Form 2982 - Transient Employer Cash Bond
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REQUIREMENTS FOR COMPLETING FORM:
MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
1. Form must be properly completed.
2982
P.O. BOX 357
2. Signed by applicant.
JEFFERSON CITY, MISSOURI 65105-0357
3. NO personal or company checks will be accepted.
(REV. 07-2010)
TRANSIENT EMPLOYER CASH BOND
KNOW ALL MEN BY THESE PRESENTS:
OWNER’S NAME (INCLUDE SPOUSE IF LISTED ON APPLICATION), ALL PARTNERS, CORPORATION, OR LLC NAME
BUSINESS NAME
COUNTY
STATE
We, as principal, hereby file with the Missouri Department of Revenue this Transient Employer Cash Bond and the
attached Cashier’s Check or Money Order in the amount of
($
).
We understand that we are required to comply with all provisions of the Missouri Employer Withholding Tax Law,
the Missouri Employment Security Law, and all amendments lawfully adopted in relation thereto.
We understand that whenever we cease to engage in activity within the state it shall be our duty to notify the Director
of Revenue in writing at least ten days prior to the time discontinuance takes effect. We understand that we will be
released from the bonding requirement conditioned upon the faithful compliance with all of the provisions of
Chapters 143, 287, and 288, RSMo, pertaining to the Missouri Employer Withholding Tax Law, the Employment
Security Law, and all amendments thereto.
If we become delinquent and owe the state of Missouri any tax or other payments, penalties, or interest under the
provisions of the Missouri Withholding Tax Law, the Missouri Employment Security Law, and all amendments
thereto, the Director of Revenue may forfeit this bond and apply it to any unpaid delinquencies or claims. Should this
occur, we understand that we may be required to file any additional bond as set forth by Section 285.230, RSMo.
.
Under penalties of perjury, I declare that I have examined this form and to the best of my knowledge and belief it is true, correct and complete
SIGNATURE OF OWNER, PARTNER, CORPORATE OFFICER OR MEMBER
DATE
_ _ /_ _ /_ _ _ _
This publication is available upon request in alternative accessible format(s).
MO 860-2078 (07-2010)
DOR-2982 (07-2010)
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