Form E-1 - Individual Earnings Tax Return - City Of St. Louis - 2015
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1CALENDAR
CITY OF ST. LOUIS
YEAR
INDIVIDUAL EARNINGS TAX RETURN
(Rev. 11/15)
Telephone: (314) 622-4403
Fax: (314) 622-4847
2015
PLEASE PRINT YOUR NAME AND
ADDRESS IN THE SPACE BELOW
Social Security Number:
(IF NOT ALREADY PROVIDED)
Telephone Number:
Email Address:
A COPY OF EACH W-2 MUST ACCOMPANY THIS RETURN.
Please see instructions on the reverse side.
1
Please report salaries, wages, etc. from box 1 on each W-2.
A
$
B
$
C
$
D
$
2
Gross salaries, wages, etc. (total of lines A, B, C, D)
$
3
Non-Residency Deduction (complete formula on the reverse side)
$
4
Net taxable earnings (subtract line 3 from line 2)
$
5
Earnings Tax (1% of line 4)
$
6
Earnings Tax withheld (from Box 19 on each W-2)
$
7
Balance Due (subtract line 6 from line 5). No tax is due if balance is under $1.00.
$
8
Taxes paid after April 15 are delinquent. Enter amount from line 7.
$
9
Penalty,
% (please see the reverse side)
$
10
Interest,
% (please see the reverse side)
$
11 AMOUNT DUE (Total of lines 8, 9, &10)
$
Pursuant to the Revised Code of the City of St. Louis, § 5.22.100, the Collector of Revenue or his duly authorized agent
has the authority to audit the facilities or tax returns of an employer or taxpayer. I declare this return has been examined
by me and is true, correct and complete to the best of my knowledge and belief.
(Date)
(Signature)
(Typed or Printed Name)
(Preparer)
(Preparer EIN)
(Preparer Telephone)
Please mail all returns and payments to:
GREGORY F.X. DALY
COLLECTOR OF REVENUE
1200 MARKET STREET, ROOM 410
ST. LOUIS, MO 63103
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