form 205 collector's annual settlement2015 land tax book from tax book from additions from fcl...
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Total Current*
Total Back and Protested
Total Other
Total Charges
Tax Book Differences
Grand Total Charges
Form
205Missouri Department of RevenueCollector’s Annual Settlement
Annual settlement of __________________________________, collector of _______________________________________ county
for year ending February 28, 20 ___________ .
Amounts Amounts
• Total Surtax in this Amount if not Shown as a Separate Distribution
State
General Revenue
Special Road and Bridge
Health Center
Schools
Cities
Surtax
Subtotal
I, _________________________________ , clerk of the county commission of ______________________________________county
hereby certify the above and the attached to be a copy of the annual settlement of the county collector with the county commission on
the __________________________day of ________________________ , 20________ , for the year ending __________________ ,
20 ________ as the same appears of record in my office.
In testimony whereof, I have hereunto set my hand and affixed the seal of the county commission of ______________________
county. Done at my office in _______________________ this __________________________day of, ________________________
20 ________.
Form 205 (Revised 12-2015)
Clerk of County Commission
Total Collections
Total Delinquents
Total Abatements
Total Protested
Total Refunds
Total Credits
Tax Book Differences
Grand Total Credits
Assessment
Commissions: County
Official
Subtotal
Total Distributions
Sum
mar
y of
Cha
rges
Sum
mar
y of
Cre
dits
Dis
trib
utio
ns
2015 Land Tax Book
From Tax Book
From Additions
From FCL and PILT Payments
2015 Railroad Tax Book
From Tax Book
2015 Personal Tax Book
From Tax Book
From Additions
Total Current Charges
2015
From Tax Book
2015
From Tax Book
2015
By Collections
By Delinquent
By Abatements
By Protested
Current Amount
Form 205 (Revised 12-2015)
Page 2 of 3
Current Amount
2015 Land Tax Book
By Collections
By Delinquent
By Abatements
By Protested
2015 Personal Tax Book
By Collections
By Delinquent
By Abatements
By Protested
2015 Utility Tax Book
From Tax Book
2015 Utility Tax Book
By Collections
By Delinquent
By Abatements
By Protested
2015 Railroad Tax Book
By Collections
By Delinquent
By Abatements
By Protested
2015
By Collections
By Delinquent
By Abatements
By Protested
Total Current Charges
Cha
rges
Cre
dits
Total Back and Protested
Other
From Interest on Taxes
From Penalties (Fees, 2% Add-on, Etc.)
From Interest on Investments
From Licenses
From Duplicate Receipts
2014 and Prior Protested Tax Book
From Tax Book
From Interest on Protested Taxes
2014 and Prior Personal Tax Book
From Tax Book
From Additions
2014 and Prior Land Tax Book
From Tax Book
From Additions
2014 and Prior Protested Tax Book
By Collections
By Refunds and Abatements
By Protested
Total Back and Protested
Other
By Collections
By Collections
By Collections
By Collections
By Collections
Amount
2014
By Collections
By Delinquent
By Abatements
2014
By Collections
By Delinquent
By Abatements
Back and Protested Back and Protested Amount
Form 205 (Revised 12-2015)
Visit http://dor.mo.gov/business/citycounty/ for additional information.
Mail to: Taxation Division Phone: (573) 751-5900 P.O. Box 453 TTY: (800) 735-2966 Jefferson City, MO 65105-0453 Fax: (573) 522-1160
Page 3 of 3
2014 and Prior Land Tax Book
By Collections
By Delinquent
By Abatements
2014 and Prior Personal Tax Book
By Collections
By Delinquent
By Abatements
Total Other CreditsTotal Other Charges
Cha
rges
Cre
dits
2014
From Tax Book
2014
From Tax Book
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