
State of
Date (MM/DD/YYYY)
Missouri
___ ___ / ___ ___ / ___ ___ ___ ___
Location of Office
E-mail Address
Received of Clerk of the County Court
County
State of
Missouri
Date (MM/DD/YYYY)
Tax Book Year
Location of Office
___ ___ / ___ ___ / ___ ___ ___ ___
County
Received the Tax Book for said county, of which the above and foregoing
, Missouri
is a true and correct abstract.
Signature of Collector
Printed Name
Form 1309 (Revised 07-2013)
Mail to:
Phone: (573) 751-5858
Taxation Division
Fax: (573) 522-1160
P.O. Box 453
dor.mo.gov/business/citycounty/
Visit
Jefferson City, MO 65105-0453
for additional information.
Mail to:
State Tax Commission
Phone: (573) 751-2414
P.O. Box 146
Fax: (573) 751-1341
Jefferson City, MO 65102-0146