HTML Preview Annual Sales Tax Report page number 1.
Form
53-1
Missouri Department of Revenue
Sales Tax Return
Code
Taxable Sales
Business Location
Rate (%)
Amount of Tax
Add: additions to tax
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Page 1 Totals ...................................................
Page -- Totals ..................................
Totals (All Pages) .............................................
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This return must be filed for the reporting period indicated even if you have no gross receipts or tax to report.
Address Correction: r Mailing Address r Reporting Location
Pay this amount
(U.S. Funds only) ........................
Subtract: approved credit ...............
Add: interest for late payments
(See Line 4 of Instructions) ............
Select one if:
r Amended Return r Additional Return
Visit http://dor.mo.gov/business/creditinquiry to determine if
you have a credit for which you may be entitled to a refund.
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Mail to: Taxation Division Phone: (573) 751-2836
P.O. Box 840 TTY: (800) 735-2966
Jefferson City, MO 65105-0840 Fax: (573) 526-8747
E-mail: [email protected]
Visit http://dor.mo.gov/business/sales/
for additional information.
Form 53-1 (Revised 01-2017)
Sales Information
Visit https://dors.mo.gov/tax/busefile/login.jsp
to file your sales tax return electronically.
Final Return: If this is your final return, enter the close date below and check
the reason for closing your account. Missouri law requires any person selling
or discontinuing business to make a final sales tax return within fifteen (15)
days of the sale or closing.
Date Business Closed (MM/DD/YYYY): ___ ___ / ___ ___ / ___ ___ ___ ___
r Out of Business r Sold Business r Leased Business
Gross
Receipts
Adjustments
(Indicate + or -)
Subtract: 2% timely payment
allowance (if applicable)
..................
Total sales tax due .......................
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.
Department Use Only
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Department
Use Only
Owner Name Business Name Reporting Period
Mailing Address City State ZIP Code
Business Phone Number Due Date E-mail Address
(___ ___ ___)___ ___ ___-___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
Missouri Tax Identification Number Federal Employer Identification Number
Taxpayer or Authorized Agent’s Signature Title Date (MM/DD/YYYY)
Printed Name Tax Period (MM/DD/YYYY) though (MM/DD/YYYY)
Signature
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I have direct control,
supervision, or responsibility for filing this return and payment of the tax due. I attest that I have no gross receipts to report for locations left blank.
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for instructions to complete this form.
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