CITY OF KANSAS CITY, MISSOURI
FINANCE DEPARTMENT, REVENUE DIVISION
CLEARANCE REQUEST FORM
Please provide all information requested and mail, fax, or bring to:
Kansas City Finance Department
Revenue Division, Business License Section
nd
2
Floor East, City Hall
th
414 E. 12
Street
Kansas City, Missouri 64106
Phone (816) 513-1135 or (816) 513-1120
Fax (816) 513-1077
ID No. (FID or SSN)
Name
Address
□
Check the box if you wish to receive this letter by fax.
FAX NUMBER: _____________________________
This Authorization shall be effective for a period of one (1)
year and shall automatically continue year to year unless the
Taxpayer sends written notice to the City’s Commissioner of
Revenue revoking this Authorization.