|
| Revised | FORM: |
| 12/2023 FORM | |
| E-11 | E-11 |
| | ANNUAL ST LOUIS CITY |
| EARNINGS TAX | EARNINGS TAX |
| PRE-PAYMENT VOUCHER | Rev. 02/10 ( |
| | Please Indicate |
| Account | Account |
| number ( | Type) |
| SSN or FEIN) ⬜ ✔ | |
| E-1 ( | E-1 ( |
| individual wage earner) | W-2 Wage Earners) |
| Name ⬜ ✔ | |
| E-234 ( | E-234 ( |
| sole proprietor, independent contractor, Address corporation, partnership, or other business) City/State/ZIP Tax period ending Pre-payment amount $ Make checks payable to: Pre-pay your Earnings Tax online! Gregory | Business Accounts) 1. ACCOUNT NUMBER ( SSN OR EIN) : ____________________________________ 2. NAME: _____________________________________________________________ 3. DBA ( E-234 Filers Only) : _________________________________________________ 4. ADDRESS: __________________________________________________________ 5. CITY, STATE & |
| | ZIP CODE: ____________________________________________ 6. TAX PERIOD ENDING: ________________ 7. AMOUNT: $_______________ MAKE CHECKS PAYABLE TO: GREGORY |
| F. X. | F. X. |
| Daly, Collector of Revenue Visit pay. payitgov. com/stlearningstax Mail to: | DALY - COLLECTOR OF REVENUE MAIL TO: EARNINGS TAX DIVISION |
| or scan the QR code below Earnings Tax Division | |
| 1200 | 1200 |
| Market Street, Room | MARKET ST. – |
| | ROOM |
| 410 | 410 |
| St. Louis, MO | CITY HALL – |
| | ST. LOUIS, MO. |
| 63103 | 63103 |
| Important Information Form Intructions Form E-11 is used to make voluntary | ------------------------------------------------------------------------------------------------------------------------------------------------------------------ INSTRUCTIONS THIS IS FOR VOLUNTARY ESTIMATED PAYMENTS TOWARDS AN ANNUAL |
| payments towards Earnings Tax filed Account number: Enter your Social Security Number or Federal Employer on Form | |
| E-1 | E-1 |
| or E-234. Payments submitted using Form E-11 do not Identification Number. eliminate the need to file actual tax returns. Name: For E-1 filers, enter your legal individual name. For | OR E-234 TAX FILING. PAYMENTS DO NOT ELIMINATE THE NEED TO FILE ACTUAL TAX RETURNS. 1. ENTER YOUR EARNINGS TAX ACCOUNT NUMBER ON LINE 1 ( THIS WILL BE EITHER |
| | YOUR SOCIAL SECURITY OR FEDERAL EIN NUMBER). 2. ENTER YOUR NAME ( PERSONAL NAME / E-1) OR ( BUSINESS NAME / E-234) ON LINE 2. 3. |
| E-234 | E-234 |
| filers, enter your legal business name. | FILERS - ENTER DBA ( DOING BUSINESS |
| | AS) IF APPLICABLE ON LINE 3. 4. ENTER YOUR STREET ADDRESS ON LINE 4. 5. ENTER CITY, STATE & ZIP CODE ON LINE 5. 6. ENTER THE TAX PERIOD THAT THE PAYMENT NEEDS TO BE APPLIED TO ON LINE 6. 7. ENTER THE AMOUNT OF PAYMENT ON LINE 7. 8. THESE PAYMENTS ALONE DO NOT PROVIDE AN EXTENSION FOR |
| E-234 | E-234 |
| filers wishing to file an extension must submit Form E-8. Address: Enter your current mailing address. Payments made using this form alone do not provide an extension of time Tax | TAX FILERS. A REQUEST USING FORM E-8 MUST BE SUBMITTED TO THE COLLECTOR OF REVENUE SEPARATE FROM & IN ADDITION TO A FEDERAL EXTENSION REQUEST MADE WITH THE IRS. 9. |
| period ending: For E-1 filers, enter the calendar year to which you to file. would like this payment applied. For | |
| E-234 | E-234 |
| filers, enter either the calendar year or the last date of the fiscal year | TAX FILERS ARE TO PUT TOTAL ESTIMATED PAYMENTS ON LINE 13 OF FORM E-234. |
| | TAX FORMS ARE AVAILABLE ON OUR WEBSITE AT: www. stlouiscollector. com Office Hours: 8:00 a. m. |
| to | to |
| which you would like this payment Pre-payments | 5:00 p. m. - Monday thru Friday |
| must be received prior to the due date of the return. to be applied. Amounts received with Form E-11 after the due date of the return may be Pre-payment amount: Enter the amount remitted with this form. applied to fees, penalties, and/or interest. | |
| PDF file checksum: | PDF file checksum: |
| 1494786952 | 1184331341 |