Form 53-1 - Sales Tax Return - Missouri Department Of Revenue

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Missouri Department of Revenue

Form

for instructions to complete this form.

53-1

Sales Tax Return

RETE

Missouri Tax Identification Number

Federal Employer Identification Number

Select one if:

Amended Return

Additional Return

Owner Name

Business Name

Reporting Period

Mailing Address

City

State

Zip Code

Business Phone Number

Due Date

E-mail Address

(

___ ___ / ___ ___ / ___ ___ ___ ___

___ ___ __

___ ___ ___

___ ___ ___ ___

Department

Address Correction:

Mailing Address

Reporting Location

Use Only

This return must be filed for the reporting period indicated even if you have no gross receipts or tax to report.

Adjustments

Gross

Rate (%)

Business Location

Taxable Sales

Amount of Tax

Code

Receipts

(Indicate + or -)

Page 1 Totals ...................................................

Page

Totals ..................................

Totals (All Pages) .............................................

Subtract: 2% timely payment

Visit

https://dors.mo.gov/tax/busefile/login.jsp

allowance (if applicable) ..................

to file your sales tax return electronically.

Final Return: If this is your final return, enter the close date below and check

Total sales tax due .......................

the reason for closing your account. Missouri law requires any person selling

Add: interest for late payments

or discontinuing business to make a final sales tax return within fifteen (15)

(See Line 4 of Instructions) ............

days of the sale or closing.

Date Business Closed (MM/DD/YYYY): ___ ___ / ___ ___ / ___ ___ ___ ___

Add: additions to tax .........................

Out of Business

Sold Business

Leased Business

Subtract: approved credit ...............

Visit

to determine if

Pay this amount

you have a credit for which you may be entitled to a refund.

(U.S. Funds only) ........................

If you pay by check, you authorize the Department of Revenue to process the check

Department Use Only

electronically. Any check returned unpaid may be presented again electronically.

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.

Taxpayer or Authorized Agent’s Signature

Title

Date (MM/DD/YYYY)

__ __ /__ __ /__ __ __ __

Printed Name

Tax Period (MM/DD/YYYY) though (MM/DD/YYYY)

__ __ /__ __ /__ __ __ __

through

__ __ /__ __ /__ __ __ __

Form 53-1 (Revised 06-2014)

Mail to:

Taxation Division