Form E-234                                  CITY OF ST. LOUIS
(Rev. 11/21)
                                     EARNINGS TAX RETURN

TAXABLE YEAR BEGINNING                                                AND ENDING                                                            FOR OFFICE USE ONLY
TYPE OF RETURN:                                       DAYTIME TELEPHONE #:
   E-2 INDIVIDUAL (LLC, 1099-Misc., 1099-NEC, Schedule C)                                             FEIN OR SSN #:    
   E-3 PARTNERSHIP (LLC, Trust, 1065)                                               PRINCIPAL BUSINESS ACTIVITY:  
   E-4 CORPORATION (LLC, Sub S, 1120, 1120S)                                                                                     E-MAIL:  

                                                                                                              Check applicable boxes:                      (1) Due month change
                                                                                                              (2)                       Amended return     (3) Change in address
                                                                                                              (4)                       Account terminated (5) Initial Return
                                                                                                      DATE & REASON (REQUIRED):
   
                                                                                                      TO WHOM SOLD OR TRANSFERRED: (Attach Statement)

                                                                                                      ADDRESS OF NEW OWNER:

                                                                                                                                 VERIFIED BY                   AUDITED BY 
PLEASE PRINT YOUR NAME AND ADDRESS IN THE SPACE ABOVE IF NOT ALREADY PROVIDED.
                Please see the instruction sheet for additional information.
                                                      SECTION A - NET PROFIT                                                                      ROUND TO NEAREST WHOLE DOLLAR
 1.  Gross Receipts or Transactions (less Returns and Allowances)                                                                       1.
 2.  Cost of Goods Sold (attach itemized list)                                                                                          2.
 3.  Gross Profit (subtract line 2 from line 1)                                                                                         3.
 4.  Other Income or Loss (attach itemized list)                                                                                        4.
 5.  Total Gross Profit (add lines 3 and 4)                                                                                             5.
 6.  Business Expenses (use Section A-1 on the reverse side)                                                                            6.
 7.  Net Profit or Loss (subtract line 6 from line 5)                                                                                   7.
                      SECTION B - NET PROFIT BY ALLOCATION (From Section B Worksheet, on back)
 8.  (a) Allocation percent (line 2)                                                                                                    8a.                                  %
  (b) Net Profit by allocation (line 7 multiplied by line 8a)                                                                           8b.
                                                      SECTION C - COMPUTATION OF TAX
 9.  Taxable Net Profit (line 7, line 8b or total of column 3 in Section B-1)                                                           9.
 10. Earnings Tax Due is 1% of line 9 (no tax due if less than $1.00)                                                                   10.
 11. Payroll Expense Tax Credit (complete Section C-1 on the reverse side)                                                              11.
 12. Net Earnings Tax Due (line 10 minus line 11)                                                                                       12.
 13. Less Extension payment and pre-payments (penalty and interest will be assessed if prepayment is not 90% of tax due)                13.
 14. Subtotal (line 12 minus line 13)                                                                                                   14.
 15. Penalty           % (5% per month, 25% maximum)                                                                                    15.
 16. Interest          % (1% per month)                                                                                                 16.
 17. Amount Due                                                                                                                         17.
 18. Amount Overpaid. □ Refund or                     □ Carry Forward (refund claims under $1.00 will not be awarded)                   18.
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                       The City of St. Louis requires
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.                                                                                           all extension requests to be
                                                                                                                                                       filed on Form E-8 (see
                                                                                                                                                       instructions). An estimated
  (Date)                                              (Signature)                   (Typed or Printed Name)                               (Title)      payment of 100% of the tax
                                                                                                                                                       due is required with your  
                                                                                                                                                       extension request.
  (Signature of preparer other than taxpayer)         (FEIN/SSN of preparer)             (Address, City, State, Zip)

               (Preparer Telephone #)                                               (E-Mail Address)
Please mail returns and payments to:
GREGORY F.X. DALY                                                             PAY ONLINE                                                  Email: earningstaxcor@stlouis-mo.gov
COLLECTOR OF REVENUE                                                  https://pay.payitgov.com/stlearningstax                                          Telephone: (314) 622-3296
1200 MARKET STREET, ROOM 410                                                                                                                               Fax: (314) 622-4847
ST. LOUIS, MO 63103-2841                                                      www.stlouiscollector.com

                                                           SECTION A-1 - BUSINESS EXPENSE DEDUCTIONS
                           ITEM                              AMOUNT                                ITEM                               AMOUNT
1.  Car and Truck Expense                                                       8.  Rent
2.  Commissions                                                                 9.  Repairs
3.  Depreciation                                                                10.  Taxes (Except Federal, State and
                                                                                  Local Income Taxes) (Itemized list required)
4.  Dues and Publications                                                       11.  Utilities and Telephone
5.  Insurance                                                                   12.  Wages and Salaries
6.  Legal and Professional                                                      13.  Other Deductions (itemized list required)
7.  Office Expense and Supplies                                                         Total – Enter on line 6, Section A
                                SECTION A-2 - INFORMATIONAL DISBURSEMENT (Print N/A if no 1099's or disbursements issued)
                                 TO WHOM PAID                                                                   Total Amount          Amount or
                                                                                        FEIN/SSN                     Paid             Percent Earned
   Name                    Address                           City, State, Zip                                                         Within the City

(Please attach additional sheets or 1099-Misc. as necessary.)
                                          SECTION B WORKSHEET - BUSINESS ALLOCATION OF TAXABLE NET PROFIT
              All applicable fields must be completed.                          Within & Without                Within                Percentage Within 
        Please attach a list of all business locations.                          St. Louis                      St. Louis             St. Louis
1. (a) Average Value of Real and Tangible Personal
   Property, including inventory.
   (b) Gross Receipts

   (c) Wages & Salaries (except Officers) 

                                                                                                            Total Percentage %
2. ALLOCATION PERCENTAGE:
   Total of Percentages divided by number of factors used                                %. Enter this percent on line 8a. Section B. 
                                                           SECTION B-1 – PARTNER’S SHARE OF NET PROFIT
Non-resident partners use the allocation % from Section B. Partners who are residents of St. Louis are subject to tax on their full
share of the net profit and cannot allocate.
                                                                                        Share of                Allocation            Taxable
                                 List Partners Below                                    Net Profit              Percentage            Income
Name                                      FEIN/SSN
Home Address                                                 Zip
Name                                      FEIN/SSN
Home Address                                                 Zip

(Attach list if necessary)                                                    Enter total “Taxable Income” on line 9, Section C

                                                           SECTION C-1 – PAYROLL EXPENSE TAX CREDIT
     1.       Did you pay the Payroll Expense Tax on Form P-10?               □ Yes (Proceed to line 2)     □ No (P-10 credit does not apply)

     2.       Total quarterly Payroll Expense Tax paid from line 3, Form P-10.
              1st Qtr.            + 2nd Qtr.                  + 3rd Qtr.          + 4th Qtr.                 =  
     3.                                                                                 Line 2 x 20% =                                        

     4.       Tax amount due from line 10, Section C (reverse side)                               x 25% =                                     
     5.       Smaller of lines 3 and 4 (Please enter this amount on line 11, Section C)                     =