Form Mo-5311 - Voucher Booklet Change Request

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MISSOURI DEPARTMENT OF REVENUE
PO BOX 3375, JEFFERSON CITY, MO 65105-3375
Monthly, quarterly and annual filers are automatically sent pre-printed
VOUCHER BOOKLET CHANGE REQUEST
voucher booklets to remit their Employer Withholding Tax. This form can
be used to remove an employer from this mailing if returns are remitted
electronically or through a payroll provider.
MO TAX I.D. NUMBER
If you wish to be removed from the pre-printed voucher booklet
FEDERAL I.D. NUMBER
mailing list please indicate so below. Once you are removed from the
mailing list, you will no longer receive a booklet. All other Department
correspondence will continue to be sent.
NOTE: If you wish to be added back to this mailing list at a later
date, you must submit a written request to the Department.
I no longer wish to receive a pre-printed voucher booklet
(CHECK BOX)
SIGNATURE
DATE
Mail To: Missouri Department of Revenue, Taxation Division
TITLE
TELEPHONE NUMBER
P.O. Box 3375
Jefferson City, MO 65105-3375
MO-5311 (09-2010)

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