Form 331 - Sales And Use Tax Surety Bond
Download a blank fillable Form 331 - Sales And Use Tax Surety Bond in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 331 - Sales And Use Tax Surety Bond with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Reset Form
Print Form
REQUIREMENTS FOR COMPLETING FORM
THIS FORM CANNOT BE ALTERED
MISSOURI DEPARTMENT OF REVENUE
FORM
1. Issued by licensed surety company
TAXATION DIVISION
2. Signed by surety company’s authorized representative
331
PO BOX 357
3. Signed by taxpayer’s authorized representative
4. Notarized
JEFFERSON CITY, MO 65105-0357
5. Effective date included
(REV. 08-2009)
6. Must be accompanied by a valid Power of Attorney letter
SALES AND USE TAX SURETY BOND
issued by the surety company.
AMOUNT
BOND NUMBER
DATE OF ISSUANCE
At the request of taxpayer/business ______________________________________________________________________________,
(TAXPAYER/BUSINESS NAME, INCLUDING SPOUSE IF LISTED ON THE TAX REGISTRATION APPLICATION, ALL PARTNERS, CORPORATION, OR LLC NAME)
Address ______________________________________________________________, County of ____________________________,
State of _______________________, ____________________________________________________________________________
(SURETY)
hereby issues this Sales and Use Tax Surety Bond (Bond) in favor of the Missouri Department of Revenue (MDOR), in the aggregate
sum of ________________________________________________________________ dollars ($ _________________). This Bond
shall secure the payment of the sales and use taxes and related fees, interest, additions to tax, and/or penalties due the state of
Missouri or MDOR on or after the date of this Bond.
Any claim on this Bond shall be paid to MDOR upon a written demand for payment on the Surety by referencing this Bond. The Surety
shall honor all demands for full or partial payment.
This Bond shall be effective for a period of two years from the date of issuance or until MDOR releases the taxpayer/business from the
bonding requirement set forth in Section 144.087, RSMo, as amended, whichever later occurs. The Surety may cancel the Bond by
delivering sixty (60) days’ written notice to the Director of Revenue, P.O. Box 357, Jefferson City, MO 65105-0357. Any election to
cancel this Bond shall not operate to relieve, release, or discharge the Surety from any liability for sales or use taxes, related fees,
interest, additions to tax, and/or penalties of the taxpayer/business that may accrue for all periods prior to the cancellation of this Bond.
MDOR shall have a period of one year after expiration or cancellation of the Bond to make a demand for payment upon the Surety.
The Surety affirms that any demand for payment made by MDOR in accordance with the terms of this Bond shall be honored upon
receipt.
Delivery of any demands, notice, or service of process by MDOR shall be deemed sufficient and made in the state of Missouri if person-
ally served or if mailed by U.S. mail with return receipt requested to the Surety’s address as set forth below. This Bond and any legal
action pertaining thereto shall be governed by and construed in accordance with the terms of the Uniform Commercial Code and the
laws of the state of Missouri. MDOR and the Surety understand and agree that the exclusive jurisdiction for any action concerning this
Bond shall be the state of Missouri and the only venue shall be in the Circuit Court of Cole County, Missouri. By signing this Bond, the
undersigned states that he/she has authority to bind the Surety identified herein.
SURETY NAME
SURETY PHONE NUMBER
SURETY COMPANY CERTIFICATE OF AUTHORITY NUMBER
SURETY ADDRESS
SIGNATURE OF SURETY OFFICIAL
SURETY CITY, STATE, ZIP CODE
SURETY OFFICIAL’S NAME AND TITLE (TYPED OR PRINTED)
AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION
Taxpayer/business hereby authorizes MDOR to disclose confidential tax information to ______________________________________
(SURETY)
for the purpose of making demand for payment on this Bond. This authorization expires at the conclusion of MDOR’s demand period
as defined above. Taxpayer/business also releases the Director of Revenue, MDOR, and MDOR personnel from any and all liability
related to any disclosure of confidential tax information that is necessary for making demand for payment upon the Surety. By signing
this Authorization, the undersigned states that he/she has legal authority to bind the taxpayer/business identified herein.
TAXPAYER/BUSINESS
ADDRESS
CITY, STATE, ZIP CODE
SIGNATURE OF OWNER, PARTNER, CORPORATE OFFICER OR MEMBER NAME AND TITLE OF PERSON SIGNING THIS RELEASE (TYPED OR PRINTED)
NOTARY PUBLIC
IN WITNESS WHEREOF, this taxpayer/business duly executed the foregoing this ______ day of ___________________ A.D. 20 ____.
COUNTY (OR CITY OF ST. LOUIS)
STATE
NOTARY PUBLIC EMBOSSER OR
BLACK INK RUBBER STAMP SEAL
NOTARY PUBLIC SIGNATURE
MY COMMISSION EXPIRES
USE RUBBER STAMP IN CLEAR AREA BELOW.
NOTARY PUBLIC NAME (TYPED OR PRINTED)
MO 860-1155 (08-2009)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial