Form Mo-3nr - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement
Download a blank fillable Form Mo-3nr - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement 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 Mo-3nr - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement 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
1
2Reset Form
Print Form
Missouri Department of Revenue
Partnership or S Corporation Withholding
Form
MO-3NR
Exemption or Revocation Agreement
For calendar year Jan. 1 - Dec. 31,
, or fiscal year beginning
,
and ending
,
.
r
Revocation Indicator
Department Use Only
|
|
|
|
|
|
|
Federal Employer Identification Number
Missouri Tax Identification Number
r
r
Partnership
S Corporation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Business Name
Street Address
City
State
Zip Code
E-mail Address
Taxpayer Name
Social Security Number
|
|
|
|
|
|
|
|
Street Address
City
State
Zip Code
I, _______________________________________, as a partner or shareholder of the above named partnership or S corporation,
request to be exempt from Missouri income tax withholding on my Missouri distributive share item(s) received through this partnership
or S corporation for the tax year ___________, and all subsequent tax years, until I notify the Department of a change in this election.
By signing this agreement, I agree to:
1) File an individual income tax return in accordance with the provisions of
Section 143.481,
RSMo, and make timely payment
of all taxes imposed on me by this state with respect to the income of the partnership or S corporation for every year in which
I maintain my exemption status; and
2) Be subject to personal jurisdiction in this state for the purpose of the collection of income taxes, together with
related interest and penalties, imposed on me by this state with respect to my distributive share of the income for this
partnership or S corporation.
Taxpayer Name
Social Security Number
|
|
|
|
|
|
|
|
Street Address
City
State
Zip Code
I, _______________________________________, as a partner or shareholder of the above named partnership or S
corporation, do hereby revoke my previous withholding election dated ___ ___ / ___ ___ / ___ ___ ___ ___. At this time, I
request to be subject to withholding by this partnership or S corporation on my Missouri distributive share item(s) received
through this partnership or S corporation for the tax year ___________, and all subsequent tax years, until I notify the
Department of a change in this election.
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature of Taxpayer
Printed Name
Daytime Telephone
Date (MM/DD/YYYY)
Department Use Only
(
)
-
___ ___ ___
___ ___ ___
___ ___ ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
Form MO-3NR (Revised 12-2013)
Mail to:
Taxation Division
Phone: (573) 751-3505
Visit
P.O. Box 3815
TDD: (800) 735-2966
for additional information.
Jefferson City, MO 65105-3815
Fax: (573) 526-7939
E-mail:
income@dor.mo.gov
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Mo-3nr Draft - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement - 2016
Financial
Form Mo-3nr - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement - 2014
Financial
Related Categories
Parent category: Financial