Section 66 Form MO-3NR, Partnership/S Corporation Withholding Exemption/Revocation Agreement

• Library: Tax Law 2009 Forms

FORM

MO-3NR

(REV. 10-2007)

MISSOURI DEPARTMENT OF REVENUE

PARTNERSHIP/S CORPORATION WITHHOLDING EXEMPTION/REVOCATION AGREEMENT

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                |FOR CALENDAR YEAR JAN. 1-DEC. 31, , OR FISCAL YEAR BEGINNING |
                |.................................., ..................................AND |
                |ENDING , |
                |-----------------------------------------------------------------------------|
                |REVOCATION |DOR | | |
                | | |PM | |
                |INDICATOR [ ] |ONLY | | |
                |-----------------------------------------------------------------------------|
                |PART 1 - NAME AND ADDRESS  |
                |-----------------------------------------------------------------------------|
                |BUSINESS NAME |FEDERAL I.D. NUMBER |
                |-----------------------------------------------------------------------------|
                |NUMBER AND

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