Form 4600 - Children'S Trust Fund

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MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
4600
P.O. BOX 453
(573) 751-5900
JEFFERSON CITY, MO 65105-0453
(REV. 09-2008)
CHILDREN'S TRUST FUND
REPORT PERIOD:
COUNTY NAME/ADDRESS
Check Number
MARRIAGE LICENSE ISSUED =
X $15.00
Total Due
CERTIFIED COPIES ISSUED =
X $7.00
$
SIGNATURE OF RECORDER
DATE
___ ___ / ___ ___ / ___ ___ ___ ___
MO 860-2719 (09-2008)
MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
4600
P.O. BOX 453
(573) 751-5900
JEFFERSON CITY, MO 65105-0453
(REV. 09-2008)
CHILDREN'S TRUST FUND
REPORT PERIOD:
COUNTY NAME/ADDRESS
Check Number
MARRIAGE LICENSE ISSUED =
X $15.00
Total Due
CERTIFIED COPIES ISSUED =
X $7.00
$
SIGNATURE OF RECORDER
DATE
___ ___ / ___ ___ / ___ ___ ___ ___
MO 860-2719 (09-2008)
MISSOURI DEPARTMENT OF REVENUE
FORM
TAXATION DIVISION
4600
P.O. BOX 453
(573) 751-5900
JEFFERSON CITY, MO 65105-0453
(REV. 09-2008)
CHILDREN'S TRUST FUND
REPORT PERIOD:
COUNTY NAME/ADDRESS
Check Number
MARRIAGE LICENSE ISSUED =
X $15.00
Total Due
CERTIFIED COPIES ISSUED =
X $7.00
$
SIGNATURE OF RECORDER
DATE
___ ___ / ___ ___ / ___ ___ ___ ___
MO 860-2719 (09-2008)

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